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It is estimated that approximately 75% of clients at residential treatment programs for drug and alcohol addiction are smokers. While it is true that nicotine is addicting and people in rehab 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 get help if they must quit smoking cigarettes, so therefore, many facilities in Cologne allow smoking with certain restrictions, limitations and in designated areas of their facility.
Some facilities permit clients to smoke anywhere, as long as it is outdoors for instance. Some rehab centers have a designated smoking area, which is the only place that clients are allowed to smoke in. Because nicotine is addictive, even rehab facilities that allow smoking usually introduce 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 programs which permit 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 offering educational literature for clients to consider. In facilities which allow smoking in designated areas this is typically only authorized for clients, whereas staff are often banned from smoking at the facility or are encouraged to not smoke in front of clients.
Publicly funded drug and alcohol rehab centers are bound by the rules and restrictions in regards to smoking that are imposed by state and federal agencies which oversee and administer these programs. Private treatment centers have a little more tolerance 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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