Family support
How to help someone with addiction who does not want help
This is the most painful situation family members face: watching someone destroy themselves while refusing help. There are evidence-based approaches that work, even when the person is unwilling.
The CRAFT approach
Community Reinforcement and Family Training (CRAFT) teaches family members specific techniques to motivate treatment-seeking without confrontation. CRAFT has a 65-75% success rate in getting loved ones into treatment, making it more effective than intervention or Al-Anon alone.
Key principles
Reinforce sober behavior with positive attention. Allow natural consequences of use. Reduce enabling without withdrawing love. Identify windows of opportunity (moments of clarity or crisis) and have treatment options ready. Take care of yourself.
What not to do
Do not beg, nag, or lecture. Do not threaten consequences you will not follow through on. Do not cover for them. Do not monitor or control (it does not work). Do not sacrifice your own health waiting for them to be ready.
Maintaining connection
You cannot help someone you have cut off from. Maintaining connection while refusing to enable is the balance. Let them know you love them and will support their recovery whenever they are ready.
Frequently asked questions
How do you help an addict who does not want help?
Should I force someone into treatment?
When should I give up?
Disclaimer: Informational only. Not medical advice. SAMHSA: 1-800-662-4357.