Lesbian, gay, bisexual, transgender, and queer (LGBTQ+) youth face disparities in mental health and substance use. LGBTQ+ community-based organizations (CBOs) offer resources that may combat stress and mental health concerns
however, limited research has examined their programs or practices. We explored the facets of youth mental health services offered by LGBTQ+ CBOs in the US. Qualitative interviews were conducted with staff at 16 LGBTQ+ CBOs in the US. Findings revealed four overarching themes. Mental health program objectives and characteristics included four sub-themes: counseling and therapy, safe spaces and community, case management, and education. Factors influencing the development of LGBTQ+ mental health programs included two sub-themes: program creation and youth influence. Factors influencing the delivery of LGBTQ+ youth mental health programs included four sub-themes: program planning and coordination, inclusive and intersectional processes, training and curriculum resources, and capacity-building resources. Implications for LGBTQ+ CBOs are discussed.