The shortage of child and adolescent psychiatrists is a global crisis. Much attention has been given to solutions to the unmet need for child mental health services. One of the four priorities for the next decade of child psychiatry outlined in 2019 by a workgroup of psychiatric leaders of international groups is to expand the workforce beyond the direct training of child psychiatrists to other healthcare professionals. (Skokauskas 2019). Project ECHO (Extension for Community Health Care Outcomes) has been a promising model of workforce expansion. It uses the approaches of high quality CME and integration by combining collaborative cased based consultation with didactic instruction delivered virtually. The initial success of this model has led to its global expansion.(VanCleave 2017) This workshop will demonstrate the efficacy of ECHO as a workforce multiplier by describing its use to address child psychiatry shortages in four different countries. An opportunity for general questions and discussion of developing ECHO programs will follow brief presentations. Dr. Pajer will describe Project ECHO Ontario(CYMH) which has trained 500 primary care and mental health providers. Dr. Leppert will discuss KKI-NECT(US) which addresses early childhood mental health and development. Dr. Newcomb will describe ECHOs targeting general practitioners and non-medical staff in Queensland Australia. Dr. Dharmadhikari will discuss using ECHO to train general psychiatrists in rural India. Dr. Gardner’s presentation of operational outcomes will open the discussion about developing of ECHO programs (funding, operationalization, evaluation). All of the presenters will describe adaptations to their programs to address COVID-19 related concerns.