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It is estimated that around 75% of clients at residential rehab programs for drug and alcohol addiction are smokers. While it is true that nicotine is an addictive substance and people in rehab for addiction should endeavor to be free from all addictive substances, this can introduce problems that make enforcing a non-smoking facility outweigh the advantages of such restrictions. Someone who is addicted to a substance as life threatening as drugs and alcohol might not agree to go to treatment if they must quit smoking cigarettes, so therefore, many programs in Kiowa allow smoking with some limitations, restrictions 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 area that clients can smoke. Because nicotine is an addictive substance, even treatment facilities that have a designated area and allow smoking commonly introduce alternatives to smoking if the client wants to quit, such as nicotine patches, nicotine gum and prescriptions. There are also rehab centers that 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 educational literature for clients to examine. In facilities which allow smoking in designated areas this is typically only allowed for clients, and staff are sometimes restricted from smoking at the facility or are encouraged to not smoke in front of clients.
Publicly funded substance abuse 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 rehab centers have a bit more tolerance and don't have as many rules and restrictions imposed on them, so they be more likely to offer designated areas for smoking.
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