The COVID-19 pandemic threw a spotlight on telehealth as a mechanism for programs and professionals who provide direct services to young children and families to be able to continue essential supports and services. Providers, agencies, and insurance companies had to rapidly evolve in order to reach families and other caregivers in new ways. This article describes how four different programs in Louisiana took action to ensure, as best as possible, the continuation of mental health services to children and families during an unprecedented global pandemic. [Subarticles include: Implementation of Child-Parent Psychotherapy in a Virtual Setting (Joy D. Osofsky); Tulane Infant and Early Childhood Consultation Supports and Services (TIKES) (Angela W. Keyes and Allison Boothe Trigg); Louisiana State University Health Sciences Center Infant Team (Amy B. Dickson); and Louisiana State University Behavioral Science Center Outpatient Services (LaKisha Y. Mamon).]