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TROSA: Innovative Residential Treatment for Substance Abusers

TROSA: Innovative Residential Treatment for Substance Abusers North Carolina Providers Council 2009 Conference October 6, 2009. Overview. TROSA is an innovative residential program for the treatment of substance abusers Our goal is successful and sustained reentry

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TROSA: Innovative Residential Treatment for Substance Abusers

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  1. TROSA: Innovative Residential Treatment for Substance Abusers North Carolina Providers Council 2009 Conference October 6, 2009

  2. Overview • TROSA is an innovative residential program for the treatment of substance abusers • Our goal is successful and sustained reentry • TROSA builds citizens, not just sober individuals • Licensed as a therapeutic community under NCAC 27G.4300 • TROSA has grown from less than 10 residents in 1994 to the largest therapeutic community in NC, with more than 350 residents and an annual budget of over $10 million • TROSA has enhanced the therapeutic community model with the addition of several evidence-based practices, mental health services, professional staffing, and comprehensive transitional services

  3. Who TROSA Serves: Criminal Justice • 7 out of 8 participants has a criminal record • 3 out of 4 has been incarcerated • Nearly 1 in 4 has been arrested more than 10 times • 1 out of 3 is on probation • Program tracks do not vary for probated and non-probated residents. • At TROSA, probated clients are statistically more likely to complete the two-year program

  4. Vocational Training Therapeutic Programs Educational Programs Aftercare Programs TROSA: A Comprehensive Program

  5. Therapeutic Programs • Highly Structured • Group Sessions • Peer Mentoring and Counseling • Leadership Development • Social and Communication Skills Development

  6. Housing TROSA provides residents with all housing free-of-charge throughout the two-year program, and provides low-cost supportive housing to graduates. Our properties include: Five apartment buildings with 4 or more units Three group residences More than 20 single family homes and duplexes

  7. Housing Many of TROSA’s properties were purchased in disrepair, and the renovation work was performed by TROSA residents These projects serve as an on-the-job vocational training experience for some program participants,and a rewarding experience in sharing skills and teaching for others

  8. Vocational Training • General Work Skills • Work Ethic/Responsibility • Leadership and Managerial Skills • Team Building • Specific Vocational Opportunities • Moving • Automotive Repair • Construction (including Brick Masonry, Painting, and more) • Food Services • Office Administration • Commercial Drivers License (truck and bus operation) • Lawn Care • …and many other areas

  9. Educational Programs • Adult Literacy • GED • Computer Classes (Basic Skills, Word, Excel) • College Prep Class • College Courses • Scholars Program

  10. Aftercare Programs • Life Skills Classes (Personal Finance, Budgeting, etc.) • Transportation Program • Group Sessions • Meals, Social Events • Low-cost Supportive Housing

  11. Results • In 15 years, over 4000 people have participated in the program • Nearly 1000 individuals have completed the two-year program • Average length of stay in TROSA is more than one year • Every graduate leaves TROSA with: • A job and the technical skills to succeed at that job • Experience with the satisfaction of community involvement • Skills for life success • A promise of continued support

  12. Participant Outcomes • Each month in TROSA reduced probability of recidivism for North Carolina residents by 1.35% • “TROSA effect” identical for all races, genders, and addiction types • Source: Preliminary findings from Terry Sanford Institute of Public Policy Duke University, AN ASSESSMENT OF THE EFFECT OF TROSA ON CRIMINAL RECIDIVISM FOR NON-GRADUATES FINDINGS AT A GLANCE (2009)

  13. Graduate Outcomes • At both six and twelve month follow-ups, 92% of graduates reported being drug and alcohol-free • More than 95% of graduates reported being employed or in school one year after completing treatment • The majority reported earning a "living wage“ or better, classified in Durham as $9.51/hour • DOC data on arrests and convictions for all TROSA graduates showed only an 8% recidivism rate • Source: Joint study conducted by TROSA and Deena Murphy at NDRI (2008)

  14. Keith ArtinChief Operating Officerkartin@trosainc.org TROSA1820 James StreetDurham, NC 27707(919) 419-1059

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