i saw a special once called "the faces of meth" that showed the difference in people after 4 years on meth. most of them--you couldn't even tell it was the same person. it was shocking and sad. you ask if your neice is on her death bed. we can't know just over the internet, but she may be headed that way. they also showed brain scans--meth literally eats holes in the brain, and they said only 6% ever recover. those are pretty scary odds. i never tried meth, but i was taking 80 lortab a day and shooting morphine, demerol, fentynal etc.. detox was a nightmare and i can tell you that if all my family had turned their back on me and did the "tough love" attitude, i'd probably be dead. people need to know their families and friends care. yes--do not give them money, but don't turn your back on them!! she absolutely needs in-patient detox!! followed up by a treatment where she stays for at least 28 days, maybe a half-way house after that. but if SHE doesn't want it--sadly, there is nothing you can do.