A Qualitative Study of Center Director, Teacher, and Parent Input for Delivering a Virtual Early Childhood Mental Health Consultation Model in the Aftermath of COVID-19

Given disruptions to early care and education following the COVID-19 pandemic, it is important to mitigate long-term impacts of the pandemic on child development among ethnic and racial minority children. Our team is implementing an early childhood mental health consultation (ECMHC) model, or a multi-tiered intervention to support young children's social-emotional development, that utilizes mental health consultants to deliver a virtual toolkit to ethnically and racially diverse early care and education centers. Understanding the perspectives and ongoing needs of center directors, teachers, and parents is critical to intervention delivery. Between February and April 2023, 18 participants (<i>n</i> = 6 center directors, <i>n</i> = 6 teachers, <i>n</i> = 6 parents) across 12 early childcare centers completed individual interviews in English or Spanish. We used a rapid qualitative analysis to generate four themes related to participants' perceived impact of COVID-19, including how it (1) exacerbated existing financial and administrative challenges, (2) increased their need for adaptability, (3) highlighted the importance of support for staff facing educational challenges during a public health emergency, and (4) highlighted the value of partnerships between parents and centers. We generated five additional themes specific to participants' ongoing needs and suggestions, including (1) increased financial support, (2) outside behavioral support, (3) enhanced center staff self-care, (4) balancing in-person interaction with planned virtual delivery, and (5) use of existing smartphone applications for communication with parents. In addition to informing adaptations to our model, including expanding upon program pillars (e.g., expanding our safety planning pillar to include financial safety via linkages to community resources), these data may be used to inform the delivery of other ECMHC programs for diverse populations.