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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 people 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. 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 Johnston allow smoking with certain restrictions, limitations and in designated areas.
Some rehab centers allow clients to smoke anywhere, as long as it is outdoors for instance. Some facilities have a designated smoking area, which is the only place that clients can smoke. Due to the fact that nicotine is addictive, even treatment centers that have a designated area and allow smoking commonly introduce alternatives to smoking if the client wants to quit, such as nicotine replacement gum, patches and prescriptions. There are also programs which 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 offering informational literature for clients to examine. In programs which permit smoking in designated areas this is typically only approved for clients, whereas staff are often restricted from smoking at the facility or are encouraged to not smoke in front of clients.
Publicly funded substance abuse treatment centers 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 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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