Timing of Smoking Intervention in Alcohol Treatment (Nicotine Patch)

Inclusion Criteria: Meets criteria for alcohol use disorder and other drug dependence. Complete first week of alcohol treatment program. Current cigarette smoker (more than 5 cigarettes/day, smoking more than 1 year). Exclusion Criteria: Lifetime diagnosis of an excluding psychiatric disorder: bipolar disorder, schizophrenia or other psychotic disorder, panic disorder with or without agoraphobia, obsessive-compulsive disorder, generalized anxiety disorder, eating disorder, post- traumatic stress disorder, antisocial personality disorder, or borderline personality disorder. Unable to participate in protocol due to functional deficits or severe depression. Suicidal or homicidal ideation. Current use of disulfiram (Antabuse) or naltrexone (Revia). Current use of pipes, cigars, or smokeless tobacco and unwillingness to stop. Lives more than 100 miles from alcohol treatment facility. No telephone.