Sorry to hear that about your neighbor.
In my sepson's case I wish it was a literal wagon...after being clean for 4 years he relapsed in January. I credit him though for checking into rehab on his own, spent 3 weeks there. He's been working steadily for 2 months now to keep his car payment caught up, got his water and power at his place turned back on just this past week so he's going in the right direction (again).
Stepson is 48, he's likely running out of chances too. I know busting my tailbone last August still bothers me, I need my cushion on hard seats still, even after 8 months. But if that's the worst I got I consider myself blessed.