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It is estimated that approximately 75% of clients at residential rehab facilities for drug and alcohol addiction are smokers. While it is a fact that nicotine is an addictive substance and people in any sort of treatment for addiction should strive to be free 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 as life threatening as drugs and alcohol might not get help if they have to quit smoking cigarettes, so many programs in Metlakatla allow smoking with certain limitations, restrictions and in designated areas of their facility.
Some programs allow clients to smoke anywhere, provides it is outside for instance. Some facilities have a designated smoking area, and this is the only area that clients can smoke. Due to the fact that nicotine is addictive, even rehab centers that allow smoking usually offer alternatives to smoking if the client would like to consider this as an option, such as nicotine replacement gum, patches and prescriptions. There are also programs that 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 educational literature for clients to examine. In facilities which permit smoking in designated areas this is sometimes only approved for clients, whereas staff are often restricted from smoking at the center or are encouraged to not smoke in front of clients.
Publicly funded drug treatment programs are obligated by the rules and restrictions in regards to smoking that are imposed by state and federal agencies which oversee and administer these programs. Private rehabilitation programs 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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