Inclusion criteria:

• Males and females at least 18 years old.
• English speaking.
• Meets criteria for alcohol dependence or alcohol abuse.
• Must complete an alcohol detoxification program prior to entering the study.
• Currently smoking 15 or more cigarettes per day and have at least a 3 year history of smoking.
• Have a current desire to stop smoking and stop drinking.
• Willing to complete followup assessments up to 12 months after treatment.
• Willing to provide names of 2 people who can help locate the subject at followup and the name of one person who can verify information about alcohol and tobacco use.
• One person per household.

Exclusion Criteria:

• Allergy to nicotine patch or nicotine gum.
• Weigh less than 100 pounds.
• Use other nicotine products, such as cigars, pipes or smokeless tobacco.
• Severe skin disorder.
• Active peptic ulcer.
• Active joint disease.
• Heart attack within 3 months prior to entering the study.
• Pregnant or breastfeeding female who are not on birth control.
• Currently taking medication to treat alcoholism or smoking, such as naltrexone, disulfiram or bupropion.
• Poor vision or hearing that would interfere with using a cell phone.
• Lack of transportation to the treatment site or live at least one hour from the treatment site.
• Homeless.