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Volunteer participants (N = 77) enrolled in eight substance abuse treatment facilities were surveyed in order to examine the prevalence and nature of incest contacts among the group. Results indicated that approximately 49% of the participants had reported histories of incest. Data are presented regarding the age during incest contact; frequency of contacts; and involvement of force, alcohol, and drugs. In addition, comparisons by gender are presented. Implications for substance abuse training and treatment are presented.