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The family should have an established game plan to the extent that they are on the same page with respect to how they will respond to the intended patient, what they will offer in terms of "help" (anything other than, "No, I'm not giving you money to buy drugs with" is not "help"), having available the information on how to get into treatment.
Everybody sitting in the living room while you tell the junkie how they have hurt you and why they suck? That's the part that doesn't work out well. First off, as pointed out, junkies love drugs more than they love any person, no matter what words come out of their mouths.
Berating someone into getting help isn't very useful, as far as I'm concerned. It lacks that key piece of "taking reponsibility for yourself," which is, admittedly, one of the hardest parts of getting clean.
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