The OUHSC Center on Child Abuse and Neglect/Child Study Center (OUHSC CCAN/CSC) is housed within the OUHSC Children’s Hospital – Department of Pediatrics. Their mission is to improve the lives of children and families through clinical and interdisciplinary services, research and training. Technology is required to support child welfare and juvenile justice involved youth and family participation in specialized OUHSC CCAN/CSC telehealth treatment services. For children and families at highest risk and in greatest need, the onset of COVID-19 has brought with it increased personal and financial life stressors in conjunction with new barriers in accessing quality mental health care. OUHSC treatment programs have worked expeditiously during this pandemic to transition assessment and therapy services to telehealth platforms.