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It is estimated that approximately 75% of clients at residential treatment centers for drug addiction and alcoholism are smokers. While it is true that nicotine is addicting and people in any sort of treatment for addiction should strive to be abstinent from all addictive substances, this can present problems that make enforcing a non-smoking facility outweigh the benefits of such restrictions. A person who is addicted to a substance as life threatening as drugs and alcohol might not agree to go to treatment if they must quit smoking cigarettes, so therefore, many programs in Malcolm allow smoking with certain limitations, restrictions and in designated areas of their facility.
Some facilities permit clients to smoke anywhere, provides it is outside for instance. Some facilities have a designated smoking area, which is the only place that clients can smoke. Because nicotine is addictive, even rehab centers that allow smoking usually offer alternatives to smoking if the client wants to quit, such as nicotine patches, nicotine gum and prescriptions. There are also facilities that 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 one on one counseling or by offering educational literature for clients to consider. In facilities which allow smoking in designated areas this is sometimes only approved for clients, and staff are sometimes restricted from smoking at the facility or are encouraged to not smoke in front of clients.
Publicly funded substance abuse treatment 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 rehab facilities have a little more leeway and don't have as many rules and restrictions imposed on them, so they be more likely to offer designated areas for smoking.
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