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It is estimated that around 75% of clients at residential treatment centers for drug addiction and alcoholism are smokers. While it is true 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 introduce problems that make enforcing a smoking ban outweigh the advantages of such restrictions. A person who is addicted to a substance that could very well kill them immediately might not go to treatment if they must quit smoking cigarettes, so many programs in Selawik allow smoking with certain limitations, restrictions and in designated areas of their facility.
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 are allowed to smoke in. Due to the fact that nicotine is addictive, even treatment programs that 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 allow 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 providing informational literature for clients to examine. In programs which allow smoking in designated areas this is typically only authorized for clients, and staff are often restricted from smoking at the center or are asked to not smoke in front of clients.
Publicly funded drug 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 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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