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It is estimated that around 75% of clients at residential rehabilitation centers for drug and alcohol addiction are smokers. While it is true that nicotine is addicting and clients in rehab for addiction should endeavor to be free from all addictive substances, this can present problems that make enforcing a smoking ban outweigh the advantages of this restriction. A person who is addicted to a substance that could very well kill them immediately might not agree to go to treatment if they must quit smoking cigarettes, so many rehab centers in Madrid allow smoking with some restrictions, limitations and in designated areas.
Some rehab centers allow clients to smoke anywhere, as long as it is outside for example. Some facilities have a designated smoking area, and this is the only place that clients are allowed to smoke in. Due to the fact that nicotine is addictive, even treatment centers that allow smoking typically offer alternatives to smoking if the client wants to quit, such as nicotine patches, nicotine gum and prescriptions. There are also programs that allow smoking in designated areas, but educate clients on the health risks associated with smoking by integrating this into their program either by way of direct education or by providing educational literature for clients to examine. In facilities which permit smoking in designated areas this is sometimes only authorized for clients, whereas staff are often restricted from smoking at the facility or are asked to not smoke in front of clients.
Publicly funded drug and alcohol 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 treatment programs 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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