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It is estimated that around 75% of clients at residential treatment centers for drug addiction and alcoholism are smokers. While it is true that nicotine is an addictive substance and clients in rehab for addiction should endeavor to be abstinent from all addictive substances, this can present problems that make enforcing a smoking ban outweigh the benefits of this restriction. Someone who is addicted to a substance as life threatening as drugs and alcohol might not agree to go to treatment if they have to quit smoking cigarettes, so therefore, many programs in DeCordova allow smoking with certain limitations, restrictions and in designated areas.
Some rehab centers permit clients to smoke anywhere, as long as it is outdoors 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 facilities that allow smoking usually provide alternatives to smoking if the client wants to quit, such as nicotine patches, nicotine gum and prescriptions. There are also programs that permit 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 one on one counseling or by providing informational literature for clients to consider. In programs which allow smoking in designated areas this is sometimes only allowed for clients, and staff are often banned from smoking at the center or are asked to not smoke in front of clients.
Publicly funded drug and alcohol rehabilitation 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 rehabilitation centers have a little more tolerance and don't have as many rules and restrictions imposed on them, so may be more likely to offer designated areas for smoking.
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