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It is estimated that approximately 75% of clients at residential rehab programs for drug and alcohol addiction are smokers. While it is true that nicotine is an addictive substance and clients in any sort of treatment for addiction should strive to be abstinent from all addictive substances, this can present problems that make enforcing a smoking ban outweigh the advantages 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 St. Johnsbury allow smoking with some limitations, restrictions and in designated areas of their facility.
Some facilities permit clients to smoke anywhere, as long as it is outside for instance. Some facilities have a designated smoking area, and this is the only area that clients are allowed to smoke in. Because nicotine is addictive, even treatment centers that allow smoking typically offer alternatives to smoking if the client wants to quit, such as nicotine patches, nicotine gum and prescriptions. There are also facilities 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 one on one counseling or by providing informational literature for clients to examine. In rehab centers which allow smoking in designated areas this is typically only approved for clients, and staff are sometimes banned from smoking at the center or are asked to not smoke in front of clients.
Publicly funded addiction treatment centers are obligated 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 centers 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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