It is estimated that approximately 75% of clients at residential treatment centers for drug and alcohol addiction are smokers. While it is a fact 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 non-smoking facility outweigh the benefits of such restrictions. 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 therefore, many programs in Berlin allow smoking with certain limitations, restrictions and in designated areas.
Some rehab centers allow clients to smoke anywhere, provides it is outside for instance. Some programs have a designated smoking area, and this is the only area that clients are allowed to smoke in. Because nicotine is addictive, even rehab facilities that have a designated area and 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 permit smoking in designated areas, but educate clients 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 examine. In programs which allow smoking in designated areas this is sometimes only approved for clients, and staff are often banned from smoking at the facility or are asked to not smoke in front of clients.
Publicly funded addiction treatment programs 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 facilities have a bit 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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