Table 6.

Recommendations by levels of coronavirus positivity and unmet need for child and adolescent mental health services.

	High Positivity/High Unmet Need	Low Positivity/High Unmet Need	High Positivity/Low Unmet Need	Low Positivity/Low Unmet Need
Telehealth	Continue use of telehealth Use telehealth for crisis services Incorporate telehealth services in schools Provide training in use of telehealth	Continue use of telehealth Conduct telehealth awareness campaigns	Continue use of telehealth Make telehealth available to Medicaid families Reach out to differentially impacted communities Develop evidence-based best practices	Continue use of telehealth Decide what service components can be done virtually Make it easier for families to get telehealth services Develop evidence-based best practices
Other recommendations	Focus on prevention Understand social determinants of health Understand trauma	Regular communication with providers Good staff supervision Give weight and value to youth and family voice and choice More collaboration between state agencies Establish a statewide system of relationships and networks and collaborations	Establish universal screening	Provide peer support Support providers and educators Avoid staff burnout Practice masking and distancing when seeing kids outside Disseminate knowledge of mental health More collaboration between state agencies Adopt other than a formal mental health approach to addressing youth needs during the pandemic Highlight resilience of children and families