Some addicts get clean because they decide to. Others get clean because somebody/something intervenes, like the law or their families. Many times I have heard stories of addicts who did not want to stop, but got some clarity while in a)jail, b)rehab c)the hospital for some using-related illness or injury - and wound up then seeking recovery and staying clean. Or not. There is no formula for this stuff. Even in NA, we have places in our literature that says you just can't predict who will stay clean and who won't. You just can't tell and only time will tell. I do believe every addicts deserves at least the first time in treament with full support of the family. sometimes only one time is all it takes. Or they could be like my AD, who's been in and out of treatment 8 times and now is in jail. OR, they may never get it! Uggh, don't you with it was like some other disease - get a diagnosis, take a pill or surgery, get better - but its just not like that.