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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 addicting and people in rehab for addiction should endeavor to be free from all addictive substances, this can introduce problems that make enforcing a non-smoking facility outweigh the advantages of this restriction. Someone who is addicted to a substance that could very well kill them immediately might not agree to go to treatment if they have to quit smoking cigarettes, so therefore, many programs in Havana allow smoking with certain restrictions, limitations and in designated areas.
Some rehab centers allow clients to smoke anywhere, as long as it is outdoors for instance. Some programs have a designated smoking area, and this is the only place that clients can smoke. Because nicotine is addictive, even rehab programs that allow smoking typically provide 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 facilities which allow smoking in designated areas, but educate clients 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 consider. In programs which permit smoking in designated areas this is typically only allowed for clients, whereas staff are often restricted from smoking at the facility or are asked to not smoke in front of clients.
Publicly funded drug rehabilitation centers 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 rehab programs have a little more tolerance and don't have as many restrictions imposed on them, so they be more likely to offer designated areas for smoking.
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