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It is estimated that around 75% of clients at residential rehab facilities for drug addiction and alcoholism are smokers. While it is true that nicotine is addicting 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 advantages of such restrictions. Someone who is addicted to a substance that could very well kill them immediately might not go to treatment if they have to quit smoking cigarettes, so therefore, many programs in Fischer allow smoking with some limitations, restrictions and in designated areas of their facility.
Some programs permit clients to smoke anywhere, so long as it is outdoors for instance. Some rehab centers have a designated smoking area, and this is the only area that clients can smoke. Because 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 rehab centers which 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 offering informational literature for clients to examine. In rehab centers which permit smoking in designated areas this is sometimes only approved for clients, and staff are sometimes banned from smoking at the center or are encouraged to not smoke in front of clients.
Publicly funded substance abuse treatment facilities are bound by the rules and restrictions in regards to smoking that are imposed by state and federal agencies which oversee and administer these programs. Private rehab centers have a little more leeway and don't have as many restrictions imposed on them, so may be more likely to offer designated areas for smoking.
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