“…There is limited information, to date, available regarding the effectiveness of LGBT awareness training (e.g., Flavin, 1997;Hayes et al, 2004) or LGBTtailored treatment approaches (e.g., Green & Feinstein, 95 2012;Matthews et al, 2014). Initial studies within health contexts have demonstrated positive impacts regarding LGBT staff training (Hardacker et al, 2014;Kalinoski et al, 2013); however, data regarding secondary impacts upon client engagement and clinical outcomes are limited. 100 It is well established in the general clinical and counseling literature, that clients who feel accepted and understood, and are receiving "more culturally sensitive health care" (Lombardi & van Servellen, 2000, p. 295) are more likely to engage with therapy and experience enhanced 105 treatment outcomes (Kelly et al, 2015;Talley, 2013).…”