How We Rank Listings
Our directory is built to help you compare real treatment options, not to sell placements. We compile facility listings from public licensing records, verified provider information, and accreditation databases, then organize them so you can filter by level of care, payment type, and specialty program. Listings are surfaced based on relevance to your search, the completeness and accuracy of a facility’s verified information, and signals of quality such as state licensure and third-party accreditation.
We give weight to facilities that hold recognized accreditations and that clearly document the services, payment options, and populations they serve. Advertising relationships never buy a higher position or a more favorable description. When information cannot be independently verified, we say so rather than filling the gap. Our goal is a listing you can trust enough to pick up the phone and make a call.
Rehab in Staten Island: What to Know
Staten Island is the borough of New York City that shares its boundaries with Richmond County, home to just over 500,000 residents across roughly 58 square miles. It is the least densely populated of the five boroughs, and for years its treatment infrastructure lagged behind the rest of the city even as its overdose rate climbed. Our directory currently lists 31 treatment facilities serving Staten Island, spanning medical detox, residential care, outpatient clinics, and dual diagnosis programs. You can compare these alongside options in the other boroughs through the New York rehab directory.
The borough’s addiction care landscape is coordinated in large part through community organizations rather than a single county health authority. The Staten Island Partnership for Community Wellness and Community Health Action of Staten Island (CHASI) anchor much of the local prevention, harm reduction, and recovery-support work, and Richmond University Medical Center and Staten Island University Hospital serve as the borough’s main hospital-based points of entry for people who need medical stabilization. The full range of addiction treatment options is represented locally, from short-term detox to longer residential stays and community-based outpatient care.
Opioids, and fentanyl in particular, have driven the borough’s overdose crisis. Fentanyl was present in roughly 80 percent of New York City overdose deaths in 2023, and Staten Island carried one of the highest borough overdose rates in the city for several years running. That history shaped a concentrated local response. In October 2023, Richmond County District Attorney Michael McMahon convened the Staten Island Fentanyl and Overdose Task Force, bringing together the NYPD, hospitals, treatment providers, and families who had lost loved ones. If opioids are the primary concern for you or someone you love, our guide to opioid use disorder explains what treatment involves.
There are encouraging signs. In 2024, Staten Island recorded an 81-death toll from overdoses, down from 145 in 2023, a 49 percent decline in opioid overdose deaths that was the steepest of any New York City borough. Officials credit the coordinated task-force model and expanded access to naloxone and treatment. The need has not disappeared, but the trend suggests that connecting people to care is working.
Cost of Rehab in Staten Island
There is no single price for addiction treatment. What you pay depends on the level of care, how long you stay, the amenities a facility offers, and above all whether you use insurance. The figures below reflect statewide New York averages for the full, uninsured cost of each level of care. They are useful as a ceiling for planning, but most people pay considerably less once insurance, Medicaid, or sliding-scale pricing is applied. Because Staten Island sits within the New York City metro, where the cost of living runs above the state as a whole, local prices tend to fall at or above these averages. Verifying your benefits before you commit is the single most effective way to bring the real number down, and confirming what your plan covers is worth doing before you compare facilities.
These averages combine every type of program, and the high end is pulled up by intensive medical detox and long residential stays. If you are weighing a residential program against community-based care, the level-of-care overviews further down this page explain what each includes and who it tends to fit. Several factors move your final cost up or down:
How to Pay for Rehab in Staten Island
Cost should not be the reason anyone goes without treatment, and on Staten Island it usually does not have to be. Of the 31 facilities in our directory, most accept some combination of insurance, Medicaid, Medicare, and self-payment, and many offer sliding-scale fees or financial assistance for people who qualify. The mix below shows how Staten Island facilities in our listings handle payment.
Understanding which of these applies to your situation is the first step. Below is a closer look at the payment paths most Staten Island residents use.
Medicare
Fourteen Staten Island facilities in our directory accept Medicare, which covers addiction treatment for eligible residents aged 65 and older and for some younger people with qualifying disabilities. Medicare Part A can help with inpatient and hospital-based care, while Part B applies to outpatient services and Part D to prescription medications used in treatment. Coverage rules and out-of-pocket costs vary by plan, so confirming the specifics with the facility and your plan matters. Our guide to how Medicare and other insurance cover addiction treatment can help you sort out what applies.
Medicaid
Twenty-three Staten Island facilities accept Medicaid, making it one of the most widely accepted payment types in the borough. New York Medicaid covers a broad continuum of substance use treatment overseen by the state Office of Addiction Services and Supports (OASAS), including outpatient services, medication-assisted treatment, and residential care, often at little or no cost to eligible enrollees. New York rules also require managed-care plans to cover the first 28 days of treatment without prior authorization when the provider notifies the plan promptly. If medication for opioid use disorder is part of your plan, our overview of medication-assisted treatment explains how it works alongside Medicaid coverage.
Military Benefits
Eight Staten Island facilities accept TRICARE, the health program serving active-duty service members, retirees, and their families. TRICARE covers medically necessary substance use treatment across levels of care, though covered services and referral requirements depend on your specific plan. Veterans on Staten Island can also access care through the Department of Veterans Affairs, which offers substance use treatment across its facilities and community-care network.
Insurance and Private Pay
Twenty-two Staten Island facilities accept private health insurance and 30 accept self-payment. Under federal parity law, most private plans must cover substance use treatment comparable to how they cover other medical care, though deductibles, copays, and in-network requirements differ from plan to plan. Self-payment remains an option for people who are uninsured or who prefer not to use insurance, and many facilities offer financing arrangements to spread the cost over time.
Other Low-Cost Options
Ten Staten Island facilities offer sliding-scale fees that adjust the price based on income, and 16 offer some form of financial assistance. These options can make treatment reachable for people who fall between Medicaid eligibility and comfortable private-pay budgets. If cost is still a barrier, our guide to rehab scholarships and free treatment funding covers additional ways to close the gap.
Many private plans accepted at Staten Island facilities come from major carriers active in New York:
- Aetna
- Anthem
- Blue Cross Blue Shield
- Cigna
- EmblemHealth
- Empire BlueCross
- Fidelis Care
- Healthfirst
- MetroPlusHealth
- UnitedHealthcare
Levels of Care Available in Staten Island
Staten Island’s 31 facilities span the core levels of addiction care, from medically supervised detox through residential rehab, community-based outpatient treatment, and dual diagnosis programs. The counts below reflect the facilities in our directory that offer each level of care.
Medical detox is often the first step for people with physical dependence on alcohol, opioids, or benzodiazepines. Supervised detox manages withdrawal safely and reduces the risk of complications; our overview of medically supervised detox explains what the process involves and how long it typically lasts.
Inpatient and residential rehab provides a structured, live-in setting where people stay full-time and receive therapy, medical support, and a sober environment away from everyday triggers. Learn more about residential treatment and who it tends to fit best.
Outpatient care lets people receive treatment while living at home and keeping up work, school, or family responsibilities. It ranges from standard weekly counseling to more intensive schedules. Our guide to outpatient rehab and intensive outpatient programs breaks down the options.
Dual diagnosis programs, the most common specialty in the borough’s listings, treat substance use alongside co-occurring mental health conditions such as depression or anxiety. Integrated care matters because these conditions often reinforce each other; our overview of co-occurring depression and addiction explains why treating both together produces better outcomes.
Sober living homes offer substance-free housing for people transitioning out of intensive treatment, reinforcing the routines and accountability that support long-term recovery. See how these fit into rehab aftercare and continuing care.
Specialty Programs in Staten Island
Beyond the standard levels of care, many Staten Island facilities tailor treatment to specific populations and substances. Programs designed around a shared experience, whether that is gender, age, or a particular substance, can make treatment feel more relevant and easier to stay engaged with. The counts below reflect specialty programs available across the borough’s listed facilities.
Staten Island’s specialty mix leans heavily toward alcohol use disorder and opioid use disorder programs, which together account for the largest share of specialized care, reflecting the substances most involved in local treatment need. A strong contingent of young adult programs addresses substance use among people in their late teens and twenties, a group for whom early intervention makes a lasting difference; our resource on young adult and college student substance use speaks to this population. Facilities offering LGBTQ+ affirming addiction care and dedicated rehab resources for veterans and military families round out the borough’s options for people who benefit from care attuned to their specific experience.
Free and Low-Cost Rehab Resources in Staten Island
Staten Island has built a dense network of free and low-cost recovery resources, much of it driven by community organizations that have become central to the borough’s overdose response. Whether you need someone to talk to right now, a place to get naloxone, or help finding treatment you can afford, the resources below are free to use and open to Staten Island residents. In a life-threatening emergency, call 911. For immediate emotional support, help is available around the clock through the crisis lines listed first.
Crisis and Support Lines
These free, confidential lines connect you with trained counselors and treatment referrals at any hour. If you or someone you love is in crisis, start here; our crisis and suicide prevention resources offer additional guidance on supporting someone in danger.
- 988 Suicide and Crisis Lifeline. Call or text 988 for free, confidential support 24/7 for mental health and substance use crises.
- SAMHSA National Helpline. 1-800-662-HELP (4357). Free, confidential, 24/7 treatment referral and information service.
- NYC 988 (formerly NYC Well). Call 988, text “WELL” to 65173, or visit nyc.gov/988 for confidential counseling and referrals for New York City residents.
- New York State HOPEline. 1-877-846-7369 (1-877-8-HOPENY) or text HOPENY to 467369. Free, 24/7 support staffed by trained clinicians.
Community Organizations and Recovery Support
- Community Health Action of Staten Island (CHASI). Offers harm reduction supplies, health services, case management, and referrals. Visit chasiny.org.
- Staten Island Partnership for Community Wellness. Coordinates prevention, naloxone training, and community wellness programs across the borough. Visit sihope.org.
- The Next Step Resource & Recovery Center. A peer-led, LGBT-friendly recovery community center open 24/7 with support groups, naloxone training, and treatment linkage. 4521 Arthur Kill Road, 3rd Floor, Staten Island, NY 10309. (718) 605-1989.
Harm Reduction and Naloxone
- NYC Public Health Vending Machines (Port Richmond). Free naloxone, fentanyl test strips, hygiene kits, and other supplies, available 24/7 outside CHASI and A Chance in Life. Enter a NYC ZIP code to dispense supplies.
- Naloxone at local pharmacies. Most Staten Island pharmacies dispense naloxone (Narcan) without a prescription, many at no or reduced cost through New York’s naloxone co-payment assistance program.
- Stop OD NYC app. A free mobile app from the NYC Health Department to locate naloxone and learn overdose response.
Government and Medicaid Resources
- NYS Office of Addiction Services and Supports (OASAS). Maintains a treatment availability dashboard and information on state-certified programs at oasas.ny.gov.
- NY State of Health Marketplace. Enroll in Medicaid or a qualified health plan at nystateofhealth.ny.gov.
Drug and Alcohol Use Statistics in Staten Island
Staten Island’s overdose numbers tell a story of both crisis and progress. After years of rising fatalities that pushed the borough to one of the highest overdose death rates in New York City, 2024 brought the sharpest decline anywhere in the five boroughs. The figures below draw on the NYC Health Department, the NYC Office of the Chief Medical Examiner, and the Staten Island Fentanyl and Overdose Task Force. Fentanyl remains the central driver of fatal overdoses, which is why access to opioid use disorder treatment and naloxone stays at the heart of the local response.
The borough’s overdose death rate fell from 40.2 per 100,000 residents in 2023 to 20.7 per 100,000 in 2024, moving Staten Island from the second-highest to the fourth-highest rate among the five boroughs. Officials attribute the turnaround to the coordinated task-force model, expanded naloxone distribution, and stronger connections between hospitals and treatment providers. Compared with national trends tracked in our national substance use statistics, Staten Island’s single-year decline stands out as one of the steepest in any large U.S. community, though local officials emphasize that the crisis is far from over.
Resources
- Staten Island Fentanyl and Overdose Task Force. (2025). Staten Island Fentanyl and Overdose Task Force Report. Office of the Richmond County District Attorney. https://www.statenislandda.org/our-efforts/
- New York City Department of Health and Mental Hygiene. (2024). Unintentional Drug Poisoning (Overdose) Deaths in New York City in 2023. Epi Data Brief No. 150. https://www.nyc.gov/site/doh/about/press/pr2024/doh-announces-overdose-deaths-decreased-in-2023.page
- New York City Office of the Chief Medical Examiner and NYC DOHMH Bureau of Vital Statistics. (2023). Overdose Deaths Among Staten Island Residents, 2022. https://www.nyc.gov/assets/doh/downloads/pdf/basas/overdose-deaths-among-residents-si-2022.pdf
- New York State Department of Health. (2023). Information for Action: Binge and Heavy Drinking Among New York State Adults. https://www.health.ny.gov/statistics/prevention/injury_prevention/information_for_action/docs/2023-13_ifa_report.pdf
- New York State Office of Addiction Services and Supports. (2026). Treatment and Recovery Services. https://oasas.ny.gov/
- Office of the New York City Mayor. (2026). City Opens First Public Health Vending Machines on Staten Island. https://www.nyc.gov/mayors-office/news/2026/06/mayor-mamdani-opens-city-s-first-public-health-vending-machines-
- Worldometer / World Population Review. (2026). Staten Island Borough Population. https://worldpopulationreview.com/us-cities/new-york/staten-island