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It is estimated that around 75% of clients at residential rehabilitation programs for drug and alcohol addiction are smokers. While it is a fact that nicotine is addicting and clients in rehab for addiction should strive to be abstinent from all addictive substances, this can present problems that make enforcing a non-smoking facility outweigh the benefits of such restrictions. Someone who is addicted to a substance that could very well kill them immediately might not get help if they have to quit smoking cigarettes, so many facilities in Alakanuk allow smoking with some limitations, restrictions and in designated areas.
Some facilities permit clients to smoke anywhere, as long as it is outside for instance. Some programs have a designated smoking area, and this is the only area that clients are allowed to smoke in. Because nicotine is addictive, even treatment facilities that have a designated area and allow smoking usually introduce alternatives to smoking if the client wants to quit, such as nicotine patches, nicotine gum and prescriptions. There are also programs which allow smoking in designated areas, but educate clients on the health risks associated with smoking by including this into their program either by way of direct education or by providing educational literature for clients to consider. In rehab centers which allow smoking in designated areas this is sometimes only allowed for clients, whereas staff are sometimes restricted from smoking at the center or are asked to not smoke in front of clients.
Publicly funded substance abuse rehab facilities 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 treatment programs have a bit 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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