Reality House Outpatient Astoria
Reality House outpatient Astoria provides flexible care for substance use and co-occurring disorders. This center, listed by SAMHSA, has served New York City since 1967. The program blends therapy, psychiatric support, and practical services.

Reality House Outpatient, located on Astoria Boulevard, serves adults throughout New York City who are facing a substance use disorder alongside a mental health concern. The program was designed for people that conventional services have frequently left out, among them those touched by poverty, incarceration, trauma, or years of ongoing substance use. Its framework is dependable, while still flexible enough to fit around everyday obligations.
The center's approach pairs a personalized treatment plan with trauma-informed care and relapse prevention strategies. Psychiatric services and vocational support are woven in, and therapists draw on methods like motivational interviewing and recovery coaching. Day and evening programming make it easier for people to stay engaged consistently while working toward stability and independence.
Reality House outpatient Astoria
The center's primary level of care is outpatient, and it also offers residential rehab plus treatment for co-occurring disorders. Most programs last 30 days, though plans are adjusted to suit each person. Services include individual counseling, group therapy, family therapy, life skills, medication-assisted treatment, psychoeducation, relapse prevention counseling, and stress management. Care follows evidence-based practice, and family members are included when that is appropriate.
Among the specialized services are treatment for individuals with HIV, assessments for DUI/DWI, and organized assistance for people with justice system involvement. For veterans, counseling addresses conditions like PTSD, head injuries, and substance use related to combat. Same-day appointments and peer support allow people to connect without delay.
- Stress Management
- Relapse Prevention Counseling
- Evidence-Based
- 1-on-1 Counseling
- Family Involvement
- Life Skills
- Group Therapy
- Family Therapy
- Psychoeducation
- Medication-Assisted Treatment
Who Reality House outpatient Astoria
- Adult women and men whose substance use disorders involve benzodiazepines, alcohol, heroin, cocaine, prescription medications, or opioids.
- Adults who keep relapsing or who have co-occurring disorders such as depression, PTSD, trauma, anger, or stress.
- Communities that have long received too little care, among them people affected by poverty or incarceration.
- Individuals with justice involvement who need DUI/DWI evaluations or structured support.
- Veterans coping with PTSD, head trauma, or substance use related to military service.
Setting and length of stay in Astoria
Reality House runs outpatient programming on day and evening schedules, letting people attend while keeping up with work or family duties. A typical stay lasts 30 days. If residential care is part of the plan, the center has air-conditioned rooms with private or shared accommodations. Services are mostly in English, and the address is 813 Astoria Boulevard in Astoria, Queens.
Paying for care in Astoria
This center accepts cash pay rates, so confirm the cost details directly with the program. If you plan to use insurance, call our helpline to check coverage and verify benefits with the center before you decide anything. The hotline is free keeps your call confidential and puts you under no commitment.
Questions to ask the center in Astoria
- In outpatient care, what does a usual week involve, and how many days each week are required?
- How does the center coordinate mental health treatment with substance use care for people with co-occurring conditions?
- What are the cash pay rates, and are payment plans available?
- Does the program offer same-day appointments, and how quickly can someone start?
- What aftercare and discharge planning services are provided, including employment counseling and housing support?


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Questions people ask
What types of rehab does Reality House outpatient Astoria offer?
Reality House offers outpatient as its primary service, plus residential rehab and care for co-occurring disorders. A stay usually runs 30 days, and sessions are available during the day or evening. Treatment includes counseling for individuals, groups, and families, medication-assisted treatment, and relapse prevention. SAMHSA lists the center, which serves both men and women with substance use and mental health conditions.
Does Reality House outpatient Astoria accept Medicaid or insurance?
Cash pay rates are posted by the center, and you should confirm insurance coverage directly with the program. To learn whether your plan pays for care here, call the helpline; the call is free and remains private and nothing requires you to move forward. Staff can help you put the right questions about benefits and costs before you pick a level of care.
How long do people usually stay at Reality House outpatient Astoria?
Programs usually last 30 days, though an individual's plan may vary with their needs and progress. Outpatient care lets people live at home or in supported housing while going to sessions. If residential rehab is on your mind, ask how long it typically lasts and what aftercare comes afterward. The helpline can help you compare choices.
Is detox available at Reality House outpatient Astoria?
Services listed for the center center on outpatient and residential rehab, co-occurring disorders, and medication-assisted treatment; detox does not appear among its current services. If you need help with withdrawal, particularly a clinician should evaluate from alcohol or benzodiazepines you first because such withdrawal can be dangerous. The helpline can connect you with suitable resources in the area.
Where can I find IOP treatment centers in New York City?
SAMHSA lists 192 facilities in New York City, including Reality House outpatient Astoria, which offers outpatient care with both day and evening schedules. Intensive outpatient programs generally involve multiple sessions each week. Call the helpline to compare IOP options and check insurance coverage; the call costs nothing and stays discreet and you are not required to commit to any program.