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It is estimated that around 75% of clients at residential rehabilitation programs for drug addiction and alcoholism are smokers. While it is true that nicotine is addicting and clients in rehab for addiction should endeavor to be free from all addictive substances, this can present problems that make enforcing a smoking ban outweigh the benefits of this restriction. 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 Cosmos allow smoking with some limitations, restrictions and in designated areas of their facility.
Some facilities allow clients to smoke anywhere, provides it is outdoors for example. Some rehab centers have a designated smoking area, which is the only area that clients can smoke. Due to the fact that nicotine is an addictive substance, even rehab facilities that allow smoking usually introduce alternatives to smoking if the client wants to quit, 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 including this into their program either by way of direct one on one counseling or by providing educational literature for clients to examine. In facilities which permit smoking in designated areas this is typically only authorized for clients, whereas staff are often banned from smoking at the facility or are asked to not smoke in front of clients.
Publicly funded drug and alcohol treatment facilities 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 rehabilitation programs have a bit 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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