State psychiatric hospital 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; Individuals with traumatic brain injury; Forensic clients (referred from the court/judicial system); ASL or other assistance for hearing impaired; Spanish; Crisis Intervention Team; Medicaid; Medicare; Client/patient fees (i.e., out-of-pocket); Private health insurance;