Your very first thread post to SR was entitled:
21 - Serious vodka/drink problem. Please help out - I cant do AA
You ask what has to change after the next detox. Change what you "can't" do. You are literally drinking yourself to death. If anything called for a spiritual awakening, this does. And the step work of AA promises this.
I don't like to "push" a recovery program. But you have struggled for years to quit drinking. "Alcohol Services" whatever that is, isn't helping you. But perhaps working with another alcoholic, one who has been right where you are now, can make the difference between recovery and yet another relapse.