Tobacco Free / Cessation

Participation in a smoking cessation program while engaged in substance abuse treatment has been associated with a 25 percent greater likelihood of long-term abstinence from alcohol and other drugs.

Prochaska et al, 2004

Historically, drug and alcohol treatment providers have turned a blind eye to the topic of nicotine addiction and the role that tobacco use plays in treatment, as well as the consequences for long-term sobriety. Conventional wisdom pointed toward the difficulty of smoking cessation during treatment and a fear of reduced admissions due to a no smoking policy. But the fact remained that tobacco use is not just habit forming but leads to nicotine addiction. Individuals that seek SUD treatment are more than two times as likely to use tobacco than the general population.

Since its inception, The Farley Center had tolerated and even made accommodations for tobacco use while participating in addictions treatment. With mounting evidence, our position on the subject evolved over time. In order to bring our policy in line with what is best for patient care and long-term sobriety, the campus became tobacco free in January 2015.

Inclusion of smoking cessation treatment into addiction programs does not negatively affect rates of treatment completion or motivation for abstinence.

Sharp et al, 2003; Monti et al 1995

Fortunately, our addiction treatment model works well for managing cravings, positive self-soothing, trigger identification and management, and an aftercare support structure.

Treatment Strategies

  • 12-step work
  • nicotine sobriety group
  • nicotine replacement therapy (e.g., patches, lozenges)
  • pharmacotherapy