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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 a fact that nicotine is addicting and people in rehab for addiction should strive to be free from all addictive substances, this can present problems that make enforcing a non-smoking facility outweigh the advantages of such restrictions. Someone who is addicted to a substance that could very well kill them immediately might not go to treatment if they must quit smoking cigarettes, so many facilities in Neffs allow smoking with some restrictions, limitations and in designated areas of their facility.
Some programs permit clients to smoke anywhere, as long as it is outside for instance. Some programs have a designated smoking area, which is the only area that clients can smoke. Because nicotine is an addictive substance, even rehab programs that allow smoking typically 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 facilities which allow smoking in designated areas, but educate clients on the health risks associated with smoking by integrating this into their program either by way of direct education or by offering informational literature for clients to consider. In programs which permit smoking in designated areas this is typically only authorized for clients, whereas staff are often banned from smoking at the center or are asked to not smoke in front of clients.
Publicly funded drug and alcohol rehab programs 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 bit more tolerance and don't have as many restrictions imposed on them, so may be more likely to offer designated areas for smoking.
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