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It is estimated that around 75% of clients at residential rehab programs for drug addiction and alcoholism are smokers. While it is true that nicotine is an addictive substance and clients in rehab for addiction should endeavor to be free from all addictive substances, this can present problems that make enforcing a non-smoking facility outweigh the benefits of this restriction. A person who is addicted to a substance that could very well kill them immediately might not agree to get help if they have to quit smoking cigarettes, so therefore, many facilities in Axis allow smoking with some limitations, restrictions and in designated areas of their facility.
Some rehab centers allow clients to smoke anywhere, provides it is outdoors for example. Some programs have a designated smoking area, and this is the only area that clients can smoke. Because nicotine is an addictive substance, even rehab centers that allow smoking commonly provide alternatives to smoking if the client would like to consider this as an option, such as nicotine patches, nicotine gum and prescriptions. There are also rehab centers which permit smoking in designated areas, but educate clients on the health risks associated with smoking by including this into their program either by way of direct education or by providing educational literature for clients to examine. In programs which permit smoking in designated areas this is typically only approved for clients, and staff are sometimes restricted from smoking at the facility or are asked to not smoke in front of clients.
Publicly funded substance abuse rehab centers are obligated by the rules and restrictions in regards to smoking that are enforced by state and federal agencies which oversee and administer these programs. Private treatment programs have a bit more leeway and don't have as many rules imposed on them, so may be more likely to provide designated areas for smoking.
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