Some of our brothers and sisters have found themselves in a downward spiral that could end in premature death if a fundamental change doesn’t happen: getting & remaining clean. It’s easy to pontificate about the necessity to get and stay clean “or else,” perhaps even trying brow-beat someone into change hoping to trigger a desire to live more healthily. None this works. The simple thing is to allow God’s grace to work and to have a clean environment to live and work, to provide competent professional help and to make opportunities available for substantive change to happen. One more ingredient in my book that’s essential and a non-negotiable is the spiritual. Prayer, spiritual direction and fidelity to the witness of the Church goes to the root level of human desires and happiness given us by Divine Providence. But we have to admit that unless a drug addict wants to change her life no amount clever argument or cute programing is going to matter. If a person doesn’t take his human heart (his desires) seriously, including his need of happiness, then there is little we who aren’t captured by addiction can do.