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; Does not use medication assisted treatment for alcohol use disorder; Does not treat opioid use disorders; Anger management; Brief intervention; Cognitive behavioral therapy; Contingency management/motivational incentives; Dialectical behavior therapy; Motivational interviewing; Matrix Model; Relapse prevention; Substance use disorder counseling; Trauma-related counseling; Telemedicine/telehealth therapy; Private for-profit organization; State Substance use treatment agency; State mental health department; Commission on Accreditation of Rehabilitation Facilities (CARF); Medicare; Medicaid; Clients with co-occurring mental and substance use disorders; Comprehensive mental health assessment; Screening for tobacco use; Screening for substance use; Screening for mental disorders; STD testing; TB screening; Discharge Planning; Housing services; Assistance with obtaining social services; Substance use disorder education; Individual counseling; Group counseling; Family counseling; Marital/couples counseling; Smoking permitted in designated area; Children/adolescents; Female; Male; Case management service; Mental health services; Social skills development