It is estimated that around 75% of clients at residential rehab programs for drug addiction and alcoholism are smokers. While it is true that nicotine is an addictive substance and clients in rehab for addiction should strive to be abstinent from all addictive substances, this can introduce problems that make enforcing a non-smoking facility outweigh the advantages of this restriction. Someone who is addicted to a substance as life threatening as drugs and alcohol might not get help if they have to quit smoking cigarettes, so therefore, many programs in Guy allow smoking with some limitations, restrictions and in designated areas.
Some facilities permit clients to smoke anywhere, as long as it is outside for example. Some programs 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 usually 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 integrating this into their program either by way of direct education 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 sometimes restricted from smoking at the facility or are asked to not smoke in front of clients.
Publicly funded substance abuse treatment programs 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 programs have a little more tolerance and don't have as many rules and restrictions imposed on them, so they be more likely to provide designated areas for smoking.