General hospital with separate psychiatric unit Hospital inpatient; Ages 18 and older; Seniors 65 and older; Adults with serious mental illness; Individuals with co-occurring mental and substance abuse disorders; Individuals with post-tramatic stress disorder; Veterans; Individuals with traumatic brain injury; Lesbian, gay, bisexual, or transgendered clients; Forensic clients (referred from the court/judicial system); ASL or other assistance for hearing impaired; Psychiatric Emergency Walk-In Services; Medicaid; Medicare; Client/patient fees (i.e., out-of-pocket); Private health insurance;