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.