In A Pickle is spot on. I have worked with young drug users who were damaging themselves, but well-meant efforts by the Courts and others to compel them into rehab were an expensive disaster. They were not motivated, and disrupted others in the rehab unit who were trying so hard to overcome their addictions. They ran off to get substances and brought them back to the rehab, and generally disrupted the place. It was distressing, as they knew they had a big problem with drugs, but they were not serious about trying to break away from their habit. They had to go even lower in their lives, to the depths, before they really became motivated, and then made significant strides.