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It is estimated that around 75% of clients at residential rehab programs for drug addiction and alcoholism are smokers. While it is a fact that nicotine is an addictive substance and clients in rehab for addiction should endeavor to be free from all addictive substances, this can present problems that make enforcing a non-smoking facility outweigh the benefits of this restriction. Someone 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 therefore, many rehab centers in Kalaupapa allow smoking with certain restrictions, limitations and in designated areas.
Some programs permit clients to smoke anywhere, provides it is outdoors for instance. Some programs have a designated smoking area, which is the only area that clients can smoke. Due to the fact that nicotine is addictive, even rehab facilities that allow smoking typically introduce alternatives to smoking if the client would like to consider this as an option, such as nicotine patches, nicotine gum 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 education or by providing educational literature for clients to examine. In facilities which permit smoking in designated areas this is typically only approved for clients, and staff are often restricted from smoking at the facility or are encouraged to not smoke in front of clients.
Publicly funded drug rehab facilities 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 rehab centers have a bit more leeway and don't have as many rules imposed on them, so they be more likely to offer designated areas for smoking.
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