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It is estimated that around 75% of clients at residential treatment programs for drug addiction and alcoholism are smokers. While it is true that nicotine is addicting and clients in rehab for addiction should strive to be abstinent from all addictive substances, this can introduce problems that make enforcing a non-smoking facility outweigh the advantages of this restriction. Someone who is addicted to a substance that could very well kill them immediately might not agree to go to treatment if they must quit smoking cigarettes, so therefore, many programs in Oronoco allow smoking with certain restrictions, limitations and in designated areas of their facility.
Some rehab centers permit clients to smoke anywhere, as long as it is outdoors for example. Some programs have a designated smoking area, which is the only area that clients can smoke. Because nicotine is addictive, even rehab programs that allow smoking typically provide alternatives to smoking if the client wants to quit, 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 incorporating this into their program either by way of direct education or by offering educational literature for clients to consider. In facilities which permit smoking in designated areas this is sometimes only approved for clients, whereas staff are often restricted from smoking at the facility or are asked to not smoke in front of clients.
Publicly funded substance abuse 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 treatment centers have a little more leeway and don't have as many rules imposed on them, so may be more likely to provide designated areas for smoking.
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