The purpose of this study is to evaluate how well three types of treatments work to improve the outcomes for people with substance use problems. Veterans admitted to the Charleston VA Psychiatric inpatient unit may be invited to participate. The three types of treatments that will be evaluated are: 1. Combined Recovery Program (CRP), a six-session treatment group delivered on the inpatient unit. 2. A Home Telehealth program, called Stable and Able (S\&A), provided just prior to discharge and provides additional support for up to 3 months 3. Treatment-as-usual (TAU), which is the treatment currently provided on the unit, consisting of various mental health topics and sessions designed to help with recovery. Participation begins on the inpatient unit, beginning with CRP and/or TAU, and may continue with S\&A post discharge. Participants will be followed up at 1 and 3- months post treatment.
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Standard Ethanol Content Units (SECs) Baseline
Timeframe: Baseline
Standard Ethanol Content Units (SECs) at 1 month
Timeframe: 1 month
Standard Ethanol Content Units (SECs) at 3 month
Timeframe: 3 Month
Peak SEC at Baseline
Timeframe: Baseline
Peak at 1 Month
Timeframe: 30 days
Peak at 3 Month
Timeframe: 3 Month
Alcohol Drink Days at Baseline
Timeframe: Baseline
Alcohol Drink Days at 1 Month
Timeframe: 30 days
Alcohol Drink Days at 3 Month
Timeframe: 3 Month
Binge Drink Days at Baseline
Timeframe: Baseline
Binge Drink Days at 1 month
Timeframe: 1 month
Binge Drink Days at 3 Month
Timeframe: 3 month
Illicit Drug Use Days at Baseline
Timeframe: Baseline
Illicit Drug Use Days at 1 Month
Timeframe: 30 days
Illicit Drug Use Days at 3 month
Timeframe: 3 Month
Substance Use Disorder Treatment Sessions at Baseline
Timeframe: Baseline
Substance Use Disorder Treatment Sessions at 1 month
Timeframe: 30 days
Substance Use Disorder Treatment Sessions at 3 Month
Timeframe: 3 Month
Twelve-Step Sessions Attended at Baseline
Timeframe: Baseline
Twelve-Step Sessions Attended at 1 Month
Timeframe: 30 days
Twelve-Step Sessions Attended at 3 month
Timeframe: 3 Month
Community Participation Activities at Baseline
Timeframe: Baseline
Community Participation Activities at 1 month
Timeframe: 30 days
Community Participation Activities at 3 month
Timeframe: 3 Month
Mental Health Treatment Sessions at Baseline
Timeframe: Baseline
Mental Health Treatment Sessions at 1 month
Timeframe: 30 days
Mental Health Treatment Sessions at 3 month
Timeframe: 3 Month