Table 4:

Adjusted Associations between Perceptions of Challenges to Providing Mental Health Services to Youth and Perceptions of Impacts of the COVID-19 Pandemic on Youth , State and County Mental Health Agency Officials, September 21, 2020- October 30, 2020

	Perceived Impacts
	Model 1: Disproportionately negative impacts on the mental health of socially disadvantaged youth	Model 2: Negative impacts on the mental health of youth	Model 3: Prevented youth from receiving needed mental health services	Model 4: Negatively impacted the quality of mental health services provided to youth	Model 5: Reduced the supply of mental health services for youth
Perceived Challenges	β	β	β	β	β
Patient tele-psychiatry challenge composite score	0.14	0.07	0.05	−0.12	0.16
Provider tele-psychiatry challenge composite score	−0.12	−0.17	−0.18	0.18	−0.13
Financing tele-psychiatry challenge composite score	−0.02	0.21	0.07	0.06	0.01
Inability to provide some services remotely	0.28*	0.32	0.15	0.39**	0.30*
Provider capacity/staffing issues because of illness and/or childcare obligations	0.30*	0.28*	0.02	−0.10	0.05
Medication supply	−0.04	−0.11	0.24	0.12	0.10
Redeployment of inpatient psychiatric beds	−0.12	−0.05	−0.05	0.06	−0.09
Facility closures	0.14	0.11	0.08	−0.04	0.24
Lack of personal protective equipment	−0.02	−0.09	−0.04	0.00	−0.07

Note: N= 159.

^*p ≤ 0.01

^**p ≤ 0.001.

Adjusted R² statistics: Model 1= 0.14, Model 2= 0.24, Model 3= 0.03, Model 4= 0.23, Model 5= 0.14.