No, I think they should be grouped separately. I work in a acute psych facility and I work in another hospital on a detox unit. While working acute, there was a pt who was on the dual diagnosis unit. Unfortunately, he was actively detoxing from opiates and suffering the symptoms. However, I didn't believe he was being adequately managed, bc of his psych issues and their inability to provide MMT. I secretly wished he was on my detox unit at my other hospital, bc I'm sure he would have received better treatment and management. On my detox unit, pt often have psych issues as well, but the focus is the detox. Once they have passed through acute detox, they can move on to a psych unit for additional services needed.