Sadly, psych hospitals are reducing funding so do not always have the capacity to treat those with mental illness AND substance abuse. A good friend of mine was drunk/high and dangling off a 40story threatening to jump. The police came and brought him to the nearby ER. Somehow, he conned them into believing he was okay and was sent home the next morning! Opiete addicts have been known to fake injuries or even hurt themselves just to get the Vicadin/percacet ect...