%0 Journal Article %T Providing Culturally Competent Care for LGBTQ Youth in School %A Craig J. Heck %A John S. Santelli %A Melanie A. Gold %A Melina Bersamin %A Samantha Garbers %J The Journal of School Nursing %@ 1546-8364 %D 2018 %R 10.1177/1059840517727335 %X School-based health centers (SBHCs) can take specific steps to provide culturally competent care for lesbian, gay, bisexual, transgender, and queer (LGBTQ) youth, potentially impacting well-being. A needs assessment survey was conducted among a convenience sample of SBHC administrators and medical directors to assess climates and actions supportive of LGBTQ quality medical care. Half (53%) of the SBHCs surveyed (N = 66) reviewed print materials for negative LGBTQ stereotypes, and 27.3% conducted exhaustive materials review. Regional differences were detected: 46.2% of Southern SBHCs conducted any materials review compared to 91.3% in the West and all in the East and Midwest (¦Ö2, p < .001). In the last academic year, 45.5% conducted no medical provider trainings, and 54.5% conducted no general staff trainings on providing care for LGBTQ youth. On intake forms, 85.4% included preferred names, but only 23.5% included preferred pronoun. There are significant gaps in the extent to which SBHCs provide culturally competent care. These findings can guide future training and advocacy %K school-based health %K cultural competency %K LGBT health %K training %K quality care %K adolescents %K school nurse %U https://journals.sagepub.com/doi/full/10.1177/1059840517727335