That's drugs, baby.
Still, yeah, guy has been getting worse and worse since Dunn, he never recovered. I feel like Ryan was probably one of the more sensible people in the crew who would rein him in when he got too out of control. Crazy to think Steve-O of all fucking people is doing better for themselves than most of the Jackass crew.
By the way, it's $65 for a personalised video clip from Bam if you wanna check in before he checks out:
https://www.cameo.com/bam__margera