Since the removal of homosexuality as a mental disorder from the Diagnostic and Statistical Manual of Mental Disorders (DSM), heterosexism has been nearly absent in health-care and social service settings.

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The removal of homosexuality from the DSM was a significant step towards reducing stigma, but heterosexism and discrimination persist in various forms within health-care and social service settings, reflecting broader societal attitudes.

Since the Removal of Homosexuality as a Mental Disorder from the Diagnostic