Best Drug & Alcohol Rehab Centers in Nebraska
Nebraska recorded 172 drug overdose deaths in 2023 (9 per 100,000), one of the lowest rates in the country. And the state is improving fast: provisional data from April 2023 to April 2024 shows a 29.8% decline, the largest percentage decrease of any state in the country. The DEA Omaha Division Overdose Response Task Force, which started making arrests in January 2023, contributed to a nearly 40% drop in overdose trends in Omaha.
Fentanyl was involved in 35% of overdose deaths in 2023, lower than the national average but rising. Douglas County (Omaha) has the highest rate at 11 per 100,000. Nebraska expanded Medicaid in 2020, which has expanded treatment access significantly.
Here is what Nebraska offers for addiction treatment:
- Free and state-funded rehabs: Siena Francis House provides free 80-bed residential. Capstone offers no-cost treatment via Medicaid. Nebraska DHHS funds treatment for the uninsured
- Inpatient and outpatient programs: concentrated in Omaha and Lincoln with some regional options
- Omaha: largest concentration of providers (Valley Hope, Siena Francis, Community Alliance, CHI Health)
- Lincoln: CenterPointe Campus for Hope and Region V Systems
- Culturally specific: Nebraska Urban Indian Health Coalition for Native Americans
In this guide, we have reviewed 10 top rehab centers across Nebraska, covering their treatment methods, costs, and who they serve best.
Addiction in Nebraska: Key Statistics
Nebraska recorded 172 overdose deaths in 2023 (9 per 100,000). Provisional data shows a 29.8% decline (April 2023-April 2024), the largest drop of any state.
- 172 overdose deaths in 2023
- 29.8% decline (largest of any state)
- 35% involved fentanyl
- Douglas County: 11 per 100,000
- DEA task force: ~40% drop in Omaha trends
- Medicaid expanded 2020
- One of lowest overdose rates nationally
Top Rehab Centers in Nebraska
Valley Hope of Omaha
Valley Hope of Omaha provides PHP and IOP programs. Part of the Valley Hope regional network, they combine 12-step methods with contemporary evidence-based approaches. They offer support for veterans and families and host monthly alumni groups. They have a 4-star Google review rating.
- Omaha
- PHP and IOP programs
- 12-step + evidence-based
- Veteran and family support
- Monthly alumni groups
Best for: Omaha residents needing structured outpatient treatment with strong alumni network
CenterPointe - Campus for Hope (Lincoln)
CenterPointe Campus for Hope in Lincoln offers residential treatment for addiction and co-occurring mental health conditions. They provide a sliding fee scale to improve accessibility. Their focus is on helping residents return to their communities and achieve independent living after treatment.
- Lincoln
- Residential treatment
- Co-occurring mental health care
- Sliding fee scale
- Community reintegration focus
Best for: Lincoln residents needing affordable residential treatment with mental health support
Siena Francis House Miracles Treatment (Omaha)
Siena Francis House in Omaha provides free 80-bed residential treatment for individuals experiencing homelessness or at risk of homelessness. Their 12-step-based, trauma-informed program includes vocational training, case management, and housing assistance. One of the most impactful free programs in the Midwest.
- Omaha
- Free 80-bed residential
- Serves homeless/at-risk individuals
- Vocational training and housing assistance
- 12-step, trauma-informed
Best for: Individuals experiencing homelessness needing free residential treatment with wraparound services
Community Alliance (Omaha)
Community Alliance provides integrated care for mental health and substance use disorders. They offer outpatient counseling, day rehab classes, and 24/7 residential support. Their integrated model addresses both conditions simultaneously.
- Omaha
- Integrated mental health + substance use
- Outpatient and 24/7 residential
- Day rehab classes
- Dual diagnosis focus
Best for: Omaha residents needing integrated treatment for both mental health and addiction
CHI Health Psychiatric Associates (Omaha)
CHI Health Psychiatric Associates at Immanuel offers outpatient mental health and addiction services. They provide specialized therapies including CBT, DBT, trauma therapy, and dual diagnosis treatment. Part of the CHI Health hospital network with full medical resources.
- Omaha (Immanuel campus)
- Outpatient specialties
- CBT, DBT, trauma therapy
- Dual diagnosis treatment
- Hospital network resources
Best for: People needing specialized outpatient therapy (CBT, DBT, trauma) with hospital backing
Capstone Behavioral Health (Omaha)
Capstone provides substance abuse treatment with minimal or no cost through Medicaid, Tricare, private insurance, and Medicare. Their accessible pricing model makes treatment available to a wide range of patients.
- Omaha
- Minimal/no cost treatment
- Accepts Medicaid, Tricare, Medicare
- Substance abuse treatment
- Accessible pricing
Best for: Uninsured or underinsured individuals needing affordable treatment
Nebraska Urban Indian Health (Omaha)
Nebraska Urban Indian Health Coalition Intertribal Treatment Center in South Omaha delivers culturally sensitive substance use and mental health care for Native Americans. They provide treatment that integrates cultural practices and traditional healing alongside clinical evidence-based approaches.
- South Omaha
- Culturally sensitive treatment
- Native American focus
- Substance use + mental health
- Cultural practices integration
Best for: Native American individuals seeking culturally responsive addiction treatment
ARCH Men's Halfway House (Omaha)
ARCH serves men in addiction recovery, offering transitional housing alongside treatment support. They accept Medicaid and government grants, with boarding fees adjusted based on ability to pay. Their model bridges the gap between residential treatment and independent living.
- Omaha
- Men-specific recovery housing
- Transitional support
- Accepts Medicaid and grants
- Fees based on ability to pay
Best for: Men transitioning from residential treatment to independent living
Douglas County Mental Health Center (Omaha)
Douglas County Mental Health Center provides detox programs and affordable treatment with sliding-scale fees. As a county-funded facility, they serve as a safety net for uninsured residents in the Omaha metro.
- Omaha
- Detoxification programs
- Sliding-scale fees
- County-funded safety net
- Serves uninsured residents
Best for: Uninsured Omaha residents needing detox and affordable treatment
Region V Systems (Lincoln)
Region V Systems coordinates behavioral health services for the Lincoln/Lancaster County area. They connect residents with substance use treatment providers, fund community-based services, and help navigate the treatment system. They serve as the primary access point for publicly funded treatment in the Lincoln metro.
- Lincoln (Lancaster County)
- Behavioral health coordination
- Treatment referrals and navigation
- Publicly funded services
- Primary Lincoln access point
Best for: Lincoln residents needing help navigating publicly funded treatment options
Free Rehab Centers in Nebraska
Free or Low-Cost Options:
- Siena Francis House - Free 80-bed residential in Omaha
- Capstone Behavioral Health - Minimal/no-cost via Medicaid
- Douglas County Mental Health - Sliding-scale detox
- Nebraska Medicaid - Expanded 2020, covers all treatment levels
How to qualify:
- Nebraska Treatment Referral: Call (800) 648-4444
- 211 Nebraska: Connect to local treatment resources
- SAMHSA helpline: Call 1-800-662-4357 (free, 24/7)
For a full guide, see our rehab costs and insurance guide.
Types of Rehab Programs in Nebraska
Inpatient Residential
- CenterPointe (Lincoln), Siena Francis House (Omaha), Community Alliance (Omaha)
- Typical stay: 28-90 days
Outpatient and IOP
- Valley Hope (PHP/IOP), CHI Health (outpatient specialties), Capstone (outpatient)
- IOP: 3-5 sessions per week
Medical Detox
- Douglas County Mental Health Center
- Typically 5-10 days
Cost of Rehab in Nebraska
| Program Type | Typical Duration | Average Cost |
|---|---|---|
| Outpatient | 8-16 weeks | $1,500 - $8,000 |
| Intensive Outpatient (IOP) | 8-12 weeks | $3,000 - $10,000 |
| Inpatient Residential | 28-90 days | $5,000 - $25,000 |
| Medical Detox | 5-10 days | $2,000 - $5,000 |
| Free (Siena Francis House) | Varies | Free |
How to Choose the Right Rehab in Nebraska
- Budget: Siena Francis House is free. Capstone and Douglas County offer low-cost options. Nebraska Medicaid covers treatment.
- Location: Omaha (Valley Hope, Siena Francis, Community Alliance, CHI Health, Capstone, ARCH, Douglas County). Lincoln (CenterPointe, Region V).
- Dual diagnosis: Community Alliance and CHI Health specialize in co-occurring conditions.
- Men's transitional: ARCH provides recovery housing for men.
- Native American: Nebraska Urban Indian Health offers culturally specific treatment.
- Aftercare: Look for programs with relapse prevention and support group connections.
Frequently Asked Questions
Are there free rehab centers in Nebraska?
Yes. Siena Francis House in Omaha provides free 80-bed residential treatment for individuals experiencing homelessness. Capstone Behavioral Health offers minimal or no-cost treatment through Medicaid and other programs. Douglas County Mental Health Center has sliding-scale detox. Call Nebraska Treatment Referral at (800) 648-4444 or SAMHSA at 1-800-662-4357.
Does Nebraska Medicaid cover rehab?
Yes. Nebraska expanded Medicaid in 2020. Heritage Health (Nebraska Medicaid) covers substance use treatment including detox, residential, outpatient, IOP, and MAT. Nebraska DHHS also provides funding for uninsured individuals. Check eligibility at dhhs.ne.gov or call (800) 383-4278.
How long is rehab in Nebraska?
Medical detox lasts 5-10 days. Standard residential runs 28-90 days. Siena Francis House offers a 12-step based program of varying lengths. Valley Hope offers PHP and IOP. Outpatient typically runs 8-16 weeks.
How much does rehab cost in Nebraska?
Outpatient runs $1,500 to $8,000. Inpatient runs $5,000 to $25,000. Medical detox costs $2,000 to $5,000. Siena Francis House is free. Nebraska Medicaid and most private insurance cover treatment.
Are overdose deaths declining in Nebraska?
Yes, significantly. Nebraska recorded 172 overdose deaths in 2023 (9 per 100,000). Provisional April 2023-April 2024 data shows a 29.8% decline, the largest percentage drop of any state. The DEA task force in Omaha contributed to a nearly 40% drop in overdose trends since January 2023.
What is driving the decline in Nebraska?
The DEA Omaha Division Overdose Response Task Force (started January 2023) has made targeted arrests. Naloxone distribution has increased. Nebraska Medicaid expansion (2020) opened treatment access. The combination of law enforcement and public health approaches appears to be working.
Is fentanyl a problem in Nebraska?
Fentanyl and synthetic opioids were involved in 35% of overdose deaths in 2023. While lower than the national average, fentanyl presence has been increasing. Douglas County (Omaha) has the highest overdose rate at 11 per 100,000.
Are there culturally specific treatment options?
Yes. Nebraska Urban Indian Health Coalition Intertribal Treatment Center in South Omaha provides culturally sensitive substance use and mental health care for Native Americans. Other faith-based and community organizations offer culturally tailored programming.
Medical Disclaimer: This article is for educational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider before making changes to your treatment plan. If you are experiencing a medical emergency, call 911 immediately. For substance use support, call SAMHSA at 1-800-662-4357 (free, confidential, 24/7).
Get Help for Addiction in Nebraska
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