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It is estimated that approximately 75% of clients at residential rehab facilities for drug and alcohol addiction are smokers. While it is true that nicotine is addicting and clients in any sort of treatment for addiction should endeavor to be free from all addictive substances, this can introduce problems that make enforcing a smoking ban outweigh the advantages of such restrictions. A person who is addicted to a substance that could very well kill them immediately might not get help if they must quit smoking cigarettes, so many programs in Kalona allow smoking with certain limitations, restrictions and in designated areas.
Some facilities allow clients to smoke anywhere, so long as it is outside for example. Some programs have a designated smoking area, and this is the only area that clients can smoke. Due to the fact that nicotine is an addictive substance, even treatment programs that have a designated area and allow smoking usually introduce alternatives to smoking if the client wants to quit, such as nicotine replacement gum, patches and prescriptions. There are also programs that permit smoking in designated areas, but provide education on the health risks associated with smoking by incorporating this into their program either by way of direct education or by providing informational literature for clients to examine. In facilities which permit smoking in designated areas this is sometimes only approved for clients, and staff are sometimes banned from smoking at the facility or are encouraged to not smoke in front of clients.
Publicly funded substance abuse rehabilitation facilities are bound 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 tolerance and don't have as many restrictions imposed on them, so may be more likely to provide designated areas for smoking.
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