Renewal House was established as a 501(c)(3) on May 16, 1996. Visionary community leaders formed the agency as the number of addicted mothers with young children coming to the attention of the legal and child welfare systems escalated. At that time mothers had no choice but to give up custody to enter treatment. Renewal House began as the only Middle Tennessee long-term family residential recovery program that makes it possible for mothers in treatment to maintain custody. In community with addicted women and their children, Renewal House fosters healing, resiliency, and continuing recovery to enhance family health. The agency’s goals/outcomes for the year include: 45 out of 75 (60%) low-income women with substance use disorders will remain sober at least 30 consecutive days. (Drug screen tests conducted at least every 10 days.) 18 out of 30 (60%) mothers in recovery who leave the program’s transitional housing component will have completed treatment while in residence. 21 out of 30 (70%) mothers in recovery who leave the program’s transitional housing component will maintain or regain child custody rights.