Hey guys,

Here is the situation my childhood friend got into heroine about 12 years ago, he lives in a country where the rehab / NA / AA scene is almost inexistent. He's married and has 2 kids, he's wife is also an active heroine addict. They both live at his mother's place, she is the one that has been taking care of the kids.

Surprisingly they are both involve for now 7 years in the first methadone program ever developed in this country, she's employed as a counselor in the organization and he's the most active volunteer.

I have no doubt that they both have tried to get clean as some point, but lately it's been very difficult for his mother. They are both back spending time at home fighting in the bathroom over sharing the dope, or stoning on the couch.

Anyway, I know him and his mother since I've been born, and I want to try to help. My first thought is we should try to give them an ultimatum, ether they quit or they can't live at his mother's place, the second thing was about to try to get the anti drug organization manager to try to put some pressure as well, you quit or you lose your job and a couple other scenarios of the same nature.

I know that chances, are he's going to say "I'll quit no problem" and maybe try at best, or just fake it and hope we somehow we will forget about it or decide to not follow thru.

I would like to help to improve the situation, but how realistic is it for someone to get clean and stay clean in an environment that is so underdeveloped in the Addiction treatment and recovery anyway ? Is it possible at all ? If there is a model of addiction recovery that works other than AA, NA and has proven result ?

Any comments would be most appreciated