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It is estimated that approximately 75% of clients at residential treatment programs for drug addiction and alcoholism are smokers. While it is a fact that nicotine is an addictive substance and people in any sort of treatment for addiction should endeavor to be abstinent from all addictive substances, this can present problems that make enforcing a smoking ban outweigh the advantages of such restrictions. Someone who is addicted to a substance that could very well kill them immediately might not get help if they have to quit smoking cigarettes, so many programs in Roxbury allow smoking with some restrictions, limitations and in designated areas of their facility.
Some rehab centers permit clients to smoke anywhere, as long as it is outdoors for instance. Some programs have a designated smoking area, which is the only place that clients are allowed to smoke in. Because nicotine is addictive, even rehab programs that allow smoking typically offer alternatives to smoking if the client wants to quit, such as nicotine patches, nicotine gum and prescriptions. There are also facilities which permit smoking in designated areas, but educate clients on the health risks associated with smoking by including this into their program either by way of direct education or by providing informational literature for clients to consider. In rehab centers 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 encouraged to not smoke in front of clients.
Publicly funded drug and alcohol treatment programs are bound by the rules and restrictions in regards to smoking that are enforced 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 rules and restrictions imposed on them, so may be more likely to offer designated areas for smoking.
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