Residential long-term treatment empowering individuals to change their lives

Empowering individuals to change their lives
Founded in 1994, we are a licensed treatment facility helping individuals with substance use disorders become healthy, productive members of their communities and families.
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Program Services

Cost-free residential treatment for substance use disorders. Open for new admissions.

Social Enterprises

Support TROSA through our award-winning enterprises managed by TROSA graduates.


Make a gift to support our work. Help rebuild lives today.

TROSA graduates and staff


Our Mission

TROSA is an innovative, multi-year residential program that empowers people with substance use disorders to be productive, recovering individuals by providing comprehensive treatment, experiential vocational training, education, and continuing care.

We are a licensed facility dedicated to providing quality care and services. 

Founded in 1994, TROSA is an award-winning, evidence-based, peer-driven program that provides free housing, meals, clothing, health services, vocational and life skills training, mentorship, counseling, and more. 


TROSA is accepting new admissions. Call 919-419-1059 (or our toll-free number 1-833-408-7672) to learn more. While we welcome phone calls from family members and friends, TROSA is a voluntary program and it is important that the individual seeking treatment begins the recovery process by calling for themself.

TROSA is operating safely during COVID-19. Click here to read our COVID-19 policies and protocols

An Effective, Comprehensive Program

“TROSA is an exemplar of a comprehensive, long term, evidence-based model for treating substance use disorders. Effectively combining proven community-based and behaviorally-focused methods with clinically responsive therapies, TROSA offers unique opportunities for individuals to achieve and sustain their recovery. The program not only addresses behavioral, social and psychological issues associated with substance use disorders; it also offers tools and resources for its residents to enjoy a better life.” 


Assistant Professor, Duke University School of Medicine; Department of Psychiatry and Behavioral Sciences, Division of Social and Community Psychiatry

Our Annual Reports:

Click here to view our most recent fiscal year annual reports for graduate outcomes, campus milestones, and more. 

2022-2023 Program Highlights:


100% of our 2022-2023 graduates seeking employment secured employment 


More than 10,000 medical appointments coordinated, including dental care


More than 165,000 days of Free, Stable, Safe Housing provided


Residents Served

Social Enterprises

As a nonprofit, we rely on generous community support. When you support TROSA’s award-winning social enterprises, you are helping to keep all of TROSA’s program services cost-free to the hundreds of men and women we serve each day.

Professional packing, moving, and storage services for moves of all sizes and distances.

Professional lawn maintenance services at competitive rates for homes and businesses.

TROSA Thrift Store carries gently used furniture, clothing, electronics, and more.

Buy your Christmas tree,  wreaths, and garland at one of TROSA’s tree lots!

Make Your Donation To TROSA

Meet Our Graduates

TROSA empowers men and women to rebuild their lives, reconnect with their families and reclaim their futures. TROSA provides a safe, supportive community that our residents can call home. Read the stories of graduates here.

I learned from TROSA that you can be the person that you’ve dreamed of being. TROSA has taught me the value of life all over again. I’m just happy today. When I smile, I’m smiling for a reason. I have my life back!

– Jerry, TROSA graduate

Latest TROSA News