Brings a raft of stories about our ongoing work to help families and children deal with trauma amid the challenges of the COVID-19 pandemic. This issue highlights NCTSN members offering telehealth and online consultation to Puerto Rico, still dealing with the challenges of Hurricane Maria, earthquakes and now the coronavirus. We also report on outreach to LGBTQ+ youth in New York City and Raleigh, NC; on an important study about measurement-based care; and ways in which race, culture and historical trauma intersect with secondary traumatic stress.