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Action for a Better Community - New Directions CD Outpatient Clinic

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Overview

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Located in the heart of downtown Rochester, Action for a Better Community’s New Directions CD Outpatient Clinic provides trauma-informed substance use treatment for youth and adults. The program offers evaluations, counseling, relapse prevention, and medications for addiction treatment (MAT), assisting clients through co-occurring disorders. With evening and weekend hours, transportation assistance, Spanish-language support, and a sliding-fee scale, the clinic makes evidence-based care accessible in a city setting. Gender-specific groups, DWI services, telehealth sessions, and on-site health screenings are also available.

Address

33 Chestnut Street
Rochester, NY 14604

Directions

Ages Served

  • Youth (Ages 12-17)

Genders Accepted

  • Female
  • Male

Languages Served

  • Spanish
  • English

Treatment

  • Outpatient (methadone/buprenorphine or naltrexone treatment)
  • Regular outpatient treatment

Special Programs

  • Adult men
  • Adult women
  • Court referrals
  • Past domestic violence
  • Past sexual abuse
  • Past trauma
  • Mental health disorders
  • HIV/AIDS
  • Pain management
  • Seniors
  • Young adults

Outpatient Treatment With Medical and Counseling Services

New Directions delivers outpatient care for substance use and co-occurring mental health conditions. The clinic serves children, adolescents, and adults, offering evaluations, individual, group, and family counseling, relapse prevention planning, and medications for addiction treatment (MAT). On-site health services include medical screenings and testing for HIV, Hepatitis B and C, TB, and other conditions. Telehealth appointments add flexibility for those balancing daily responsibilities.

Family-Focused and Trauma-Informed Care

Believing that recovery involves the whole family, New Directions integrates trauma-informed counseling with relapse prevention and family sessions. The program is designed to support clients coping with trauma, intimate partner violence, HIV/AIDS, and justice system involvement, creating a safe and inclusive environment that promotes long-term stability.

Flexible and Accessible Program Options

The clinic reduces barriers to care with evening and weekend hours, transportation assistance, and Spanish-language services. Specialized offerings include gender-specific groups, DWI evaluations and treatment, and a smoke- and vape-free environment. A sliding-fee scale and other payment assistance options help ensure affordability.

Community-Based Recovery Supports

Beyond clinical services, New Directions connects clients to resources that strengthen recovery in daily life. Recovery coaching, peer support, housing services, vocational training, and employment counseling provide a foundation for independence. The program also addresses gambling and other behavioral addictions, offers overdose education and naloxone distribution, and includes structured aftercare planning to support lasting recovery.

Cost and Insurance

Insurance Accepted

  • Medicare
  • Medicaid
  • State insurance
  • Some Private Insurance

Disclaimer: Additional insurance plans may be accepted. Please contact the provider directly to confirm current coverage details, as this information may change.


Cost

$ - Low Cost Facility

Cost ratings are our best estimates to help guide you, not guarantees. Actual costs may vary with treatment, insurance, and other factors. While we aim for accuracy, details may change.

Financial Assistance

  • Does not offer Free
  • Does offer Payment assistance
  • Does offer Sliding fee scale

Treatment

Treatment Setting

  • Outpatient (methadone/buprenorphine or naltrexone treatment)
  • Regular outpatient treatment

Treatment Approaches

  • 12-step program support
  • Anger control support
  • Brief intervention
  • Cognitive behavioral therapy (CBT)
  • Community reinforcement plus vouchers
  • Incentive-based therapy
  • Motivational interviewing
  • Relapse prevention support
  • Substance use counseling
  • Trauma-focused counseling

Additional Support and Services

  • Case management support
  • Domestic violence support
  • Help with transportation
  • HIV early intervention services
  • Mental health support
  • Social skills training

Counseling and Education

  • Couples counseling
  • Family therapy
  • General health education services
  • Group therapy
  • Hepatitis education and support
  • HIV/AIDS education and support
  • Job training and educational support
  • One-on-one counseling
  • Substance use education
  • Tobacco and vaping cessation counseling

Transition Support

  • Discharge and next steps planning
  • Ongoing recovery care
  • Overdose prevention and naloxone education
  • Post-discharge follow-up

Testing & Pre-Treatment

  • Breathalyzer testing for alcohol
  • Community outreach and support
  • Comprehensive health checkup
  • Hepatitis B testing
  • Hepatitis C testing
  • Intervention and education support
  • Mental health screening
  • Oral fluid testing for drugs or alcohol
  • Substance use assessment
  • Temporary support for clients
  • Testing for HIV
  • Tobacco use assessment
  • Tuberculosis screening
  • Urine testing for drugs or alcohol
  • Substance use screening

Amenities and Experiences

Activities

  • Gender-specific support groups
  • Job training
  • Life skills workshops

Settings

  • City

Policies

  • No smoking allowed
  • No vaping allowed

Ownership Type

  • Non-profit

Quality and Trust


Action for a Better Community
Call 585-262-4330 x3203

How we research treatment facilities

Across the site, our team has conducted over 1,000 pre-admissions calls to better understand the patient experience, interviewed facility clinical leaders, performed facility background checks, and compared our information against trusted public data sources.

Our research process begins with data from the Substance Abuse and Mental Health Services Administration (SAMHSA), accrediting bodies including The Joint Commission and CARF, government licensing agencies, and other trusted sources. From there, our team conducts significant original research, including:

- Pre-admissions calls: We speak with admissions staff to get a candid picture of patient experience.

- Background checks: We review complaints from past clients, media reports, actions taken by accrediting bodies, and positive recognition from notable organizations.

- Clinical interviews: We have in-depth conversations with clinical leadership, often lasting up to one hour, that give us a better understanding of clinical care.

- Data partnerships: We ingest and analyze exclusive data that provides information about in-network insurance status, cost, and more.

Research varies by facility. Each facility profile shows which research steps we completed and when each step was last performed. Learn more about our research process and background checks.

How we evaluate treatment facilities

These data help us develop a Trust Score for each facility—a simple letter grade that helps you assess how much confidence to place in a facility based on the information available to us. Trust Score considers accreditation, operating history, notable recognition, and concerns identified during our background check. Our Trust Score is an objective rating that is never influenced by advertiser payment. Learn more about our Trust Score methodology.

Important disclaimer

We cannot guarantee the quality of treatment at any facility. We cannot independently confirm the accuracy of every data point, and some information may become outdated or change over time. A Trust Score is a starting point, not a guarantee of treatment quality or outcomes. Please contact us if you would like to update or correct facility information.