Implementing LGBTQ-Affirmative Cognitive-Behavioral Therapy

Implementing Sustainable Evidence-based Mental Healthcare in Low-resource Community Settings Nationwide to Advance Mental Health Equity for Sexual and Gender Minority Individuals

NA · Yale University · NCT05890404

This study is testing different ways to train mental health providers in LGBTQ-affirmative Cognitive-Behavioral Therapy to see which method helps them and their clients the most over two years.

Quick facts

PhaseNA
Study typeInterventional
Enrollment1410 (estimated)
Ages15 Years and up
SexAll
SponsorYale University (other)
Locations1 site (New York, New York)
Trial IDNCT05890404 on ClinicalTrials.gov

What this trial studies

This study aims to identify effective strategies for implementing LGBTQ-affirmative Cognitive-Behavioral Therapy (CBT) at community centers across the United States. It will compare three implementation strategies: training materials only, training materials with direct training from experts, and a combination of both with local supervision. The study will utilize a type 3 hybrid implementation-effectiveness trial design, randomizing centers to receive one of the training types. Outcomes will include changes in mental health providers' skills and the impact of these strategies on client mental health over a 24-month period.

Who should consider this trial

Good fit: Ideal candidates for this study are mental health providers affiliated with LGBTQ community centers who are working with sexual or gender minority clients.

Not a fit: Patients who may not benefit from this study include those whose providers already have substantial experience with LGBTQ-affirmative CBT.

Why it matters

Potential benefit: If successful, this study could enhance the quality of mental health services for LGBTQ individuals by improving the training of providers in LGBTQ-affirmative CBT.

How similar studies have performed: Other studies have shown success in implementing evidence-based practices in mental health settings, suggesting that this approach may also be effective.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria: Providers

Eligible providers will meet the following criteria:

* 18 years of age or older
* working as a psychologist, psychiatrist, social worker, mental health counselor, nurse practitioner, or peer support provider
* affiliated with a US LGBTQ community center
* providing mental health services to at least one sexual or gender minority (SGM) client

Exclusion Criteria: Providers

Providers will be deemed ineligible due to:

\- possessing substantive experience with LGBTQ-affirmative CBT (e.g., having read most the LGBTQ-affirmative CBT treatment manual, attended LGBTQ-affirmative CBT training, or been supervised by someone who has previously attended the LGBTQ-affirmative CBT training)

Inclusion Criteria: Clients

Eligible clients will meet the following criteria:

* of age to consent to mental health treatment in the state in which they live
* receiving ongoing mental health services at one of the 15 LGBTQ centers selected for the client evaluation aim of the present study
* self-identifying as LGBTQ

Exclusion Criteria: Clients

There are no exclusion criteria for clients

Where this trial is running

New York, New York

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.

View on ClinicalTrials.gov →

Conditions: CBT, LGBTQ

Last reviewed 2026-05-15 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.