General hospital with separate psychiatric unit Hospital inpatient; Outpatient or Partial Day Treatment or Partial Hospitalization; Ages 18 and older; Adults with serious mental illness; Individuals with co-occurring mental and substance abuse disorders; ASL or other assistance for hearing impaired; Spanish; Crisis Intervention Team; Psychiatric Emergency Walk-In Services; Medicaid; Medicare; Client/patient fees (i.e., out-of-pocket); Private health insurance;