It seems like you can never be too sure as to whether someone can cope with the difficulty of outpatient treatment. Especially if the addiction has progressed to a place where inpatient is even being considered. Having people in your life you refuse to disconnect with even though they are not leading you in the right direction further complicates the situation. Are there cases where outpatient should not be a first option? Can some people only see progression within an inpatient treatment scenario?