SOS or Save Our Selves is a secular alternative to 12-steps. It's focused on self-empowerment rather than the higher power concept. I've found, in my own recovery, the notion of powerlessness to be counter-productive. This is not to say it doesn't work for many, but I don't believe it works for everyone. Perhaps the patient you're referring to could benefit from SOS -- just google Save Our Selves and it will take you to all the SOS links available. I know it worked for me. I've been sober for fourteen years without a relapse. Good luck!