The article reports on findings from an exploratory qualitative study with rural child welfare professionals concerning their perceptions of services and training needs for working effectively with LGBTQ-identified youth in rural out-of-home care. The study employed focus group methodology with workers from one region of a Midwestern state. Emergent themes corroborated extant research findings, and the three types were (a) an analysis of the current reality of knowledge, services, and training; (b) specific challenges to expanding and/or improving training for rural workers; and (c) recommendations for improving services and climate for LGBTQ-identified youth in rural areas. Implications for rural social work practice follow a discussion of findings.