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Medically Reviewed Content
Updated: November 2026
Sources: SAMHSA, NIDA

Dual Diagnosis Treatment Centers Near You

Find dual diagnosis treatment centers across all 50 states offering integrated care for co-occurring mental health and substance use disorders. 9.5 million US adults live with both a mental illness and SUD (SAMHSA 2023) — only about 7% receive treatment for both conditions. Integrated treatment programs produce better outcomes than sequential or parallel approaches. ASAM, SAMHSA, and the APA all endorse integrated care as the clinical standard. Browse facilities by mental health specialty (depression, anxiety, PTSD, bipolar), substance type, level of care, and insurance.

Found 10,214 rehab centers specializing in dual diagnosis across the United States.

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Find Dual Diagnosis Treatment Centers Near You

Browse dual diagnosis treatment centers below. All listed facilities treat co-occurring mental health and substance use disorders with integrated care.

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Showing 20 of 10214 results

Family and Childrens Agency Inc

Family and Childrens Agency Inc, situated in Norwalk, CT, offers tailored support for individuals of all ages, including children and adults, grappling with substance use and co-occurring mental health challenges. Their array of services includes intensive outpatient, outpatient, and standard outpatient care. Treatment modalities employed encompass 12-step facilitation, anger management techniques, and cognitive behavioral therapy. A distinguishing feature of this center is its specialized programming designed for adult women, particularly those who have faced intimate partner violence, domestic abuse, or sexual assault. The agency is dedicated to providing comprehensive and compassionate care to women of diverse age groups—from young adults to seniors—as they embark on their journey towards recovery and well-being.

Family Wellness Associates

Family Wellness Associates, located in Sioux City, IA, provides an extensive selection of services for adults and older adults dealing with co-occurring substance use disorders and significant mental health challenges. The center offers various treatment options, including intensive outpatient programs, outpatient services, and regular outpatient treatment, integrating techniques such as 12-step facilitation, anger management, and brief intervention methods. Prioritizing personalized care, this facility serves both men and women. What distinguishes Family Wellness Associates is its customized treatment plans that are specifically crafted to meet the distinct requirements of each individual, guaranteeing exceptional care and assistance during the recovery process.

Family Services of the Piedmont

Family Services of the Piedmont in High Point, NC, provides outpatient addiction treatment for adults and young adults experiencing co-occurring severe mental health disorders. The center employs regular outpatient services incorporating methods like 12-step facilitation, anger management, and brief intervention. Addressing the needs of active military, adult men, and adult women, the facility accommodates a broad spectrum of individuals. By offering tailored, gender-specific programs for both men and women, the center ensures individualized therapeutic plans. Patients can anticipate compassionate care and assistance within a supportive atmosphere at this establishment.

Family Service Bureau of Newark

Situated in Newark, NJ, the Family Service Bureau of Newark delivers extensive treatment options for substance use issues affecting both adults and young adults. This facility is adept at addressing co-occurring substance use disorders in conjunction with significant mental health conditions in adults and serious emotional challenges in children. It offers a range of services including intensive outpatient programs, outpatient day treatment, and partial hospitalization. Emphasizing 12-step facilitation, anger management, and brief intervention techniques, the center is equipped to support active duty military members as well as adult men and women. The center provides personalized care for male and female clients, ensuring that services are tailored to meet the unique needs of each individual.

Family Services of the Piedmont

Family Services of the Piedmont, situated in Greensboro, NC, provides a variety of outpatient treatment options for substance use aimed at both adults and young adults. This center is known for its expertise in managing co-occurring substance use disorders alongside serious mental health challenges in adults, in addition to addressing significant emotional issues in children. It features customized programs for active duty military members, as well as specific services for adult men and women, ensuring that care is adapted to the unique needs of each individual. Employing techniques like 12-step facilitation, anger management, and brief therapeutic interventions, the center prioritizes thorough and personalized healing. Committed to delivering high-quality support, Family Services of the Piedmont strives to assist individuals on their recovery journeys.

Family Works Psychological Ctr

Family Works Psychological Ctr, located in Wilmington, NC, provides outpatient treatment for substance use and specialized support for those facing both substance use issues and significant mental health disorders. Emphasizing techniques like anger management, cognitive behavioral therapy, and brief intervention, the center caters to the needs of both adults and seniors with customized programs. Their distinctive individual-centric approach guarantees personalized care for all clients, regardless of gender. Family Works Psychological Ctr is renowned for its dedication to delivering top-tier, evidence-based treatment options, positioning it as a premier destination for individuals in need of thorough rehabilitation services in Wilmington.

Family and Childrens Aid

Family and Childrens Aid's New Milford office, listed in Danbury, Connecticut, treats children and adolescents through regular outpatient substance use care. Programs address criminal justice involvement, co-occurring mental health disorders, sexual abuse, domestic violence, and trauma. Medicaid, private insurance, self-payment, and a sliding fee scale are accepted, and Spanish is spoken.

Family and Childrens Aid

Outpatient substance use treatment for children and adolescents is provided at the Danbury, Connecticut office of Family and Childrens Aid. Programs address forensic involvement, co-occurring disorders, sexual abuse, and trauma. Medicaid, private insurance, and a sliding fee scale are accepted, and services are available in Spanish and Portuguese.

Family and Childrens Center

The Community Support Program of Family and Childrens Center provides regular outpatient substance use treatment in Viroqua, WI, for children, adolescents, and adults. Services address criminal justice clients, co-occurring mental and substance use disorders, and survivors of domestic violence and trauma. Medicare, TRICARE, private insurance, and federal funding are accepted.

Family Services of NE Wisconsin

Family Services of NE Wisconsin in Green Bay, WI, offers regular outpatient substance use treatment with naltrexone, including care for co-occurring disorders in adults with serious mental illness and children with serious emotional disturbance. Medicare, Medicaid, TRICARE, and private insurance are accepted, with sign language services provided.

Family Services of Northeast Wisconsin

Family Services of Northeast Wisconsin, situated in Green Bay, WI, delivers outpatient services for individuals of all ages struggling with substance use disorders, particularly those also experiencing mental health challenges. Their approach incorporates proven therapeutic methods including 12-step recovery support, techniques for managing anger, and brief intervention strategies. They offer tailored programs for adult women, expectant and new mothers, and those with dual diagnoses, ensuring a wide range of client needs are met. The center is committed to personalized treatment plans and fostering a nurturing atmosphere conducive to recovery for adults and older adults across the gender spectrum. This establishment is a valuable resource for families in need of integrated care for both addiction and mental wellness.

Family Services of Warren County Inc

Family Services of Warren County Inc, situated in Warren, PA, delivers extensive care for substance abuse among adults and youths facing dual mental health diagnoses. Their offerings include intensive outpatient, standard outpatient, and regular outpatient services, employing methods like 12-step facilitation, anger management, and brief intervention. Emphasizing personalized recovery journeys, this facility serves adults and older adults of all genders. Family Services of Warren County Inc distinguishes itself through its customized treatment strategies and dedication to superior support for individuals navigating substance use disorders and mental health concerns.

Family Support Center
Winnemucca, NV

The Family Support Center, based in Winnemucca, NV, provides outpatient services aimed at addressing substance abuse alongside mental health issues in adults, as well as emotional challenges in younger clients. This center employs techniques such as brief intervention, cognitive behavioral therapy, and motivational interviewing in its treatment plans. It offers tailored programs for adolescents, adult males, and adult females, emphasizing high-quality care for individuals of all genders, including both adults and youth. The Family Support Center is recognized for its holistic approach to rehabilitation, positioning itself as an excellent option for individuals in search of customized and effective addiction recovery solutions.

Family Services and Childrens

Situated in Oil City, PA, Family Services and Childrens serves as a dedicated rehabilitation facility focused on various substance use recovery programs for adults. The center offers intensive outpatient, outpatient, and general outpatient treatment options. Employing proven methodologies including 12-step facilitation, cognitive behavioral therapy, and motivational incentives, the facility customizes its services to fit the unique requirements of each individual. With dedicated programs for active duty military personnel, teenagers, and adult males, Family Services and Childrens provides thorough care. This center is committed to delivering high-quality support for both men and women pursuing recovery from substance use challenges.

Family Servs and Child Aid Society

Family Servs and Child Aid Society in Oil City, PA, provides a full spectrum of care for individuals struggling with substance use disorders. Their program offerings include intensive outpatient, standard outpatient, and general outpatient services. Treatment modalities employed at this facility encompass 12-step facilitation, cognitive behavioral therapy, and contingency management/motivational incentives. They serve a diverse population, including adults, seniors, active duty military personnel, adolescents, and adult men, with specialized programs designed for both male and female clients. This center is committed to delivering personalized recovery support and effective addiction treatment.

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Family and Children's Services, located in Tulsa, OK, provides an extensive array of treatment programs for substance use and concurrent mental health issues. Their offerings encompass various levels of care, including intensive and regular outpatient services designed for both adults and young adults. The facility emphasizes techniques such as anger management, brief interventions, and cognitive behavioral therapy. They also feature specialized programs tailored for adult men, women, and those who have faced trauma. Committed to personalized care, this center aims to deliver effective support for individuals of all genders on their journey to recovery.

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Situated in Kearny, NJ, the Family Service Bureau delivers extensive rehabilitation services for those facing challenges with substance use disorders alongside co-existing mental health issues. The center features a variety of treatment options, including intensive outpatient, outpatient, and regular outpatient programs that implement evidence-based strategies such as 12-step facilitation, anger management, and brief interventions. The facility offers specialized programs aimed at supporting active duty military members, as well as adult men and women, addressing the needs of a wide array of individuals. Committed to providing exceptional, personalized care, this center serves adults and young adults of all genders, guiding clients through their recovery process.

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Situated in Franklin, PA, Family Services delivers extensive substance abuse recovery services for adults and older individuals. They offer intensive outpatient, outpatient, and standard outpatient treatment modalities. This establishment emphasizes 12-step facilitation, cognitive behavioral therapy, and contingency management/motivational incentives, customizing treatment to each person's requirements. Distinct programs are available for active duty military members, young people, and adult males. Both male and female individuals receive dedicated assistance. Family Services is committed to providing high-quality care for those pursuing successful rehabilitation via a range of scientifically proven methods.

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Situated in Payette, ID, Family Services Treatment provides an extensive array of treatments for substance use issues and co-occurring mental health disorders for both children and adults. The center offers tailored programs for various groups, including active duty military personnel, young individuals, and adult men. Treatment options include intensive outpatient, outpatient, and standard outpatient programs. The facility employs methods like anger management, brief interventions, and cognitive behavioral therapy, accommodating clients of all genders. Committed to delivering high-quality care and personalized treatment plans, Family Services Treatment aims to empower individuals on their path to recovery.

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Situated in Bay Shore, NY, Family Servs League of Suffolk County delivers a wide range of rehabilitation services aimed at both adults and children struggling with addiction. The facility offers detox programs, treatment for substance abuse, and targeted support for individuals dealing with concurrent substance use and mental health issues. Available treatment options feature intensive outpatient services and outpatient care utilizing methadone, buprenorphine, or naltrexone. Emphasizing brief interventions, cognitive-behavioral therapy, and the Matrix Model, the center addresses the needs of both men and women, including those who have faced trauma. Additionally, the establishment provides gender-specific programs to ensure that both male and female clients receive the most effective and personalized treatment for their recovery journey.

Dual Diagnosis (Co-Occurring Disorders): Key Facts

Classification

Co-occurring mental health + substance use disorders

Prevalence

9.2 million adults in the US (SAMHSA)

Affected

~50% of people with severe mental illness have SUD

Common pairings

Depression+alcohol, Anxiety+benzos, PTSD+opioids, Bipolar+stimulants

Treatment model

Integrated (simultaneous), NOT sequential

Why it matters

Treating one without the other = high relapse rate for both

Key credential

CARF or Joint Commission dual diagnosis accreditation

Insurance

Covered under Mental Health Parity and Addiction Equity Act

What Is Dual Diagnosis?

Definition of dual diagnosis

Dual diagnosis — also called co-occurring disorders — refers to the presence of both a mental health disorder and a substance use disorder (SUD) in the same person at the same time. This is not two separate problems that happen to overlap. The mental health condition and the addiction interact with and reinforce each other, making both harder to treat in isolation.

More common than most people realize

According to the Substance Abuse and Mental Health Services Administration (SAMHSA), approximately 9.2 million adults in the United States have co-occurring mental health and substance use disorders. Roughly half of all people with a severe mental illness also struggle with substance abuse, and about one-third of all people with any mental illness also have a substance use disorder. Despite how common this is, fewer than 10% of people with co-occurring disorders receive treatment for both conditions.

Why dual diagnosis is often missed

Many people with co-occurring disorders are only diagnosed with one condition. Substance use can mask or mimic mental health symptoms, and mental health symptoms can be dismissed as consequences of substance use. This is why comprehensive assessment by professionals trained in both mental health and addiction is essential for accurate diagnosis and effective treatment planning.

Common Co-Occurring Disorder Combinations

The five combinations below account for the majority of dual-diagnosis cases. Each represents a distinct clinical pattern with its own treatment priorities and relapse risks:

CombinationPrevalence (US adults)Why they co-occurTreatment priorityRisk if untreated
Depression + Alcohol~3M (NESARC)Self-medication of emotional pain; alcohol is a CNS depressant that worsens depressionSSRI + AUD MAT (naltrexone/acamprosate) + CBTSuicide risk 5x baseline
Anxiety + Benzos/Alcohol~2MRebound anxiety drives escalating use; physical dependence develops fastSlow benzo taper + SSRI + CBT/exposure therapyWithdrawal seizures; chronic anxiety
PTSD + Opioids~1.5M (high in veterans)Opioids blunt hyperarousal and intrusive memoriesBuprenorphine/methadone + EMDR or prolonged exposureOverdose risk elevated; trauma untreated
Bipolar + Stimulants~1MCocaine/meth elevate depressive episodes; amplify manic episodesMood stabilizer (lithium/valproate) + CM (contingency management)Mood destabilization; psychosis risk
Eating Disorder + Various~500KShared compulsive-behavior neurobiology; appetite suppressants & alcohol calorie effectsSpecialized ED-SUD program with nutritional rehabHighest mortality of any psychiatric disorder

More detail on each combination follows. Each links to its dedicated condition pillar for deeper coverage:

Depression + Alcohol

Depression and alcohol use disorder is one of the most common co-occurring combinations. People with depression often drink to numb emotional pain, but alcohol is a central nervous system depressant that worsens depression over time. This creates a self-reinforcing cycle where each condition drives the other.

Anxiety Disorders + Benzodiazepines or Alcohol

People with generalized anxiety, social anxiety, or panic disorder frequently turn to benzodiazepines or alcohol for relief. While these substances reduce anxiety temporarily, they cause rebound anxiety that is often worse than the original symptoms, leading to escalating use and physical dependence.

PTSD + Opioids

Post-traumatic stress disorder and opioid use disorder frequently co-occur. Opioids blunt the emotional pain, hyperarousal, and intrusive memories associated with PTSD. However, opioid dependence adds a second layer of suffering and makes trauma processing in therapy far more difficult.

Bipolar Disorder + Stimulants

People with bipolar disorder have some of the highest rates of co-occurring substance use. During depressive episodes, stimulants like cocaine or methamphetamine may be used to elevate mood. During manic episodes, stimulants can intensify risky behavior. Substance use also destabilizes mood cycling and interferes with medication effectiveness.

Eating Disorders + Various Substances

Eating disorders like anorexia, bulimia, and binge eating disorder frequently co-occur with alcohol, stimulants, laxatives, or diet pills. Both conditions involve compulsive behavior patterns and distorted self-perception. Treatment must address the shared psychological roots rather than treating each behavior in isolation.

Why Integrated Treatment Is Essential

The failure of the sequential model

For decades, the standard approach was sequential treatment: address the addiction first, then treat the mental health condition (or vice versa). This approach consistently produced poor outcomes. A person who achieves sobriety but still has untreated depression, anxiety, or PTSD is at extremely high risk for relapse. Likewise, stabilizing someone's mental health while ignoring active substance use undermines psychiatric treatment effectiveness.

The evidence for integrated care

Research consistently shows that integrated treatment — addressing both conditions simultaneously with a coordinated team — produces significantly better outcomes than sequential or parallel treatment. SAMHSA has identified integrated dual diagnosis treatment as an evidence-based practice and recommends it as the standard of care for co-occurring disorders. Integrated programs reduce hospitalization rates, improve treatment retention, decrease substance use, and improve mental health symptoms.

What integrated means in practice

In an integrated program, the same treatment team addresses both conditions together. A psychiatrist manages medication for both the mental health disorder and any medication-assisted addiction treatment. Therapists are trained in both mental health and substance use counseling. Treatment plans account for how the two conditions interact, and progress is measured across both domains simultaneously.

What Happens in Dual Diagnosis Treatment

Comprehensive assessment

Treatment begins with a thorough evaluation by professionals trained in both mental health and addiction. This assessment identifies all co-occurring conditions, determines the severity of each, evaluates how the conditions interact, screens for medical complications, and establishes a baseline for measuring progress.

Medication evaluation and management

A psychiatrist evaluates medication needs for both conditions. This may include antidepressants, mood stabilizers, anti-anxiety medications (non-addictive options), antipsychotics, and addiction-specific medications like buprenorphine, naltrexone, or acamprosate. Medication management is ongoing throughout treatment, with adjustments as symptoms change.

Individual and group therapy

Individual therapy uses evidence-based approaches like Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT) to address thought patterns, emotional regulation, trauma, and coping skills. Group therapy provides peer support from others with co-occurring disorders, reduces isolation, and builds interpersonal skills. Specialized groups may focus on relapse prevention, emotion management, or specific conditions like trauma or anxiety.

Family education and involvement

Co-occurring disorders affect the entire family. Family education helps loved ones understand both conditions, learn how to provide effective support without enabling, establish healthy boundaries, and participate constructively in the recovery process. Family therapy sessions address relationship dynamics that may contribute to or result from the conditions.

Aftercare planning

Before discharge, the treatment team develops a detailed aftercare plan that includes ongoing psychiatric care, continued therapy, support group participation, medication management, relapse prevention strategies, and crisis planning. Aftercare is especially important for dual diagnosis because both conditions are chronic and require ongoing management.

Typical program timeline

Dual diagnosis programs are often longer than single-condition treatment. Residential programs typically last 30 to 90 days, though some extend to 6 months for complex cases. Intensive outpatient programs run 8 to 12 weeks. Step-down to standard outpatient therapy and psychiatric follow-up usually continues for 6 to 12 months or longer, depending on individual progress and needs.

How to Choose a Dual Diagnosis Treatment Center

Licensed MH + addiction staff

Verify the center has both licensed mental health professionals (psychiatrists, psychologists) and certified addiction specialists working together.

Psychiatric services on-site

On-site psychiatric care is essential for medication evaluation, prescribing, and ongoing management of both psychiatric and addiction medications.

Medication management

Look for programs that coordinate psychiatric medications with addiction treatment medications, monitoring for interactions and adjusting as needed.

Accreditation (CARF, Joint Commission)

CARF or Joint Commission accreditation with a specific dual diagnosis designation indicates the program meets rigorous quality standards for co-occurring care.

Evidence-based therapies

The center should offer CBT, DBT, trauma-focused therapy, motivational interviewing, and other proven approaches tailored to co-occurring disorders.

Individualized treatment plans

Every dual diagnosis presentation is different. The center should create personalized plans based on your specific conditions, severity, history, and goals.

Insurance Coverage for Dual Diagnosis Treatment

The Mental Health Parity and Addiction Equity Act

The Mental Health Parity and Addiction Equity Act (MHPAEA) requires health insurance plans that offer mental health and substance use coverage to provide benefits that are comparable to medical and surgical coverage. This means your insurer cannot impose stricter limits on dual diagnosis treatment than it would on treatment for a physical health condition like diabetes or heart disease.

ACA essential health benefits

Under the Affordable Care Act, mental health and substance use disorder services are classified as essential health benefits. All ACA-compliant marketplace plans must cover these services, including dual diagnosis treatment. This applies to individual and small group plans purchased through the Health Insurance Marketplace.

Medicaid coverage

Medicaid covers mental health and substance use treatment in all states, though the specific services covered and provider networks vary by state. Many states have expanded Medicaid under the ACA, broadening access to dual diagnosis treatment for low-income adults. Contact your state Medicaid office or a treatment center's admissions team to verify your specific coverage.

How to verify your benefits

Call the member services number on the back of your insurance card and ask specifically about coverage for co-occurring mental health and substance use treatment. Request details on in-network providers, deductibles, copays, prior authorization requirements, and any limits on residential or outpatient days. Most treatment centers also offer free insurance verification — call their admissions line and provide your insurance information for a benefits check before committing to a program.

If you've tried treatment for addiction OR mental health alone and relapsed, you may need integrated dual diagnosis care. This is not a failure — it means both conditions need to be addressed together.

Frequently Asked Questions About Dual Diagnosis

What exactly is dual diagnosis?

Dual diagnosis refers to having both a mental health disorder (like depression, anxiety, PTSD, or bipolar disorder) and a substance use disorder simultaneously. Also called co-occurring disorders, this condition affects approximately 9.2 million adults in the United States and nearly 50% of people with severe mental illness. Integrated treatment that addresses both issues together — rather than separately — produces significantly better outcomes.

Why is integrated treatment important for dual diagnosis?

Integrated treatment is crucial because mental health and addiction affect each other directly. Treating only one condition while ignoring the other typically leads to relapse in both. For example, getting sober without addressing underlying depression or PTSD leaves the person vulnerable to self-medicating with substances again. Integrated programs provide coordinated care where mental health professionals and addiction specialists work together on a unified treatment plan.

How do I know if I have dual diagnosis?

Signs that you may have co-occurring disorders include: experiencing mental health symptoms (depression, anxiety, mood swings, paranoia) alongside substance use problems; using substances to cope with emotional pain or mental health symptoms; difficulty controlling substance use despite consequences; mental health symptoms that persist or worsen even during periods of sobriety; or previous treatment failure for either addiction or mental health alone. A comprehensive assessment by a qualified professional can confirm a dual diagnosis.

What makes a treatment center qualified for dual diagnosis?

Look for programs that have both licensed mental health professionals (psychiatrists, psychologists, licensed clinical social workers) and certified addiction specialists on staff. The center should offer on-site psychiatric services, medication management, evidence-based therapies for both conditions (CBT, DBT, trauma-focused therapy), and individualized treatment plans. CARF or Joint Commission accreditation with a dual diagnosis designation is a strong indicator of quality.

Does insurance cover dual diagnosis treatment?

Yes, most health insurance plans cover dual diagnosis treatment. The Mental Health Parity and Addiction Equity Act requires insurers to cover mental health and substance use treatment at levels comparable to medical and surgical coverage. ACA-compliant plans include these as essential health benefits. Medicaid also covers co-occurring disorder treatment in all states. Contact your insurance provider or a treatment center's admissions team to verify your specific benefits and out-of-pocket costs.

What if I was only diagnosed with addiction but think I have a mental health condition too?

This is very common — many people enter addiction treatment without a formal mental health diagnosis. If you experience persistent sadness, anxiety, mood swings, flashbacks, difficulty concentrating, or other symptoms beyond your substance use, tell your treatment team. Request a comprehensive psychiatric evaluation. A qualified dual diagnosis program will screen for co-occurring mental health conditions and adjust your treatment plan accordingly. Getting the right diagnosis is essential for lasting recovery.

Can I take psychiatric medications while in addiction treatment?

Yes, and in many cases it is essential. Proper psychiatric medication management is a critical part of dual diagnosis treatment. Non-addictive medications like SSRIs, SNRIs, mood stabilizers, and certain anti-anxiety medications (such as buspirone or hydroxyzine) are safe and effective during addiction recovery. Dual diagnosis programs have psychiatrists who specialize in prescribing medications that treat mental health conditions without interfering with sobriety or creating new dependencies. Never stop taking prescribed psychiatric medications without consulting your doctor.

Medical Review and Sources

Medically Reviewed Updated April 10, 2026

Reviewed by licensed addiction specialists. Information reflects current clinical guidance.

Sources:SAMHSA·NIDA·CDC

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