Key Takeaways
- San Diego hosts the largest concentration of military personnel on the West Coast, creating significant demand for addiction services.
- TRICARE covers substance use treatment, but navigating the system requires understanding specific referral and authorization processes.
- The VA San Diego Healthcare System operates multiple substance use treatment programs for eligible veterans.
- Private treatment facilities that understand military culture can provide more specialized and timely care than some government programs.
- Trust SoCal serves military families from throughout San Diego County and accepts many military insurance plans.
San Diego's Military Community and Addiction
San Diego County is home to the largest concentration of military personnel and veterans on the West Coast. Major installations include Marine Corps Base Camp Pendleton, Naval Base San Diego, Marine Corps Air Station Miramar, Naval Air Station North Island, Marine Corps Recruit Depot San Diego, and numerous smaller facilities. Together, these bases house tens of thousands of active-duty service members and employ thousands of civilian contractors.
Military service carries unique risk factors for substance use disorders. Combat exposure, operational stress, physical injuries requiring pain management, frequent relocations that disrupt social networks, and the culture of toughness that can discourage help-seeking all contribute to elevated rates of alcohol misuse and drug dependence among service members and veterans. Studies show that veterans are nearly twice as likely as civilians to develop a substance use disorder.
The intersection of addiction with post-traumatic stress disorder, traumatic brain injury, military sexual trauma, and chronic pain creates complex clinical presentations that require specialized treatment approaches. Standard civilian addiction programs may lack the cultural competency and clinical expertise needed to effectively serve this population.
On-Base Treatment Resources
Each major military installation in San Diego operates a Substance Abuse Rehabilitation Program or equivalent service that provides assessment, education, outpatient counseling, and referrals for active-duty service members. These programs are staffed by military counselors and civilian clinicians who understand the unique demands of military life.
On-base programs have the advantage of being free to active-duty personnel and readily accessible without requiring off-base travel. However, concerns about career impact, security clearance implications, and privacy within a small military community can prevent some service members from seeking help through official channels. While the Department of Defense has worked to reduce stigma and protect confidentiality, these concerns remain a significant barrier.
Seeking addiction treatment does not automatically jeopardize a military career. The Department of Defense policy encourages self-referral, and early voluntary help-seeking is generally viewed more favorably than substance-related misconduct.
VA Healthcare System Resources
The VA San Diego Healthcare System operates comprehensive substance use treatment programs for eligible veterans at its main campus in La Jolla and at community-based outpatient clinics throughout the county. Services include detoxification, residential treatment through the Domiciliary Residential Rehabilitation Treatment Program, outpatient counseling, medication-assisted treatment, and specialized programs for veterans with co-occurring PTSD and substance use disorders.
The VA Community Care program allows eligible veterans to receive treatment at approved private facilities when VA services are unavailable or wait times are excessive. This program has expanded access significantly, and Trust SoCal works with veterans who are authorized for community care to provide timely, specialized treatment without the delays that sometimes affect VA programs.
Vet Centers, which are separate from the VA medical system, offer readjustment counseling and substance use screening for combat veterans and their families. The San Diego Vet Center and the Oceanside Vet Center provide confidential services in community settings that some veterans find less institutional and more comfortable than VA medical facilities.
- VA San Diego main campus substance use treatment programs in La Jolla
- Community-based outpatient clinics throughout San Diego County
- Residential rehabilitation through the Domiciliary program
- Community Care referrals to approved private treatment facilities
- Vet Centers offering readjustment counseling in Oceanside and San Diego
Private Treatment for Military Families
Private treatment facilities that specialize in serving military populations offer several advantages including shorter wait times, more individualized treatment planning, and clinical staff with specific training in military-related trauma and substance use. These programs often provide a level of privacy and separation from the military community that some service members and veterans prefer.
Trust SoCal in Fountain Valley, Orange County, has extensive experience working with active-duty service members, veterans, and military family members from San Diego County bases. Our clinical team includes therapists trained in evidence-based trauma treatments including Prolonged Exposure, Cognitive Processing Therapy, and EMDR, which are critical for addressing the trauma-addiction connection common in military populations.
The location of our facility, approximately fifty miles from Camp Pendleton and seventy-five miles from Naval Base San Diego, provides therapeutic distance from the military environment while remaining accessible for family involvement. Call (949) 280-8360 to learn about our military-focused programming and insurance verification process.
Support for Military Families
Addiction affects the entire family, and military families face additional stressors including deployments, relocations, and the challenges of reintegration after combat service. Spouses, children, and parents of service members with substance use disorders need their own support and resources to cope with the impact of addiction on the family system.
Military OneSource provides confidential non-medical counseling for service members and their families, including up to twelve sessions per issue at no cost. Fleet and Family Support Centers on San Diego military installations offer classes, workshops, and referrals related to substance use and family wellness. Al-Anon and Nar-Anon meetings specifically for military families are available in several San Diego locations.
Trust SoCal incorporates family therapy into our treatment programming and provides virtual family sessions for military families who cannot travel to our facility. We understand that healing the family system is essential for sustained recovery, and our clinical team works with the entire family throughout the treatment process.
Military OneSource at 800-342-9647 provides confidential counseling and referrals for active-duty service members and their families. This service is available around the clock and does not report to the chain of command.

Rachel Handa, Clinical Director
Clinical Director & Therapist




