[bsder]

> If they dont want help and keep repeating then the second is absolutely needed.

Is there anything to suggest that they don't want help or is it that they can't afford help?

Alcoholism is not easy to shake off for various physiological reasons (drying out an alcoholic seems to damage your impulse control brain centers, for example).

Consequently, treating alcoholism is rather expensive.

[cf498]

From my personal experience, not wanting help is rather common. Its a core problem with most drugs and addicts. People have to want to get better or what ever you are trying to help them will fail.