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It is estimated that around 75% of clients at residential treatment centers for drug and alcohol addiction are smokers. While it is true that nicotine is an addictive substance and clients in rehab for addiction should endeavor to be free from all addictive substances, this can present problems that make enforcing a non-smoking facility outweigh the benefits of this restriction. A person who is addicted to a substance as life threatening as drugs and alcohol might not go to treatment if they have to quit smoking cigarettes, so many programs in Spade allow smoking with some limitations, restrictions and in designated areas.
Some facilities permit clients to smoke anywhere, so long as it is outside for example. 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 that permit smoking in designated areas, but provide education on the health risks associated with smoking by integrating this into their program either by way of direct one on one counseling or by offering informational literature for clients to examine. In programs which permit smoking in designated areas this is sometimes only allowed for clients, whereas staff are sometimes restricted from smoking at the facility or are asked to not smoke in front of clients.
Publicly funded drug and alcohol rehabilitation 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 facilities have a bit more leeway and don't have as many rules imposed on them, so they be more likely to provide designated areas for smoking.
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