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It is estimated that around 75% of clients at residential rehab programs for drug and alcohol addiction are smokers. While it is true that nicotine is an addictive substance and clients in rehab for addiction should strive to be abstinent from all addictive substances, this can present problems that make enforcing a smoking ban outweigh the benefits of such restrictions. A person 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 programs in Shoup allow smoking with some restrictions, limitations and in designated areas.
Some facilities permit clients to smoke anywhere, as long as it is outdoors for instance. Some rehab centers have a designated smoking area, and this is the only area that clients are allowed to smoke in. Because nicotine is addictive, even rehab centers that have a designated area and 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 rehab centers which allow smoking in designated areas, but provide education 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 examine. In programs which allow smoking in designated areas this is sometimes only allowed for clients, whereas staff are often restricted from smoking at the facility or are encouraged to not smoke in front of clients.
Publicly funded substance abuse treatment 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 treatment facilities have a little more leeway and don't have as many restrictions imposed on them, so may be more likely to provide designated areas for smoking.
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