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.