Historically, challenge coins were presented by unit commanders in recognition of a special achievement by a member of the unit. They could also be exchanged in recognition of visits to an organization.
Modern-day challenge coins may feature popular culture attributes or organizational values. The Nurstead Challenge Coin stands for the dedication to value our organization holds and is prized by those who have attended our trainings.

Substance abuse is best viewed through the use of multiple theories if one is to understand all the aspects that contribute to addictions. Rooted in Cognitive Behavioral Theory, Rise uses a poly-therapeutic approach that blends the framework of psychodynamic theory, dialectical behavioral therapy, and other theoretical and treatment approaches to address addiction.

Rise, with its blended framework approach, in discussion and practice enables group participants to understand and manage their addiction and sustain their recovery long-term. Deeper still, the approach used in Rise assists individuals with understanding themselves and the factors that were at play throughout their addiction; before, during, and after.

Youth Rise is based on the original Rise program created in 2017 and used with the US Army at Fort Bliss, in corrections settings, and both inpatient and outpatient counseling settings. Youth Rise was an expansion and alteration of the program to address the specialized needs of treatment and learning processes of teens.
With additional exercises and experiential lessons tailored to youth and addressing family patterns or addiction of the struggles of youth, this program is perfect for outpatient or inpatient treatment of youth with substance use addiction and has been used in treatment of both voluntary and court-ordered youth to help them with the struggles they were facing. Deeper still, the approach used in Youth Rise assists youth with understanding themselves and the factors that led to poor choices and how they have impacted lives as a whole.