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Describes applications of Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) for trauma-impacted lesbian, gay, bisexual, transgender/gender expansive, and queer/questioning (LGBTQ) youth. These applications were developed during a year-long NCTSN learning community, and are provided in a TF-CBT LGBTQ Implementation Manual. They are currently being evaluated in an ongoing quality improvement project. Composite cases and preliminary outcome data are described.