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Abstract
In this study the author explores contextual factors that impact practice beliefs and behaviors among social workers with lesbian and gay clients. The Gay Affirmative Practice scale was used to measure levels of gay affirmative practice beliefs and practice behaviors among social workers in a medical setting. A model is presented that illustrates how contextual factors related to education, training, relationships with lesbian and gay individuals, and religiosity affects social workers' practice behaviors. The results illustrate the importance of educational exposure and affirming practice beliefs on practice behaviors.