 - 1. Bipolar, Schizophrenia, Schizophreniform, or Schizoaffective Disorders, Psychosis NOS 2. IQ less than 70; life threatening anorexia; current and chronic absence of shelter; impending jailprison for more than three weeks problems which by their presence or severity preclude ability to attend or understand treatment andor requires priority treatment over SUD treatment 3. Court order to treatment, court order to treatment or to jail, or agency order to treatment or loss of child custody due to consequent inability to freely drop-out of treatment 4. Is pregnant, plans to become pregnant during treatment phase, or becomes pregnant before random assignment to study condition 5. Is unable to tolerate suboxone induction phase 6. Is currently stable on methadone 7. Current benzodiazepine use from which the participant is unwilling to taper 8. Refuses: to discontinue current mental health or drug abuse treatment or random assignment. 