“…The lack of attention to this topic has persisted despite (a) estimates of up to a half a million lesbian, gay, bisexual, and transgender (LGBT) persons with SMI in the United States (Hellman, 1996); (b) 25 years of repeated calls for inquiry in the area (Avery, Hellman, & Sudderth 2001;Campbell, Schraiber, Temkin, & Tusscher, 1983;Hellman & Klein, 2004;). Lucksted, 2004); (c) a large body of research into the mental health of sexual minorities, not including SMI, focusing on anxiety, substance use, and depression within a minority stress framework; and (d) a substantial, if largely outdated and discounted, historical literature on the topic.…”