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.
Showing 20 of 10214 results
Located in San Juan Capistrano, CA, Casa Recovery offers comprehensive rehabilitation services for adults and young adults struggling with substance use disorders and co-occurring mental health conditions. The facility provides intensive outpatient treatment, outpatient day treatment, and partial hospitalization programs. Casa Recovery specializes in 12-step facilitation, anger management, and brief intervention approaches. Unique programs cater to clients who have experienced sexual abuse, trauma, and those with co-occurring mental health and substance use disorders. With a focus on individualized care, Casa Recovery serves both male and female clients, ensuring a supportive environment for all seeking recovery.
In Santa Barbara, California, you'll find Casa Serena, a leading treatment facility dedicated to offering extended residential care for women of all ages. They excel in managing withdrawal symptoms and treating addiction through proven methods like 12-step support, strategies for managing anger, and brief counseling. Casa Serena is particularly recognized for its tailored programs catering to adult women, survivors of intimate partner violence, domestic abuse, and sexual trauma. Their commitment to exceptional care ensures a secure and nurturing setting for everyone seeking to reclaim their lives.
Casa Washington Heights, situated in New York, NY, offers a wide array of outpatient treatment services for both adults and young adults dealing with substance use issues. The center excels in addressing co-occurring substance use disorders alongside severe mental health conditions, including emotional challenges faced by children. It employs a variety of therapeutic techniques such as anger management, cognitive behavioral therapy, and motivational interviewing to provide customized care. Casa Washington Heights features specialized programs designed for adult men and women, including support for those affected by intimate partner violence, ensuring that every client receives personalized attention. Their outpatient options include methadone/buprenorphine or naltrexone treatments, as well as standard outpatient services for both males and females, prioritizing high-quality care and assistance for individuals on their path to recovery.
Catholic Charities in Hartford, CT, delivers a full spectrum of substance abuse recovery services for adults managing co-occurring severe mental health challenges and children with significant emotional difficulties. The center employs evidence-based methods like anger management, brief intervention, and cognitive behavioral therapy within its intensive outpatient, outpatient, and standard outpatient programs. Tailored programs are available for teens, adult males, and adult females, addressing the needs of various age demographics and genders. Patients receive personalized, superior care, establishing Catholic Charities as a dependable resource for effective and empathetic recovery support.
Cathedral Home for Children, situated in Laramie, WY, provides a thorough array of recovery programs. This establishment focuses on treating addiction and dual diagnoses for all ages. Their approach includes intensive outpatient, extended stay residential, and standard outpatient services, tailored to each individual's needs. They utilize methods like anger management, cognitive behavioral therapy, and brief intervention. Special offerings are available for teenagers, those impacted by domestic violence, and survivors of sexual trauma. Catering to men, women, and young people, Cathedral Home for Children is committed to delivering excellent care and assistance for individuals on their path to wellness.
At Catalyst Clinic in Boston, MA, we provide thorough substance use treatment designed for adults, seniors, and younger individuals. Our services encompass various outpatient options, such as medication-assisted treatment with methadone, buprenorphine, or naltrexone, standard outpatient care, brief counseling, cognitive behavioral therapy, and motivational strategies like contingency management. We have particular expertise in programs crafted for adolescents and young adults. Dedicated to high-quality care, Catalyst Clinic supports both men and women in their journey toward recovery, offering personalized addiction treatment in a nurturing setting.
Catalyst Health Solutions, situated in Johnson City, TN, delivers extensive outpatient care for those needing detoxification, addiction treatment, and support for simultaneous mental health concerns. The center features distinct programs for adult men, adult women, and individuals with trauma histories. Therapeutic methods employed include 12-step facilitation, anger management training, and short-term interventions. Emphasizing outpatient detoxification and medication-assisted treatment (methadone, buprenorphine, or naltrexone), Catalyst Health Solutions serves both adults and young people, offering personalized care irrespective of gender. Patients can anticipate high-standard treatment and customized assistance at this establishment.
Situated in Leominster, MA, Catholic Charities provides extended residential care aimed at addressing substance use issues, transitional living, and assistance for those dealing with concurrent substance use and significant mental health challenges. The center implements 12-step principles, anger management techniques, and cognitive behavioral strategies to deliver tailored services primarily for adult women who have faced intimate partner violence, domestic violence, or sexual assault. Emphasizing high-quality support, the facility serves adults, seniors, and young adults within a secure and nurturing space. Geared exclusively towards female participants, this initiative fosters a thorough pathway to recovery and emotional restoration.
Situated in Medina, Ohio, Catholic Charities provides outpatient treatment for substance abuse, emphasizing cognitive behavioral therapy, motivational interviewing, and counseling for substance use disorders. This center features specialized programs for active military members, teenagers, and adult males, accommodating both adults and youth of all genders. With a strong dedication to high-quality care and evidence-based methods, Catholic Charities in Medina is recognized for its customized treatment choices and nurturing atmosphere. If you're in search of thorough substance abuse treatment in an outpatient context, this center offers a variety of programs aimed at addressing individual requirements and fostering enduring recovery.
Catholic Charities, located in Portland, ME, presents a thorough array of substance use rehabilitation services aimed at both adults and younger individuals experiencing concurrent mental health issues. This center offers intensive outpatient and standard outpatient programs, which feature treatment alternatives such as methadone/buprenorphine and naltrexone. Emphasizing 12-step methodologies, anger management techniques, and brief intervention strategies, the facility customizes its treatment approaches to align with the unique needs of each client. Specialized programs are available for adult men and women, as well as those who have faced trauma. By catering to both male and female clients, Catholic Charities commits to delivering exceptional care in a nurturing and understanding atmosphere for individuals pursuing recovery.
Catholic Charities in Chardon, OH, provides outpatient care for substance use disorders and co-occurring serious mental health conditions in adults, as well as emotional disturbance treatment for children. Employing methods like anger management, brief intervention, and cognitive behavioral therapy, the center offers targeted support for those affected by intimate partner violence, trauma, or legal system involvement. Open to all genders and age groups, Catholic Charities is dedicated to offering personalized, excellent care within a supportive setting. This facility is a potential choice for individuals looking for thorough recovery services.
Cascade Community Healthcare, located in Chehalis, WA, delivers extensive addiction treatment options for individuals of all ages. Their expertise encompasses detox, substance abuse intervention, and the management of dual diagnoses. They offer robust intensive outpatient and standard outpatient care, which includes supervised detox. Employing strategies such as brief intervention, cognitive behavioral therapy, and community reinforcement, Cascade Community Healthcare is equipped to assist those facing both chronic pain and addiction. The center is open to all genders, providing personalized support. Clients can expect effective, research-backed treatments aimed at fostering enduring recovery.
Cascade Evaluation and Treatment Center in Centralia, Washington, provides residential detoxification and residential substance use treatment for adults, including veterans, pregnant and postpartum women, and clients with co-occurring disorders or HIV or AIDS. Buprenorphine and naltrexone are used. Medicare, Medicaid, TRICARE, and a sliding fee scale are accepted, with Spanish and sign language services available.
At Cass County Community Mental Hlth in Cassopolis, MI, we provide comprehensive care for adults and seniors struggling with addiction and co-occurring mental health challenges. Our evidence-based treatment methods, including cognitive behavioral therapy, contingency management, and the Matrix Model, are delivered through intensive outpatient, outpatient, and standard outpatient programs. We are committed to trauma-informed practices, offering specialized tracks for men, women, and trauma survivors. Our personalized approach ensures that every individual receives the dedicated support needed for a successful recovery.
Situated in Cleveland, OH, the Catholic Charities Corporation provides a wide array of treatment services for adults dealing with substance abuse, including those who face concurrent severe mental health challenges. Their offerings encompass intensive outpatient, outpatient, and standard outpatient treatment levels. The center employs evidence-based methodologies like anger management, motivational interviewing, and strategies for preventing relapse. It features tailored programs specifically designed for adolescents, adult men, and adult women, addressing the needs of a varied clientele. Catholic Charities Corporation also serves both adults and minors, providing gender-sensitive care for males and females. This facility is dedicated to offering personalized, quality care that aids clients in their recovery process.
Caspar Inc, situated in Somerville, MA, provides a wide array of long-term residential services for adult men facing substance use issues. The center is adept in various methodologies, including 12-step treatment, anger management strategies, and short-term interventions. Caspar Inc also offers transitional housing, halfway houses, and sober living arrangements specifically designed for clients who have endured situations of intimate partner violence, domestic abuse, or sexual trauma. Catering to adult men across different age ranges, including seniors and young adults, this facility is committed to fostering a secure and nurturing atmosphere for those aiming to achieve sobriety. The exceptional care and focused programs available at Caspar Inc position it as an exemplary option for individuals striving to overcome their addictions.
Located in Somerville, MA, Caspar Inc specializes in long-term and round-the-clock residential treatment programs for adult men dealing with both mental health and substance use disorders. The center employs evidence-based methodologies such as 12-step facilitation, brief interventions, and cognitive behavioral therapy to offer customized care for a diverse population, including adults, seniors, and young adults. By concentrating on the needs of male clients, Caspar Inc develops personalized treatment strategies and provides ongoing support for every resident. Their dedication to high-quality care and specialized treatment options positions them as a trustworthy option for individuals seeking thorough and effective addiction rehabilitation in a residential environment.
Caspar Inc, situated in Cambridge, MA, offers extensive residential and round-the-clock support for adult women addressing substance use disorders. The center excels in facilitating 12-step programs, managing anger, and employing brief intervention strategies for recovery. It features distinct programs tailored for adult women who have experienced intimate partner violence, domestic abuse, and sexual trauma. The facility welcomes adults, seniors, and young adults, providing a secure and nurturing setting for its female clientele who require targeted care. Emphasizing high-quality treatment and personalized assistance, Caspar Inc is committed to guiding clients through their recovery path with empathy and professional skill.
Situated in Cleveland, Ohio, Catholic Charities delivers a broad spectrum of rehabilitation services for those battling substance abuse and related mental health issues. The center features intensive outpatient, outpatient, and round-the-clock residential programs, employing proven methods such as 12-step support, anger management, and cognitive behavioral therapy. Catholic Charities specifically addresses the needs of adult men and women, including individuals who have faced sexual trauma, providing tailored care for these populations. Emphasizing quality and personalized treatment, this facility creates an encouraging atmosphere for recovery and personal growth.
In Erie, PA, Catholic Charities provides outpatient care for individuals struggling with substance use. Their services are available for adults and adolescents and include regular outpatient programming. Treatment methodologies employed at Catholic Charities encompass 12-step facilitation, anger management, and brief intervention techniques. The center has developed specialized programs for active duty military members, as well as for adult men and women. Recognizing the unique needs of different groups, Catholic Charities offers gender-specific services and prioritizes personalized treatment strategies. For those looking for thorough addiction treatment within a nurturing setting, Catholic Charities in Erie is dedicated to supporting your path to wellness.
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:
| Combination | Prevalence (US adults) | Why they co-occur | Treatment priority | Risk if untreated |
|---|---|---|---|---|
| Depression + Alcohol | ~3M (NESARC) | Self-medication of emotional pain; alcohol is a CNS depressant that worsens depression | SSRI + AUD MAT (naltrexone/acamprosate) + CBT | Suicide risk 5x baseline |
| Anxiety + Benzos/Alcohol | ~2M | Rebound anxiety drives escalating use; physical dependence develops fast | Slow benzo taper + SSRI + CBT/exposure therapy | Withdrawal seizures; chronic anxiety |
| PTSD + Opioids | ~1.5M (high in veterans) | Opioids blunt hyperarousal and intrusive memories | Buprenorphine/methadone + EMDR or prolonged exposure | Overdose risk elevated; trauma untreated |
| Bipolar + Stimulants | ~1M | Cocaine/meth elevate depressive episodes; amplify manic episodes | Mood stabilizer (lithium/valproate) + CM (contingency management) | Mood destabilization; psychosis risk |
| Eating Disorder + Various | ~500K | Shared compulsive-behavior neurobiology; appetite suppressants & alcohol calorie effects | Specialized ED-SUD program with nutritional rehab | Highest 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
Trusted Resources
Substance Abuse and Mental Health Services Administration
Federal agency providing information, resources, and treatment locator for substance abuse and mental health.
Helpline: 1-800-662-4357
National Institute on Drug Abuse
NIH institute advancing science on drug use and addiction causes, consequences, and treatment.
National Institute on Alcohol Abuse and Alcoholism
NIH institute supporting research on alcohol's impact on health and providing treatment resources.
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