@chantel, I am happy to see that you are getting some great ideas from our members as you look to help your husband move ahead toward an improved transplant life.
I am a transplant recipient. I have a son who is 40, so I am speaking from the perspective of a mother. At 40, your 'young' husband has the opportunity to do everything in his power to turn his life around, or at the very least slow the downward slide. I believe that it has to be a commitment on his part to enlist the help/partnership of his medical team. Do you think that he can put the past in the past? Does he want to make his life better? Have you shared any of the member suggestions with him?

What about you? I honestly believe that the spouse/caregiver can see and feel things that, we, the patients do not see and feel. It can be stressful and a burden to the spouse's own health and emotional wellbeing. That is my concern for you. Do you have someone in your circle of friends/relatives that you can depend on for support during these difficult times?