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Description:None of these studies described the use of formal case study methods. With respect to diagnoses of schizophrenia, lesbian and heterosexual male identities were linked with significantly higher ratings compared to gay male or heterosexual female identities. Articles were excluded in full text review because 6 were not research studies with the remaining 74 did not address LGBT-severe mental illness populations in design and analysis. Accordingly, the objective of this scoping review is to provide a clear description of the contemporary literature pertaining to service delivery on this topic.