It is estimated that around 75% of clients at residential rehabilitation programs for drug and alcohol addiction are smokers. While it is true that nicotine is addicting and clients in any sort of treatment for addiction should endeavor to be free from all addictive substances, this can present problems that make enforcing a smoking ban outweigh the advantages of this restriction. Someone who is addicted to a substance as life threatening as drugs and alcohol might not agree to get help if they have to quit smoking cigarettes, so many facilities in Portland allow smoking with certain limitations, restrictions and in designated areas of their facility.
Some programs allow clients to smoke anywhere, provides it is outdoors for instance. Some programs have a designated smoking area, and this is the only area that clients can smoke. Due to the fact that nicotine is an addictive substance, even rehab centers that allow smoking commonly provide alternatives to smoking if the client wants to quit, such as nicotine replacement gum, patches and prescriptions. There are also programs which allow 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 one on one counseling or by offering educational literature for clients to consider. In programs which allow smoking in designated areas this is typically only authorized for clients, whereas staff are sometimes banned from smoking at the center or are encouraged to not smoke in front of clients.
Publicly funded substance abuse treatment programs are obligated 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 facilities have a bit more tolerance and don't have as many rules and restrictions imposed on them, so may be more likely to provide designated areas for smoking.
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