It is estimated that around 75% of clients at residential treatment facilities for drug addiction and alcoholism are smokers. While it is true that nicotine is an addictive substance and clients in rehab for addiction should endeavor to be abstinent from all addictive substances, this can introduce problems that make enforcing a smoking ban outweigh the benefits of such restrictions. A person 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 many programs in Houston allow smoking with some restrictions, limitations and in designated areas.
Some facilities allow clients to smoke anywhere, provides it is outdoors for instance. Some rehab centers have a designated smoking area, which is the only area that clients are allowed to smoke in. Because nicotine is addictive, even treatment facilities that allow smoking usually provide 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 programs that permit 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 one on one counseling or by offering informational literature for clients to consider. In facilities which permit smoking in designated areas this is typically only authorized for clients, whereas staff are often restricted from smoking at the facility or are asked to not smoke in front of clients.
Publicly funded drug and alcohol treatment centers 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 programs have a bit more leeway and don't have as many rules and restrictions imposed on them, so may be more likely to provide designated areas for smoking.
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