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It is estimated that approximately 75% of clients at residential rehabilitation facilities for drug and alcohol addiction are smokers. While it is true that nicotine is addicting and people in rehab for addiction should strive to be abstinent from all addictive substances, this can introduce problems that make enforcing a smoking ban outweigh the benefits of such restrictions. Someone who is addicted to a substance that could very well kill them immediately might not get help if they must quit smoking cigarettes, so many programs in Stella allow smoking with certain restrictions, limitations and in designated areas.
Some programs allow clients to smoke anywhere, provides it is outside for instance. Some facilities have a designated smoking area, and this is the only place that clients are allowed to smoke in. Due to the fact that nicotine is addictive, even rehab facilities that have a designated area and allow smoking typically introduce alternatives to smoking if the client wants to quit, such as nicotine patches, nicotine gum and prescriptions. There are also rehab centers that permit smoking in designated areas, but provide education on the health risks associated with smoking by integrating this into their program either by way of direct education or by providing educational literature for clients to examine. In programs which permit smoking in designated areas this is typically only allowed for clients, whereas staff are often banned from smoking at the facility or are encouraged to not smoke in front of clients.
Publicly funded drug and alcohol rehab centers 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 little more leeway 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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