Smoking permitted in designated area; Female; Male; 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; Accepts clients using medication assisted treatment for alcohol use disorder but prescribed elsewhere; No formal relationship with prescribing entity; Accepts clients using MAT but prescribed elsewhere; Anger management; Brief intervention; Cognitive behavioral therapy; Contingency management/motivational incentives; Dialectical behavior therapy; Motivational interviewing; Relapse prevention; Substance use disorder counseling; Telemedicine/telehealth therapy; Trauma-related counseling; 12-step facilitation; Private for-profit organization; State Substance use treatment agency; State mental health department; Medicaid; Private health insurance; Cash or self-payment; Comprehensive mental health assessment; Comprehensive substance use assessment; Screening for tobacco use; Screening for substance use; Screening for mental disorders; Professional interventionist/educational consultant; Aftercare/continuing care; Discharge Planning; Naloxone and overdose education; Substance use disorder education; Smoking/vaping/tobacco cessation counseling; Individual counseling; Group counseling; Family counseling; Marital/couples counseling