Triangle Resident Options for Substance Abusers Inc. (TROSA)

A Limited-Market Approach to Long-term Substance-Abuse Treatment

A major gap exists in the United States between the needs of low-income people suffering from substance abuse and the treatment programs available to them. While addiction is a problem that people can suffer from for years or even decades, few public programs offer more than 30 days of treatment. Since this population has little ability to pay even for short-term treatment, markets have left the need for long-term care for substance abusers unaddressed. The North Carolina-based nonprofit TROSA takes a limited market approach to addressing this problem. The organization has developed a model that makes it possible for its beneficiaries to help cover a portion of the costs of the services they receive.

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