School psychologists commonly conduct consultations focused on behavioral issues; however, questions remain regarding best-practices when conducting consultations with families from historically marginalized communities. The present study aimed to review the empirical literature base examining multicultural competencies in behaviorally-focused consultation. A systematic search of the literature was conducted to acquire the sample for this review, and 16 studies were identified. Studies were analyzed to assess the current state of the literature including study characteristics, participant demographics, and consultation features. Additionally, themes were identified related to notable findings and recommendations for research and the field. Across populations, behaviorally-focused consultation was found to be acceptable and associated with client behavioral improvements. However, the current research has several limitations, such as small sample sizes, narrow cultural focus, and limited investigation into consultee and consultant characteristics. While these preliminary findings are promising, future research is needed to continue to inform the evidence for this practice.