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Updated May 1, 2002
Kids smoking in Treatment Center

Ask Dr. Bill

Dear Dr. Bill,
Last month I visited a relative of mine who was in a treatment center for her alcoholism. Although the adult part of the center had a no smoking rule, I was surprised to see that the adolescent section had a room set aside as a smoking area. I thought smoking was a cause of later heavy drug use. Does this make sense to you?

A.G.

 

Dear A.G.,
No, it doesn't make sense. With today's knowledge about the powerful addictive drug, nicotine, smoking areas for kids in treatment should not be allowed. Less than a decade ago, many adolescent drug counselors had learned to tolerate teen-age smoking as a minor part of these youngster's drug problem. This attitude resulted mainly from what they then knew about adult smokers. After all, compared to "harder" drugs, tobacco did seem relatively harmless. Cigarettes didn't ruin relationships, lead to bankruptcy, cause highway deaths, disrupt families, or incite violence. Of course, these counselors knew about the long term health problems but they saw no reason to come up with quick solutions. Getting off cigarettes was not part of their immediate therapeutic goal.

In most good centers, things have changed. Counselors began to see that most of the teens who entered treatment to kick a host of other drug habits, would to rant and rave when they were told no smoking would be allowed. This stimulated most counselors to include smoking as a part of a youngster's drug history. As a result, they were forced to agree with many subsequent studies which conclude that nicotine, not alcohol or cannabis, is the most common drug of entry for young addicts.

Compared to non-smokers, 12 to 17 year olds who smoke are twice as likely to drink; ten times as likely to take upper and downers or smoke pot; and fourteen times as likely to use cocaine or heroin. These studies have been confirmed several times over, leaving no doubt as to its relationship. Conclusion?...... Take any and every step deemed necessary to prevent your child from smoking. (Note to parents who are still smokers: Whether you deny it or not, should your child also become a smoker or, later, become addicted to alcohol or other drugs, because of your example, you must bare full responsibility for your share in causing the problem)

Even when nicotine addiction doesn't lead to the use of harder drugs, other effects on our kids can be significant. The National Institute on Drug Abuse reports that smoking habits are related to a student's level of accomplishment in school: slightly more than half of all high school students with an A average have never smoked, compared with about an eighth of those with a D average. About one in seven students with an A average are current daily smokers, compared to about half of all D students. And, while less than 2% of A students smoke a pack a day, more than 23% of D students smoke at least one pack a day. We owe a lot to the tobacco industry, don't we?

These statistics don't definitively prove that tobacco causes later drug problems or school dysfunction but the data sure indicates one powerful relationship. We need knowledgeable teachers who understand this relationship. Society, through its political leaders, must continue to take all appropriate steps to make tobacco products less available to children. Most important, parents and other caretakers must become a good example by their own nonuse of the drug and take appropriate preventative and disciplinary steps to discourage tobacco use by their kids.

As for the treatment facility that allows kids to smoke, I would hope that the administrators and professional staff get up to date and put as much thought and expertise into getting kids off cigarettes as I assume they do with any other drug. I know that I would not send any child of mine to a treatment center which allows its patients to smoke.


Dr. Willian Van Ost, M.D., is a Co-founder of The Van Ost Institute for Family Living, a non-profit outpatient center for treatment of addictive illnesses. Located in Englewood, it offers continuing, free weekly educational lectures. (Call 201-569-6667, e-mail to vanost@msn.com or visit www.vanostinstitute.org). Dr. Bill welcomes questions about addiction and effects on the family.

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Address inquiries:
Dr. Bill
Care of The Van Ost Institute
150 East Palisade Ave.
Englewood, NJ 07631-3010
Phone inquiries: (201) 569-6667
E-mail to: drbill@vanostinstitute.org

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