My sister and her husband are former addicts.
They moved across country a couple of years ago after graduating from college. While in college, I knew they were casual users, but my own naivete (sp?) figured they would grow out of it when they found jobs, etc.
While on the West Coast they found heroin. Mom, Dad and me flew out to get them some help. We had contacted two separate treatment facilities and arranged for each of them to be seen. We contacted his parents and they came out separately as well. We formulated a plan to never leave them alone. He was in worse shape than my sister was, so he entered treatment before his parents got there and within 24 hours of our arrival. We knew we needed to separate them to get this to work. He had no insurance, so he went to the crappy low-cost county center. My sister had a job and insurance, so she went to a private hospital treatment facility. We thought we had everything going well.
Their apartment was disgusting. Needles everywhere, no food, blood all over the bathroom. The brand new mattress that my parents bought them was covered in blood. The boyfriend (now husband) had lost about 75 lbs and looked like the stereotypical junkie. They had sold all their valuables to buy drugs. I found weed, cocaine, heroin and crack in various hiding places around the apartment.
They tried to fight going to treatment, but we weren’t taking no for an answer. Both left their respective facilities 3 days into treatment. He left treatment after they would no longer give him sedatives to help with withdrawal. He found out where my sister was (not sure how) and called her and told her he needed her and would kill himself if she didn’t get out now. Looking back on it, we should have tried to get her into a place where you go for 30 days and aren’t allowed outside contact.
His parents arrived and flew them back to PA. Once home, they both got the Naltrexone Implant. It worked for a little while, then they both got back on the horse.
He was arrested for some stuff, and that is what seems to have provided the impetus for them to both be clean.
It was probably about 9 months after the intervention that they both cleaned up. Our initial intervention may not have “worked” as planned, but it did bring them back home where family could keep better track of them and not let things get as bad as they did.