(a) The governing authority of the service shall determine and establish written policies, procedures and methods governing the provision of a tobacco-free environment. These policies, procedures and methods should at a minimum include the following:

1. (1) defines the facility, vehicles and grounds which are tobacco-free;
2. (2) prohibits patients, family members, and other visitors from bringing tobacco products and paraphernalia to the service;
3. (3) requires all patients, staff, volunteers and visitors be informed of the tobacco-free policy including posted notices and the provision of copies of the policy;
4. (4) prohibits staff from using tobacco products while at work, during work hours;
5. (5) establishes a tobacco-free policy for staff while they are on the site of the service;
6. (6) establishes treatment modalities for patients who use tobacco;
7. (7) describes training on tobacco use and nicotine dependence available to staff including clinical, non-clinical, administrative and volunteers;
8. (8) describes tobacco and nicotine prevention and education programs made available by the service to patients, staff, volunteers and others; and
9. (9) establishes procedures, including a policy to address patients who relapse on tobacco products. This policy shall incorporate the policy and procedures contained in sections 816.5(g), 817.4(o), 818.4(o), 819.4(o), 820.7(a), 821.4(v), 822.4(u), 828.14(b), (c) and (d) of this Title, and every effort shall be made to provide appropriate treatment services to all persons in need of alcohol and drug addiction services. Additionally, each facility shall address staff relapse consistent with the employment procedure of that facility.