Despite these limitations, this study extends findings from previous studies [21, 22] on treatment-seeking and treatment barriers in substance disorders and furthers our knowledge of the use of alcohol treatments among individuals with comorbid alcohol and psychiatric disorders. This large subgroup of individuals with AUD reports a greater level of unmet need for alcohol treatment, faces a greater number of barriers to such treatment, and is especially faced with financial barriers to needed care. These individuals likely stand to benefit most from integration of psychiatric and substance disorder services [15, 34]. As the health care system of the country evolves, it would be important to continue monitoring treatment use and treatment barriers in this group of individuals.