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; No formal relationship with prescribing entity; Does not use medication assisted treatment for alcohol use disorder; Accepts clients using MAT but prescribed elsewhere; Anger management; Brief intervention; Cognitive behavioral therapy; Dialectical behavior therapy; Motivational interviewing; Matrix Model; Relapse prevention; Substance use disorder counseling; Trauma-related counseling; 12-step facilitation; Private non-profit organization; State Substance use treatment agency; Commission on Accreditation of Rehabilitation Facilities (CARF); Federal, or any government funding for substance use treatment programs; Medicaid; Cash or self-payment; Sliding fee scale (fee is based on income and other factors); Adolescents; Clients with co-occurring mental and substance use disorders; Comprehensive mental health assessment; Comprehensive substance use assessment; Interim services for clients; Outreach to persons in the community; Screening for substance use; Screening for mental disorders; Drug or alcohol urine screening; HIV testing; Aftercare/continuing care; Discharge Planning; HIV or AIDS education, counseling, or support; Substance use disorder education; Individual counseling; Group counseling; Family counseling; Vocational training or educational support (for example, high school coursework, GED preparation, etc.) ; Smoking not permitted; Adults; Children/adolescents; Young adults; Female; Male; Sign language services for the deaf and hard of hearing; Case management service; Early intervention for HIV; Mental health services; Social skills development