TROSA (Triangle Residential Options for Substance Abusers) in Durham, NC

Overall Rating

(4.3 of 5)
Treatment Effectiveness
Accommodations & Amenities
Meals & Nutrition
1820 James Street
Durham NC 27707

TROSA (Triangle Residential Options for Substance Abusers) Philosophy

Treatment at TROSA goes beyond basic sobriety. The residential substance abuse rehab strives to give clients real-life experience through vocational training and education, as well as peer counseling, mentoring, leadership training and aftercare. Once the two-year program is complete, clients are better equipped to handle the pitfalls and challenges of everyday life without turning to alcohol and/or drugs.

Areas of Specialization

  • Aftercare Support
    Addiction recovery does not end with discharge after completing a rehab program. Facilities that offer aftercare planning and/or support work with patients to ensure sustainable recovery by helping to plan and make arrangements for transitional or sober living, help with housing, vocational counseling, etc.

  • Individual Therapy
    This term describes one-on-one therapy, in which a patient and trained counselor, social worker, psychologist or psychiatrist meets privately with a patient to discuss challenges related to lifestyle, work, family and romantic relationships that may have contributed to the development of an addiction.

Facility Highlights

PTSD Groups

Relapse Prevention Workshops

Gender-Specific Groups

Meet the Staff

Kevin R. McDonald

Founder, President, and CEO

Photo of Kevin R. McDonald

At the request of Durham business and community leaders, Kevin founded TROSA in 1994. Prior to coming to Durham, Kevin spent 12 years with the Delancey Street Foundation, a therapeutic community in San Francisco. He also opened and directed Delancey Street Foundation’s North Carolina facility. Immediately prior to founding TROSA, Kevin directed a program that assisted homeless parolees who were former gang members in Los Angeles. Kevin has been recognized locally, regionally, and nationally for his work at TROSA.

Karen Kelley

Director of Clinical Operations

Photo of Karen Kelley

Karen has worked at TROSA since 2004 when she began as special projects manager. In 2010, she became Director of Clinical Operations overseeing the counseling, medical, and intake departments. Prior to coming to TROSA Karen was the Administrative Director of Schoolhouse of Wonder, an environmental education organization in Durham. She has a BS degree from North Carolina State University.

Rehabs.com Editorial Review

Review by Rehabs.com Contributors

ABOUT TROSA

Founded in 1994, Triangle Residential Options for Substance Abusers (TROSA) is a long-term residential rehab for adults struggling with alcohol and drug addiction. In addition to substance abuse treatment, the facility specializes in providing adults with educational assistance and work-based vocational training. The two-year program focuses primarily on addiction, although some psychiatric services are offered through a partnership with Duke Medical Center. Medical detox services are not available.

TREATMENT & ASSESSMENT

TROSA’s program blends structured treatment activities with peer-to-peer support and real-world experience. To be admitted, applicants must complete an interview process.

Residents regularly participate in individual therapy, group counseling, and addiction education classes, as well as gender-specific therapy groups and anger management workshops. A specialized program is available for individuals with post-traumatic stress disorder.

After six months in the program, clients begin to take educational courses and/or vocational training. Residents without high school diplomas are required to attend adult literacy or GED classes. Other residents can take classes about computers, relapse prevention, and/or career skills.

Clients who are ready to work are placed in various TROSA-operated businesses. Fields include moving, lawn care and landscaping, warehousing, auto mechanics, construction, and catering. TROSA also runs a local thrift store.

TROSA graduates are eligible for continuing care services after completion of the two-year program. This includes relapse prevention groups, transportation assistance, and reduced rent on sober housing.

STAFF CREDENTIALS

The treatment team includes licensed counselors and two certified substance abuse residential facility directors.

ACCOMMODATIONS & AMENITIES

The main campus has two 75-person dormitories, both of which were completely renovated and updated in 2012. Classrooms, recreation supplies, exercise equipment and community events are held at a nearby 12,500 square foot facility called the William Mack, Sr. Center.

WHAT ALUMNI SAY

Despite limited information, the two alumni reviews collected by Rehabs.com skew positive. Both reviewers gave perfect five-star ratings to TROSA’s accommodations and amenities and meals and nutrition. Alum D.R. also gave perfect ratings to TROSA’s exercise options, the level of support received from staff, the staff’s level of training and experience, and extracurricular offerings. He told Rehabs.com that the program was life changing. “Last four months of the program help you get a job and transition back into society. This is not a religious/spiritual nor NA/AA based 2 year program. You will work in various departments to support yourself and the program during this time. Everything is a progression based on how much time you have in the program. The cost is free. The outcome is priceless.”

WHAT FRIENDS & FAMILY SAY

The three loved ones polled by Rehabs.com to date rated the program positively. An anonymous reviewer, whose loved one was court-ordered to attend the program, gave the facility positive ratings for accommodations and amenities, as well as meals and nutrition.

A downside, in the opinions of those surveyed, was the limited contact with family members. One anonymous respondent indicated to Rehabs.com that overall it was a good program, but noted its lack of family programming. “No contact with family. No family involvement with treatment. Limited phone calls.”

Alternatively, Patricia, a mother of an alum, indicated that there were some facility-sponsored family days. She gave TROSA good scores in her Rehabs.com survey. When asked about the ways in which her child has changed, she selected that they have stopped using, have confidence, and are making career-oriented choices.

WHAT STAFF SAY

The only staff member polled by Rehabs.com to date rated TROSA very highly. He noted the “caring environment” and gave perfect five-star ratings for the facility’s honesty, treatment of co-occurring disorders, the overall quality of care, the loyalty of patients, and aftercare protocol.

FINANCING

All services are free of cost — the program is funded by donations, modest government support, and revenue from TROSA-run businesses.

Updated December 2016

Published on January 2017

User Reviews

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  • Treatment Effectiveness
  • Accommodations & Amenities
  • Meals & Nutrition
There are many people who come to Trosa a large number do not stay....working 6 days a week and although not religious based the fact that residents are not allowed to worship is not good.

  • Treatment Effectiveness
  • Accommodations & Amenities
  • Meals & Nutrition
This facility was great.

Strong community foundation. Rigid and caring environment. Accessible regardless of finances.

  • Accommodations & Amenities
  • Meals & Nutrition
No contact with family. No family involvement with treatment. Limited phone calls Family member will graduate July 16. This facility court ordered Good program. Fingers crossed for my family member for success.

  • Treatment Effectiveness
  • Accommodations & Amenities
  • Meals & Nutrition
An overall great facility.

  • Accommodations & Amenities
  • Meals & Nutrition
great place

  • Treatment Effectiveness
  • Accommodations & Amenities
  • Meals & Nutrition
Totally changed my life. Last four months of the program help you get a job and transition back into society. This is not a religious/spiritual nor NA/AA based 2 year program. You will work in various departments to support yourself and the program during this time. Everything is a progression based on how much time you have in the program. The cost is free. The outcome is priceless. As a graduate, I go back and help mentor people in the program now.

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