Does not use medication assisted treatment for alcohol use disorder; Does not use MAT for opioid use disorders; Cognitive behavioral therapy; Substance use disorder counseling; Telemedicine/telehealth therapy; Trauma-related counseling; Private non-profit organization; State Substance use treatment agency; State mental health department; Council on Accreditation (COA); Federal, or any government funding for substance use treatment programs; Medicaid; Adolescents; Clients with co-occurring mental and substance use disorders; Clients who have experienced trauma; Comprehensive mental health assessment; Comprehensive substance use assessment; Drug or alcohol urine screening; Discharge Planning; Assistance with obtaining social services; Alcohol Detoxification; Benzodiazepines Detoxification; Cocaine Detoxification; Methamphetamines detoxification; Opioids detoxification; Individual counseling; Family counseling; Smoking permitted in designated area; Adults; Children/adolescents; Young adults; Female; Male; Vaping not permitted; Case management service; Mental health services; Substance use treatment; Treatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children; Outpatient; Regular outpatient treatment