FROM JESSICA

They won’t
get help.
You still can.

You’ve asked. You’ve explained. You’ve tried being patient and you’ve tried getting angry. They still won’t go. Your next move can start with you.

DES MOINES & CENTRAL IOWA · VIRTUAL ACROSS IOWAJESSICA CLARK, CADC · PRIVATE PAY

By Jessica Clark, CADC · October 26, 2026

In this article
START HERE

Their answer doesn’t
settle your whole life.

When a parent or partner calls me, the question is often, “How do I get them to go?” I understand why. You want the drinking or drug use to stop, and you want to know they’re safe.

But while you’re waiting for their answer to change, you’re still paying bills, checking locations, missing sleep and trying to make decisions. Those things deserve attention now.

We can work on your part without pretending you control theirs. That may mean getting clear about treatment options, deciding what help you’ll offer or preparing for the next conversation. You don’t have to bring them to your appointment.

THE CONVERSATION

Be specific about
what you’re seeing.

“You need help” can turn into an argument about whether there’s a problem. Try naming what actually happened: the missed shift, the money that’s gone, the night nobody could reach them. Leave room for their answer.

Ask what they want to be different. Keeping a job, sleeping, seeing their kids or getting out of an exhausting routine may matter to them before the word recovery means much.

A useful offer has a next step. “Would you talk with someone about sleep and drinking?” is a different conversation from demanding a lifetime commitment at the kitchen table. The right next step still has to account for medical needs.

YOUR PART

Choose something
you can follow through on.

  • Name what you can offer

    A ride to an appointment. Time to make a call together. Help comparing programs. Say what the offer is, rather than leaving it open for another negotiation.

  • Name what needs to change

    Look at the money, covering, transport or other arrangements that are wearing you down. Work out the change before announcing it.

  • Prepare for the next request

    What will you say if they need money tonight? What if they agree to an appointment and then don’t go? A response is easier to practice before you’re in it.

  • Give yourself support

    Your sleep, work, finances and relationships count. Getting help for yourself isn’t something you have to earn by getting them into treatment first.

IF THEY SAY YES

Know where
the offer leads.

A willing moment can get lost in voicemail, intake forms and confusion about insurance. Before making promises, check what the provider actually offers, when an assessment can happen and what is required to start.

Sometimes the next step is a medical appointment. Sometimes it’s outpatient treatment, a medication provider or a more structured setting. An intervention can be considered when the family needs help preparing and having the conversation.

The question isn’t how to make one dramatic moment do all the work. It’s who will handle the calls, how the person gets there and what happens if they change their mind.

IF THEY STILL SAY NO

You can keep
your own footing.

We review what you offered and what you’ll do next. You can stay connected without agreeing to every request. You can change an arrangement that isn’t working without turning the whole relationship into a punishment.

I won’t promise that a boundary will make another adult accept treatment. We choose it because it is a decision you can live with and maintain.

Emergency help remains available. If someone is unresponsive, struggling to breathe or in immediate danger, call 911. Don’t wait for a private appointment or a reply from me.

WORK WITH ME

Bring the situation.
We’ll start there.

You can book one private session for yourself in Des Moines or Central Iowa, or meet virtually across Iowa. We can work through what’s happening, practice the conversation and decide whether you need more involvement.

If you need an intervention or help contacting programs, we can discuss that work too. You don’t have to buy ongoing support to have the first conversation.

READ MORE

Sources & further reading

Sources checked October 26, 2026. General information; individual medical decisions belong with a qualified provider.

Jessica Clark, CADC — experience behind The After Group ↗

A FEW QUESTIONS

The next
questions.

Do I have to wait until they agree before I call?

No. You can come on your own. Your appointment can focus on your choices, the help you’re offering and how you want to respond.

What if the family disagrees about what to do?

Bring that into the work. We can hear the different concerns, decide what each person can actually agree to and practice a consistent response without pretending everyone feels the same.

There is an after.

You don’t have to figure it all out
before you call.

A free, private 20-minute conversation.

515-373-4131