Reality House Outpatient
Astoria, NY

Reality House Outpatient

Founded

1967

Program Length

30 days

Focus

This center treats substance use disorders and co-occurring mental health conditions. Your treatment plan addresses each condition at once with personalized, compassionate care for comprehensive healing.

Located in Astoria along Broadway, Reality House offers outpatient addiction and mental health services for adults across New York City. The center supports recovery through medically supervised care, group and individual therapy, and practical life services tailored to each client’s needs. Designed to uplift underserved communities, the program welcomes those impacted by poverty, incarceration, trauma, or chronic substance use. Each client receives an individualized plan that blends trauma-informed therapy with relapse prevention, psychiatric support, and vocational services. Clinicians use evidence-based methods such as motivational counseling and recovery coaching, while wraparound care includes anger management, case management, and family involvement. Day and evening programs create flexibility, making it easier for clients to remain engaged as they build independence and long-term stability. Reality House offers unique services rarely found in outpatient settings—support for HIV-positive clients, DUI/DWI assessments, and structured assistance for justice-involved individuals. Veterans receive counseling for post-traumatic stress disorder (PTSD), head trauma, and combat-related substance use. They offer same-day appointments, peer support, and a welcoming space rooted in social justice to help individuals heal and reclaim their futures within their community.

Reality House Outpatient

Services

Key offerings grouped by category

Type of Care

Substance use treatment

Service Setting (e.g., Outpatient, Residential, Inpatient, etc.)

Outpatient Regular outpatient treatment

External Opioid Medications Source

In-network prescribing entity Other contracted prescribing entity

Type of Alcohol Use Disorder Treatment

Accepts clients using medication assisted treatment for alcohol use disorder but prescribed elsewhere

External Source of Medications Used for Alcohol Use Disorder Treatment

Other contracted prescribing entity

Type of Opioid Treatment

Accepts clients using MAT but prescribed elsewhere

Treatment Approaches

Anger management Brief intervention Cognitive behavioral therapy Contingency management/motivational incentives Motivational interviewing Relapse prevention Substance use disorder counseling Trauma-related counseling Telemedicine/telehealth therapy 12-step facilitation

Facility Operation (e.g., Private, Public)

Private non-profit organization

License/Certification/Accreditation

State Substance use treatment agency State mental health department State department of health SAMHSA certification for opioid treatment program (OTP)

Payment/Insurance/Funding Accepted

Federal, or any government funding for substance use treatment programs IHS/Tribal/Urban (ITU) funds Medicare Medicaid Federal military insurance (e.g., TRICARE) Private health insurance Cash or self-payment State-financed health insurance plan other than Medicaid SAMHSA funding/block grants

Special Programs/Groups Offered

Young adults Adult women Pregnant/postpartum women Adult men Seniors or older adults Veterans Members of military families Criminal justice (other than DUI/DWI)/Forensic clients Clients with co-occurring mental and substance use disorders Clients with co-occurring pain and substance use disorders Clients with HIV or AIDS Clients who have experienced sexual abuse Clients who have experienced intimate partner violence, domestic violence Clients who have experienced trauma

Assessment/Pre-treatment

Comprehensive mental health assessment Comprehensive substance use assessment Interim services for clients Outreach to persons in the community Complete medical history/physical exam Screening for tobacco use Screening for substance use Screening for mental disorders Professional interventionist/educational consultant

Testing

Drug and alcohol oral fluid testing Drug or alcohol urine screening TB screening

Transitional Services

Aftercare/continuing care Discharge Planning Naloxone and overdose education Outcome follow-up after discharge

Recovery Support Services

Self-help groups Housing services Assistance with obtaining social services Recovery coach Mentoring/peer support Employment counseling or training

Education and Counseling Services

HIV or AIDS education, counseling, or support Health education services other than HIV/AIDS or hepatitis Substance use disorder education Smoking/vaping/tobacco cessation counseling Individual counseling Group counseling Vocational training or educational support (for example, high school coursework, GED preparation, etc.) 

Facility Smoking Policy

Smoking not permitted

Age Groups Accepted

Young Adults Adults

Sex Accepted

Female Male

Exclusive Services

Specially designed program for DUI/DWI clients

Language Services

Spanish

Facility Vaping Policy

Vaping not permitted

Ancillary Services

Case management service Domestic violence services, including family or partner Mental health services Social skills development Transportation assistance Integrated primary care services Suicide prevention services

Contact Information

Address

31-75 23rd Street, 4th Floor, Astoria, NY, 11106

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