In July 2013, the Center for the Study of Social Policy (CSSP) and the Allegheny County Department of Human Services (DHS) launched a partnership to better support child welfare-involved youth achieve healthy sexual and identity development. This institutional analysis prepared by CSSP used data analysis, case reviews, and interviews to understand current experiences of LGBTQ+ children and families who interact with child welfare as well as cultural and practice changes that have occurred since the initiative began.