Frequently Asked Questions

What is TROSA’s model for recovery?

TROSA is a licensed and voluntary multi-year residential treatment program providing evidence-based care for more than 25 years. You can learn more about our program components here and you can read and share our most recent brochure here.

TROSA is a peer-driven program for men and women with substance use disorders. Program participants (residents) enter our program to develop skills to achieve and sustain lasting recovery in order to live a productive and responsible life. 

TROSA is a modified therapeutic community, providing evidence-based services through a comprehensive residential recovery program: TROSA employs professional and clinical staff; on-site services for residents’ primary health care needs and co-occurring mental health needs; and post-program services for graduates.  Our treatment model stresses personal responsibility, developing a network of peer support, and practicing daily behavior changes–with the goal of achieving and sustaining long-term recovery and a better life.

TROSA is thoughtfully designed so that residents in our program can learn and actively practice living in recovery on a daily basis in a variety of safe environments. This is done in community assignments, group activities, and everyday interactions with others. You can learn more about community assignments here. 

At TROSA, residents set goals that are incorporated into individualized treatment plans. TROSA residents progress through program stages while receiving feedback from staff and peers. Services and support are provided by licensed and certified treatment professionals, program graduates, peer leaders, and trained peer support specialists.

What is the cost of the TROSA program?

TROSA provides all of its services free of charge to the resident, and residents do not need insurance. Once you enter the program, we will provide you with all essential daily needs, including housing, clothing, food, and personal care items. 

Is TROSA a licensed program?

Yes, TROSA is a licensed treatment program. We are licensed and audited annually by the N.C. Department of Health & Human Services.

Do I need a referral to apply?

No, you do not need a referral to apply to TROSA. Simply call TROSA’s Admissions team to learn more and apply. Call 919-419-1059 (or toll-free 833-408-7672). 

What is the interview process?

If you are interested in TROSA’s program, please call 919-419-1059 (or toll-free 1833-408-7672) to arrange an interview and to learn if TROSA is the right option for your needs.

Each TROSA applicant must complete our interview process. The interview process typically lasts around forty-five minutes. Applicants can arrange a telephone interview and ask to speak to our Admissions department. All applicants must arrange their own transportation to and from our TROSA campus.

If the applicant is incarcerated, they should begin the interview process by writing a letter of interest and mail it to: TROSA Admissions Department, 1820 James Street, Durham NC 27707. After we receive the letter, we will send a screening form to the applicant. Once returned, our Admissions department will determine whether or not the applicant will be interviewed and will contact the applicant with the decision.

How do I contact TROSA’s Admissions Department?

  • Phone:  919-419-1059 (toll-free: 1833-408-7672). When you call, ask for the TROSA Admissions department
  • Mail: Please address admissions letters of interest to: TROSA Admissions, 1820 James Street, Durham NC 27707.

Can applicants be court ordered?

TROSA will accept individuals who are court ordered to our program as long as the applicant has successfully completed our interview process.

Does TROSA detox?

TROSA is not a detoxification facility.

Withdrawing from certain substances, including alcohol and benzodiazepines, without medical supervision can cause severe health issues and even death. It is important for applicants to seek professional detoxification services prior to coming to TROSA when necessary.

Once admitted, can I stay in touch with my loved ones?

During the first few months of the program, you will have limited contact with your loved ones as you acclimate to TROSA and early recovery, get to know others at TROSA, and focus on your treatment. As residents progress through treatment stages, you are able to communicate with your family and friends through letters and phone calls more frequently. TROSA encourages residents to communicate with family and friends in a healthy, safe, and appropriate manner.

After reaching your 12-month milestone, you are eligible for your first on-campus visit with your family, and the frequency of visitations increases during the second year of your treatment program.

What is a typical day at TROSA?

TROSA is a highly structured, full-day treatment program, designed to help residents achieve and sustain lasting recovery. Services are provided by licensed and certified treatment professionals, program graduates, peer leaders, and trained peer support specialists.

Residents learn and practice daily behavior changes and specific life skills by participating in a variety of activities and settings.  Community assignments play an important therapeutic role in our behavior change model. At community assignments, you can identify thoughts, feelings, and behaviors you want to change, and you can practice making those changes safely within a community of support, accountability, and mentorship. Outside of your community assignment, we have group activities and daily seminars and offer classes on topics such as stress reduction, goal setting, relapse prevention, and anger management. You will also have opportunities to have fun and explore new interests in recovery. We have group outings, on-campus special events, and dedicated spaces for exercise, entertainment, and creative activities (music, library/art rooms).    

You can learn more by clicking here to download our brochure. 

How long is TROSA's program?

TROSA is a thoughtfully-designed, voluntary multi-year program. We provide the option for two years of comprehensive services as a resident in our program. Program participants are considered TROSA graduates when they have successfully completed two years of treatment at TROSA. As residents approach graduation, they have the opportunity to apply to stay beyond two years to continue working towards their recovery goals. 

In addition, TROSA has a Graduate Services department devoted to continuing care that assists TROSA graduates and residents who are approaching graduation and preparing to leave our treatment program. Our continuing care services for those approaching graduation include services to support residents in finding and securing local employment.  Services for TROSA graduates include access to safe, stable transitional housing and transportation to/from graduates’ places of employment.

What items am I allowed to bring with me?

We believe that it is important for all new residents to begin the program with the same amount of clothing and personal items.

Once you have been accepted into the program, we will provide you with a list of items that you may bring if you choose. Once admitted, TROSA will provide any additional clothing or personal care items that you need and will continue to do so throughout your program.

Does TROSA allow medication-assisted treatment for opioid use disorders and alcohol use disorders?

Yes, TROSA provides and/or coordinates medication-assisted treatment (MAT) for residents who have opioid use and alcohol use disorders to support our residents’ recovery. We recommend that potential residents call our admissions team to learn more and to see if TROSA is the right treatment option for them.

TROSA offers daily antagonist medications (such as Naltrexone) in cases where a medical provider has recommended this course of treatment for a resident.

TROSA allows individuals to use long-acting agonists (such as Sublocade) through coordination of appointments with local providers. Please note that residents who use long-acting agonists may need insurance; TROSA assists qualified residents with obtaining supplemental payment (Medicaid, VA health care, etc). For individuals who are currently on daily dosage agonists and would like to enter the TROSA program, we would work with them on transitioning to a long-acting partial agonist as they enter the TROSA community.

TROSA educates all of its residents on the neurobiological effects of addiction and the range of medications available to reduce the risk of relapse and overdose following treatment.

Our clinical team supports multiple pathways to recovery and effective treatment modalities along the continuum of care for individuals with substance use disorders.  As a residential treatment option for individuals who cite multiple drugs of addiction and who wish to move forward without the use of MAT, we ensure that our campus remains a safe space to respect and affirm the choices our residents make.

Please call to see if TROSA is the right program option for your needs.