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• Close oversight by a Community Coordinator, relationships built with community partners, and the use of telehealth were creative solutions used by the Infant Toddler Court Teams during COVID-19 to support timely access to services. • This study builds on a companion paper that examined receipt and access to child health services at multiple Infant-Toddler Court Teams prior to and during the first year of the pandemic and details the challenges faced and the solutions identified by ITCT partners to support access to child services in the context of the COVID-19 pandemic within the US. • Understanding the challenges and solutions faced by the Infant-Toddler Court Team Community Coordinators during COVID-19 will be important for future pandemics or crises that impact care for child welfare involved children. This qualitative study examines Infant-Toddler Court Teams' (ITCT) responses to the impact of the COVID-19 pandemic on the accessibility and timeliness of services for children involved with an Infant Toddler Court Team (ITCT) within the United States. ITCTs utilize collaborative practice to improve, align, and integrate systems and build community capacity to improve outcomes for very young children and their families. This study reports findings from 350 transcripts of community partner interviews and an analysis of written case notes from ITCT Community Coordinators related to more than 700 instances of child service needs. We describe challenges faced and solutions and innovations developed by ITCTs to support and maintain child health services during the first year of the pandemic, as well as findings related to challenges associated with other types of services that reduced accessibility and timeliness. Understanding the challenges experienced and solutions developed can provide the child welfare field with insight and guidance on how to approach disruptions in care in the future and the persistent lack of service providers for court involved families. [ABSTRACT FROM AUTHOR]

• Children reside in households with hardship rates two to four times higher than seniors. • The majority of children in households with hardship are above the poverty line, a third are above 200% of the poverty line. • There are strong racial disparities in the risk of hardship. The material well-being of children has profound implications for a variety of social and health outcomes. This paper provides estimates of the prevalence and intensity of material hardship among children by various demographic groups and reveals stark disparities by race and educational attainment. According to a pooled sample of the nationally-representative Survey of Income and Program Participation (SIPP) 36.5% of children lived in households reporting at least one form of material hardship, such as food insecurity, inability to pay essential household bills, inability to access medical care due to cost, or substandard and overcrowded housing. This is well above the proportion considered to be below the income poverty line (18.4%). Children were more likely to live in households experiencing material hardship than seniors. [ABSTRACT FROM AUTHOR]