Clinical consultations (CC) for therapists consisted of a series of six 1-hour sessions for intervention condition therapists with one expert clinical trainer. CCs were delivered every 2 to 3 weeks for 3 months. The CC sessions each had a topic for discussion: Collection of sexual orientation and gender identity data; mental health care with lesbian, gay, and bi+ clients; mental health care with transgender and gender non-binary clients; substance use disorder treatment with LGBTQ+ clients; facilitating sexual health conversations with lesbian, gay, and bi+ clients; and facilitating sexual health conversations with transgender and gender non-binary clients. Participants were asked to read an article related to the topic before meeting and bring their clinical challenges regarding LGBTQ+ clients for discussion. The facilitator reviewed case examples when the participants did not have cases to discuss. The facilitator assisted participants in identifying and resolving discomfort related to the topic and provided feedback on improving the clinical skills they demonstrated during the discussion. For each CC, the number of therapists was limited to 12. Each session was offered at two different times so that each therapist from the two participating organizations per study cohort could register to attend the most convenient option.