The aims of this research are to look at factors that predict who continues to drink following alcohol and mental health treatment versus those individuals who are able to maintain abstinence from alcohol. We anticipate that some of the important factors affecting these relationships will include the extent and severity of psychiatric symptoms, how long the alcohol problem has existed, how regularly dual-diagnosis treatment is attended, and the types of coping skills project participants have to deal with difficult situations involving alcohol or other drugs. This four-year study will result in a better understanding of the kinds of factors that are most likely to lead to continued problem drinking among severely mentally ill individuals and in turn, help in the design of treatment programs that better meet the needs of this population. Dr. Clara Bradizza's co-investigators are Drs. Gerard Connors and Paul Stasiewicz of RIA and Stephen Maisto, Syracuse University. Funded by a grant of $1,567,083 from NIAAA, 2002-2007.