Agencies attempting to develop effective child welfare services for gay and lesbian youths must strive for effectiveness within a policy context that is politically polarized and generates more obstacles than directions. This article argues for a reconceptualization of service delivery that begins with a recognition of the unique developmental challenges facing sexual minority youths and proceeds to an examination of the systemic obstacles to providing competent services in their behalf. An ecological perspective informs the connections between developmental considerations, service issues, and human rights questions.