When you see someone on the street, passed out, clutching a bottle in a paper bag – whether it’s L.A. or Cleveland, New York or Topeka, Dallas or St. Paul - you wonder why they don’t just get help. Ditto the reaction to the co-worker who keeps embarrassing himself at office parties, the constant drunk at bars, the relative who ruins every family gathering, or the loved one on their second or third DUI. Chances are you know someone with a drug and/or alcohol problem, or someone who also has a mental health issue. Surely, you think, this person would want to get treatment. In all these scenarios, what are the reasons why people who need treatment don’t get it?