Military & Veteran Resources
If you are an active or inactive military veteran we have help & info to start or grow your business. Services for Veterans and Active Military are right here!
Here is a great resource for ex-service personnel looking for employment in Trade Industries: Click Here
New VA Program Contingency Management
Contingency Management Helps Veterans Stay Drug-Free
Veterans, especially recent veterans, have been hard hit by the opioid epidemic and the rise in other substance use disorders (SUD). Problems of chronic pain and post-traumatic stress disorder (PTSD) make substance use and abuse more likely.
Since 2011, the U.S. Department of Veteran Affairs (VA) has treated SUD with contingency management (CM), a technique that promotes abstinence from drugs and alcohol. The technique is simple, costs little, and boasts a high success rate. More than 4,000 veterans have participated in a 12-week contingency management program at more than 100 VA medical centers.
The CM method has not been widely used by private addiction rehabilitation facilities or accepted by many insurers. For example, Medicaid, which in 2014 paid for 21% of all SUD treatment in the United States, does not cover contingency management.
What Is Contingency Management (CM)?
Contingency management (CM) is a reward or reinforcement technique to bolster abstinence from drug or alcohol use. It relates to behavioral psychologist B. F. Skinner’s theories about operant conditioning, a learning process that uses rewards to reinforce particular behaviors.
A webinar and workshop by the Florida Alcohol and Drug Abuse Association called contingency management “the greatest unused treatment” for opioid use disorder. The organization noted the technique’s effectiveness for treating addictions to stimulants such as cocaine or methamphetamine (meth). It added that the technique may also produce benefits when combined with medication-assisted treatment (MAT) medications such as methadone or buprenorphine.
The National Institute on Drug Abuse (NIDA), a federal scientific research institute, offers similar assessments. It said that contingency management “augments other community-based treatments for adults who primarily abuse opioids (especially heroin) or stimulants (especially cocaine) or both.”
Since the 1990s, contingency management has been studied for use in the treatment of SUDs. While it is not a stand-alone treatment for SUDs, contingency management may be combined with other evidence-based treatments – such as cognitive-behavioral therapy (CBT) or MAT – for better results than either alone.
How Contingency Management Works
If clients participate in SUD treatment programs that use contingency management protocols, they may undergo daily or weekly urine tests. If they test negative for drugs or alcohol, they receive a reward, which may come in the form of voucher-based reinforcement or a prize. They may also use breathalyzers to undergo alcohol compliance tests up to several times a day. The clients’ rewards may be cash, vouchers, privileges, prizes, or the opportunity to win prizes.
Sometimes, clients receive automatic prizes based on negative test results. Or, they may win the opportunity to draw prize slips from a fishbowl. The slips may indicate a cash amount, a prize, or a positive affirmation.
In some programs, the more sober days people have, the more slips of paper they may draw, which increases their chances to win. If they test positive for drugs, the program will remove such prizes. Such accountability seems to be as important as the value of the reward.
Privileges may include trust. MAT clients who use methadone often have to report daily to doctors or clinics for their doses of the maintenance drug. This accountability allows them to function in their daily lives, hold down a job, or go to school with lower risks of diversion. If people who use methadone have several drug-free tests, they may be allowed to take some pills home to avoid such frequent medical visits.
After the Seattle VA expanded its contingency management program, 87% of all urine screens came back negative for all targeted substances, including meth and cocaine. More than half of the clients completed their 12-week contingency management programs.
For more information about this program and the many other services offered at Sunshine Behavioral Health Click Here
If you need Veterans support please consider getting help from your elected officials. They are ready to serve you.
50th Congressional District of California: Military & Veterans Caseworker, Tommy Marquez – 619-448-5201
Congresswoman Susan Davis: Senior Community Representative, 619-280-5353, www.house.gov/susandavis
California Department of Veterans Affairs: For Public Information Officer and Local Inter-agency Coordinator- 619-205-1155, www.calvet.ca.gov
County of San Diego Library: Principal Librarian, 619-588-3718
City of El Cajon Veterans’ Commission: Commissioner, 619-889-7628, Commissioner 619-742-9443 http://www.ci.el-cajon.ca.us/your-government/commissions/veterans-commission
Business Support Groups (non-profit):
American Legion – El Cajon Post 303, meets third Wednesday 1900 hours, 750 E. Main Street (CVUSD Board Room)
Call 2-1-1 Veterans Serving Veterans, Active Military, Reservists, National Guardsmen & Their Families.
Staffed 24/7 by veterans for veterans. Call 211 or 858-636-3604, www.mhsinc.org/courage-to-call
East County Career Center: Business Services Coordinator, 619-590-3938, www.sandiegoatwork.com
East County Economic Development Council: Outreach Specialist, 619-258-3670, www.eastcountyedc.org
Elite Service Disabled Veteran-Owned Business Network: The nation’s #1 voice for SDVOBs, National Vice President, 760-271-1222, www.elitesdvob.org
El Cajon Veterans Civic Memorial Association: 136 N. Chambers, El Cajon, CA,
-Amvets, Post 17, meets second Monday 1800 hours
– Fleet Reserve Association, Branch 47, Meets first Wednesday 1900 hours
-Marine Corps League Detachment, Post 1032, Meets second Wednesday 1900 hours
-Veterans of Foreign Wars, Post 2275 meets second Wednesday 1900 hours
For more information call 619-447-0356
Goodwill Industries: Job Developer, 619-225-2200, ext. 492 www.sdgoodwill.org/vets
Mental Health Systems: Veteran Peer Navigator/Case Manager, 858-636-3607, www.mhsinc.org/courage-to-call
Network of Care for Service Members, Veterans and their Families, http://sandiego.networkofcare.org/veterans
Reboot Workshop: 619-822-2704, www.nvtsi.org
San Diego East County Chamber of Commerce, Business Resource Center: Rick Wilson, CEO, 619-440-6161, www.eastcountychamber.org
Southern Caregiver Resource Center: Director of Education and Outreach, 858-268-4432 ext. 113, www.caregivercenter.org
The Recovery Village: Awareness Advocate, www.therecoveryvillage.com
United Veterans Council of San Diego County, www.sduvc.org
US Dept. of Veterans Affairs, www.va.gov
Veterans Crisis Line, 1-800-273-8255 press 1
Veterans Village of San Diego: Veteran Peer Outreach Specialist, 619-518-5955, www.vvsd.net
Volunteers of America Southwest: 619-415-3068
Veterans American Addiction Centers – Go Here
***Submit a Single Session Secure “Forty-Five” Form: https://volunteersofamericas-my.sharepoint.com