To admit you have a drug problem.
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The first step is for the person to admit they have a problem with drugs or alcohol. Until they admit it, they can't (and won't) get the medical and emotional help and support they need. The next step is for them to actually accept the help from doctors, clinics, family and friends, and really follow through with it.
The first step is to attend counseling by a health care professional. In some cases you may need to go to a detoxification program in a medical facility that offers it to help with the withdrawals.
The first step to recovery in the treatment of Alcoholism is to finally admit you are dependent on alcohol, and need help.