This study will attempt to determine the best time to begin a smoking cessation program in
individuals who undergo intensive treatment for alcohol dependence. The goal of this trial
is to determine whether a smoking cessation program is more effective if it occurs at the
same time as or after treatment for alcohol dependence. The study also will attempt to
determine the effect of smoking cessation programs on the outcome of treatment for alcohol
- 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).
- 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.