Inclusion Criteria:

• Meets criteria for alcohol dependence within the past three months, and criteria for nicotine dependence.
• Smoking at least 10 or more cigarettes per day for the past year.
• Seeking treatment for both alcohol and nicotine dependence.
• Minimum 1 week of alcohol abstinence and substance abuse day treatment attendance.
• Willing to provide names of two individuals who can help locate the subject at follow-up.
• Willing to provide name of one individual who can provide collateral information about alcohol and tobacco use.

Exclusion Criteria:

• Other substance use disorder meeting criteria for dependence.
• Acute medical or psychiatric disorder requiring inpatient treatment.
• Taking medications known to influence alcohol urges (naltrexone, disulfiram).
• Medical problems that would contraindicate nicotine patch use.
• Allergy or hypersensitivity to nicotine or to adhesives used in transdermal delivery systems.
• Use of other nicotine products such as cigars, pipes, or smokeless tobacco.
• Severe generalized skin disorder.
• Myocardial infarction within 3 months prior to study entry.
• Unstable angina.
• Pregnant or lactating females, or females who are not practicing a medically accepted form of contraception.
• Impaired vision or hearing which would interfere with using a hand-held computer.
• Reading ability below fifth grade level.
• Lack of reliable transportation to the treatment site, or living more than 1 hour from treatment site.
• Homeless or unstable residence.
• Plan for future admission to residential treatment.