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 people in any sort of treatment for addiction should strive to be abstinent from all addictive substances, this can introduce problems that make enforcing a non-smoking facility outweigh the benefits of this restriction. Someone who is addicted to a substance as life threatening as drugs and alcohol might not get help if they must quit smoking cigarettes, so many facilities in Tama allow smoking with certain restrictions, limitations and in designated areas of their facility.
Some rehab centers permit clients to smoke anywhere, so long as it is outdoors for example. Some programs have a designated smoking area, and this is the only place that clients can smoke. Due to the fact that nicotine is an addictive substance, even rehab centers that allow smoking commonly provide alternatives to smoking if the client wants to quit, such as nicotine replacement gum, patches 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 education or by providing informational literature for clients to consider. In rehab centers which permit smoking in designated areas this is typically only authorized for clients, and staff are sometimes restricted from smoking at the center or are encouraged 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 imposed by state and federal agencies which oversee and administer these programs. Private rehabilitation programs have a little more leeway and don't have as many rules imposed on them, so may be more likely to offer designated areas for smoking.
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