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It is estimated that around 75% of clients at residential rehab facilities for drug and alcohol addiction 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 introduce problems that make enforcing a smoking ban outweigh the benefits of such restrictions. Someone who is addicted to a substance that could very well kill them immediately might not get help if they have to quit smoking cigarettes, so therefore, many programs in Elkmont allow smoking with certain restrictions, limitations and in designated areas.
Some rehab centers permit clients to smoke anywhere, as long as it is outside for instance. Some programs have a designated smoking area, which is the only place that clients can smoke. Because nicotine is an addictive substance, even treatment centers that have a designated area and allow smoking commonly provide alternatives to smoking if the client would like to consider this as an option, such as nicotine replacement gum, patches and prescriptions. There are also facilities that allow smoking in designated areas, but provide education on the health risks associated with smoking by including this into their program either by way of direct one on one counseling or by providing educational literature for clients to examine. In facilities which allow smoking in designated areas this is typically only approved for clients, and staff are sometimes banned from smoking at the center or are asked to not smoke in front of clients.
Publicly funded drug and alcohol 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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