Improving Delivery of Mental Health Services for Patients With Drug Use and Other Behavioral and Emotional Problems

Inclusion Criteria: * DSM-IV criteria for current opioid physical dependence * SAMSA Center for Substance Abuse Treatment - CSAT guidelines for maintenance on methadone or another approved opioid agonist * have a current DSM-IV psychiatric disorder that is eligible for reimbursement in the Health Choice, Public Mental Health System (e.g., schizophrenia, mood disorders, anxiety disorders, personality disorders, adjustment disorder) * express an interest in receiving psychiatric treatment for the problem. Exclusion Criteria: * pregnant * acute medical problem that requires immediate and intense management (e.g., AIDS defining illness, tuberculosis, other serious and unstable medical disorder) * delirium, dementia or mental retardation * already receiving standard outpatient psychiatric care