# data[].attributes.body
health care system saw dramatic decline in volume -- both clinic & ER visits -- including well child visits, child vaccinations
longer waiting lists

had to shift work to address more basic needs, become a trusted resource in community -- how continue to do that work now? not core business before but has become that. how integrate (and fund) future work?

sustainability of remote / telehealth  service access

staff wellness - functioning in crisis mode -- internal capacity, morale, and transition back into in person

# data[].attributes.body
A.) The impacts on the Services:
Cons:
-Virtual and In-Person Services
-Isolation from the communities
-Trauma Experiences

Pros:
-

B.)
-Resource Centers
-Tribal Members
-Housing

# data[].attributes.headline
Team 3  - requirements related to virtual services have waffled back and forth differing by counties, virtual service is less beneficial to families, program costs hav ebeen reduced by less travel time (time and real cost), not sure if that is adding more time with families virtually, sympathy for child care centers because enrollment has dropped but expectations have increased because of the pandemic but have received some stimulus funding, but not for FFN providers and increased number of families used this type of care during the pandemic, less families going in-person to services so demand for on-site child care decreased (eg in substance abuse treatment), hard for providers following changing guidelines in real time in addition to their normal requirements

# data[].attributes.subject
Team 3  - requirements related to virtual services have waffled back and forth differing by counties, virtual service is less beneficial to families, program costs hav ebeen reduced by less travel time (time and real cost), not sure if that is adding more time with families virtually, sympathy for child care centers because enrollment has dropped but expectations have increased because of the pandemic but have received some stimulus funding, but not for FFN providers and increased number of families used this type of care during the pandemic, less families going in-person to services so demand for on-site child care decreased (eg in substance abuse treatment), hard for providers following changing guidelines in real time in addition to their normal requirements

# data[].attributes.body
converting to virtual - both workforce adaptions and families (many families did get experienced and stonrger in engagement.
Biggest impact - loss of human in person interaction.  Great adaptations to virtual, but miss human "touch"...
"Home Visiting" did some adaptations.
Child care especially struggling - econonically, emotionally, rapid open/closing of resources.  Child care was scarce before COVID, this has intensified.
Respite challenged
Rapid policy adaptation a challenge, resource navigators really challenged...staff taking on new roles...

# data[].attributes.body
-Direct impact to programs that provide direct services including programs switching to remote or needing to change locations.
-Incorporation of more remote work for different therapies/programs which can be beneficial in the long-term
-Workforce support/retention: Particularly related to ECE.  Many folks aren't planning/able to return to these jobs and this was already an under invested/under resourced area
-Positives: Hopes we can retain options for service delivery
-Seen staff needing to divert services/programs from normal work in these areas to focus on COVID response.  This as impacted capacity for this work.
-Challenges engaging families in strengthening families programs (like HV) virtually, particularly new families

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disruptions in visitation (child welfare, custody situations)
impacts on relationships

Necessity to stay home due  to pandemic -- significantly impacting families, especially with housing instability

Child care and food security -- access, funding

Diapers

mental health crises among children

early childhood mental health supports

families really confused about what is "safe" now

# data[].attributes.headline
Team 3 - fewer options for children in child care programming, increased isolation for families, less parents putting kids in care (preschool)because of the uncertainty, hard to do IEP supports (eg speech therapy) virtually, 

# data[].attributes.subject
Team 3 - fewer options for children in child care programming, increased isolation for families, less parents putting kids in care (preschool)because of the uncertainty, hard to do IEP supports (eg speech therapy) virtually, 

# data[].attributes.body
-Access to child care, numbers have been reduce, or clients have not been working, and do not want to send the children to the care centers
-Early care for children has not been a priority
-

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CoVid has made existing inequalities stronger -Early Care and Learning and other EC heavily impacted by workforce shortagesFrom Ron Mitchell to Everyone:  12:13 PMWe have heard there has been better attendance in virtual meetings versus in person.From Me to Everyone:  12:15 PMVirtual services in health care and education and community engagement have provided some specific groups with better access - we would like to retain thatFederal waivers of barriers to getting certain services and benefits have been a BIG postitive

# data[].attributes.subject
CoVid has made existing inequalities stronger -Early Care and Learning and other EC heavily impacted by workforce shortagesFrom Ron Mitchell to Everyone:  12:13 PMWe have heard there has been better attendance in virtual meetings versus in person.From Me to Everyone:  12:15 PMVirtual services in health care and education and community engagement have provided some specific groups with better access - we would like to retain thatFederal waivers of barriers to getting certain services and benefits have been a BIG postitive

# data[].attributes.body
-Has improved as centers are reopened but some centers are permanently closed.  Also so challenging when childcare wasn't stable due to quarantines/exposures
-Impact to women
-Involvement in child welfare, families with out of home placement had a huge disruption in visitation/opportunities for return home