Substance use treatment; Outpatient; Intensive outpatient treatment; Regular outpatient treatment; Does not use medication assisted treatment for alcohol use disorder; Does not use MAT for opioid use disorders; Anger management; Brief intervention; Cognitive behavioral therapy; Motivational interviewing; Relapse prevention; Substance use disorder counseling; Trauma-related counseling; 12-step facilitation; Private non-profit organization; State Substance use treatment agency; The Joint Commission; Private health insurance; Cash or self-payment; Sliding fee scale (fee is based on income and other factors); Adult women; Adult men; Clients with co-occurring mental and substance use disorders; Comprehensive substance use assessment; Complete medical history/physical exam; Screening for substance use; Drug or alcohol urine screening; Aftercare/continuing care; Discharge Planning; Outcome follow-up after discharge; Self-help groups; Substance use disorder education; Individual counseling; Group counseling; Family counseling; Smoking permitted in designated area; Adults; Young adults; Female; Male; Specially designed program for DUI/DWI clients; Vaping not permitted; Social skills development