Reality House Outpatient

31-75 23rd Street, Astoria, NY 11106

Est. 1967 3 care levels
(833) 567-5838 Free · Confidential · 24/7

Key Facts About Reality House Outpatient

  • Location: Astoria, NY
  • Levels of Care: Residential Rehab, Co-Occurring Mental Health, Outpatient
  • Insurance: Accepts 24 providers including Aetna, Anthem, BlueCross BlueShield
  • Therapies: 1-on-1 Counseling, Family Therapy, Group Therapy, Life Skills and more
  • Help Available: Call (833) 567-5838 for free insurance verification and placement assistance

About Reality House Outpatient

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.

Evidence-Based Context: According to SAMHSA's National Survey on Drug Use and Health (2023), approximately 48.7 million Americans aged 12 or older had a substance use disorder in the past year. The National Institute on Drug Abuse (NIDA) emphasizes that treatment programs combining behavioral therapy with medication-assisted approaches show the highest rates of sustained recovery. Facilities like Reality House Outpatient provide structured pathways to evidence-based care. Sources: SAMHSA NSDUH 2023, NIDA Principles of Drug Addiction Treatment (4th Ed.)

Who This Center Serves

Men Women

Services Offered

Substance use treatment
Outpatient Regular outpatient treatment
In-network prescribing entity Other contracted prescribing entity
Accepts clients using medication assisted treatment for alcohol use disorder but prescribed elsewhere
Other contracted prescribing entity
Accepts clients using MAT but prescribed elsewhere
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
Private non-profit organization
State Substance use treatment agency State mental health department State department of health SAMHSA certification for opioid treatment program (OTP)
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
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
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
Drug and alcohol oral fluid testing Drug or alcohol urine screening TB screening
Aftercare/continuing care Discharge Planning Naloxone and overdose education Outcome follow-up after discharge
Self-help groups Housing services Assistance with obtaining social services Recovery coach Mentoring/peer support Employment counseling or training
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.) 
Smoking not permitted
Young Adults Adults
Female Male
Specially designed program for DUI/DWI clients
Spanish
Vaping not permitted
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

What to Expect at Reality House Outpatient

1. Initial Assessment

A clinical team evaluates your history, needs, and goals to create a personalized plan.

2. Active Treatment

Evidence-based therapies including 1-on-1 Counseling and Family Therapy, typically 30 days.

3. Progress & Recovery

Regular progress reviews, skill-building sessions, and adjustment of your treatment plan.

4. Aftercare Planning

Continued support, relapse prevention strategies, and connections to community resources for lasting recovery.

Understanding Your Treatment Options

Choosing the right treatment facility is one of the most important decisions in the recovery journey. Research published by the National Institute on Drug Abuse (NIDA) shows that treatment duration, therapeutic approach, and aftercare planning are the three strongest predictors of long-term sobriety.

Reality House Outpatient offers 3 distinct levels of care, allowing patients to step through treatment intensities as they progress. This continuum-of-care model — moving from higher to lower intensity — is recommended by SAMHSA as the gold standard for addiction treatment.

The facility utilizes 8 evidence-based therapeutic modalities. According to NIDA research, combination therapy approaches that integrate behavioral interventions (such as 1-on-1 Counseling and Family Therapy) with holistic support show significantly improved outcomes compared to single-modality programs.

Under the Mental Health Parity and Addiction Equity Act, most commercial insurance plans are required to cover substance abuse treatment. Reality House Outpatient works with 24 insurance providers. Call (833) 567-5838 to verify your specific coverage and learn about out-of-pocket costs before admission.

Contact Information

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

Quick Facts

Program30 days
FocusThis center treats substance u...
Insurance24 accepted

Free 24/7 Helpline

(833) 567-5838

Insurance verification · No obligation

Levels of Care

Available treatment intensities

Treatment Philosophy

Evidence-Based Family Involvement

Conditions & Substances Treated

Alcohol Co-Occurring Disorders Drug Addiction Opioids Prescription Drugs Chronic Relapse Benzodiazepines Cocaine Heroin

Verify Your Insurance Coverage

Free verification · Know your costs before you commit

(833) 567-5838
Reality House Outpatient photo 1

Frequently Asked Questions

Reality House Outpatient accepts 24 insurance providers including Aetna, Anthem, BlueCross BlueShield, Bright Health, CareFirst. Coverage varies by plan. Call (833) 567-5838 for free verification.

Reality House Outpatient offers Residential Rehab, Co-Occurring Mental Health, Outpatient, with therapies including 1-on-1 Counseling, Family Therapy, Group Therapy, Life Skills. Plans are individualized.

Costs vary by level of care, duration, and insurance. Most major insurance is accepted. Call (833) 567-5838 for a free cost estimate.

Yes. Browse all centers in NY or call (833) 567-5838 for recommendations.

Treatment starts with a comprehensive assessment, then a personalized plan with individual therapy, group sessions, and evidence-based methods. Programs typically last 30 days. Aftercare planning ensures ongoing support.

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Information last verified: April 2026 · Data sourced from SAMHSA
RehabFlow Editorial Team
Clinical Content Review Board

Our content is written by health information specialists and fact-checked against SAMHSA data, CDC reports, and NIDA research. Every page is reviewed for clinical accuracy before publication.

SAMHSA-verified data
Clinically reviewed
Updated April 2026
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