Nebraska’s addiction challenges are often overshadowed by its reputation as a quiet, agricultural state, but substance use disorders are a growing concern across both urban and rural communities.
While Nebraska has historically maintained lower-than-average overdose death rates compared to national figures, recent years have seen a notable uptick in fatalities, particularly involving fentanyl and methamphetamine.
According to the Nebraska Department of Health and Human Services, synthetic opioids are increasingly responsible for overdose deaths across the state, with meth continuing to be the most commonly cited substance among those entering treatment.
Urban centers like Omaha and Lincoln have relatively strong treatment infrastructure, including MAT (medication-assisted treatment), outpatient counseling, and residential rehabilitation programs.
However, access becomes far more limited in the state’s vast rural areas, especially in the Sandhills and western counties, where residents often face long travel times, few local providers, and a shortage of mental health professionals trained in addiction care.
Nebraska did expand Medicaid under the Affordable Care Act, which improved coverage for low-income residents, but provider shortages and limited specialty services still create bottlenecks in the system. Telehealth has helped bridge some of these gaps, particularly in delivering therapy and MAT to underserved regions, but internet access and digital literacy remain uneven across the state.
Stigma is a persistent barrier, especially in conservative rural communities where seeking treatment can be perceived as a moral failure. This often leads individuals to delay care or avoid formal services altogether. Harm reduction initiatives in Nebraska are limited, with naloxone access improving but syringe exchange programs still largely absent due to legal and political resistance.
Faith-based recovery programs play a central role in the state’s addiction response, particularly in smaller towns where clinical options are minimal, but these programs may lack medical oversight or evidence-based practices.
Nebraska’s growing immigrant and refugee populations—especially in meatpacking towns and agricultural hubs—face additional barriers, including language differences, limited culturally competent care, and fear of legal or employment consequences if they seek treatment.
Youth substance use is also a rising concern, particularly with vaping, alcohol, and prescription drug misuse, prompting some schools to implement behavioral health screening and prevention initiatives.
The state has expanded drug court programs and diversion initiatives in several counties, offering nonviolent offenders access to treatment instead of incarceration, but follow-up care and reintegration support remain inconsistent. Nebraska’s addiction care system is steadily evolving, but it still faces key challenges in rural access, provider availability, and stigma reduction.
Strengthening community-based infrastructure, investing in the behavioral health workforce, and adopting more proactive harm reduction strategies will be essential to curbing the state’s growing addiction crisis..
 | Addiction & Recovery ServicesAddiction and Recovery Services, located at 7602 Pacific St #304, Omaha, NE, is dedicated to providing compassionate support and comprehensive treatment options for individuals struggling with addiction. The center offers various programs, including counseling, outpatient services, and support groups, tailored to meet the unique needs of each client. With a team of experienced professionals, Addiction and Recovery Services fosters a nurturing environment where individuals can address their challenges and develop effective coping strategies. Committed to holistic care, the center integrates evidence-based therapies with personalized support, empowering clients to reclaim their lives and pursue lasting recovery. Discover the valuable resources available at Addiction and Recovery Services and take the first step towards a healthier, substance-free future. 7602 Pacific St # 304, Omaha, NE 68114 | Levels of Care:Outpatient Payment Options:Medicaid Private insurance Self-Pay Options Financial Aid Medicare Military Insurance | ||
 | Adlerian CenterAdlerian Center, located at 11911 Arbor St, Omaha, NE, specializes in providing holistic counseling and therapy services designed to enhance mental well-being. The center offers a range of programs, including individual therapy, family counseling, and group sessions, all informed by Adlerian principles that emphasize personal growth and social interest. With a team of compassionate and experienced professionals, Adlerian Center creates a supportive environment where clients can explore their thoughts and feelings, develop coping strategies, and work towards achieving their personal goals. Committed to tailored care, the center focuses on the unique needs of each individual, empowering them to lead healthier, more fulfilling lives. Discover the transformative services available at Adlerian Center and take the first step towards improved mental health. 11911 Arbor St, Omaha, NE 68144 | Levels of Care:Outpatient Payment Options:Private Insurance Self-Pay Options | ||
 | Alano ClubAlano Club, located at 1522 West 5th Street, Grand Island, NE, is a welcoming community hub dedicated to supporting individuals in recovery from addiction. The club offers a variety of programs and services, including support meetings, social events, and resources for those seeking to maintain their sobriety. With a focus on fostering a sense of belonging, Alano Club provides a safe and nurturing environment for individuals and families impacted by addiction. Members can connect with others who share similar experiences, participate in group activities, and access valuable resources that promote a healthy lifestyle. Discover the supportive community at Alano Club and take an important step towards a fulfilling recovery journey. 1510 W 5th St, Grand Island, NE 68801 | Levels of Care:Outpatient Payment Options:Free | ||
 | Arbor Family CounselingArbor Family Counseling, located at 11605 Arbor St #106, Omaha, NE, is dedicated to providing compassionate therapy services that support families and individuals in navigating life\'s challenges. The center offers a variety of counseling options, including individual therapy, family therapy, and couples counseling, all designed to foster understanding and healing. With a team of experienced and empathetic professionals, Arbor Family Counseling creates a safe environment where clients can explore their emotions, develop effective communication skills, and work towards healthier relationships. Committed to holistic care, the center tailors its approach to meet the unique needs of each client, empowering them to achieve personal growth and emotional well-being. Discover the transformative support available at Arbor Family Counseling and take the first step towards a healthier family dynamic. 11605 Arbor St # 106, Omaha, NE 68144 | Levels of Care:Outpatient Payment Options:Private insurance Self-Pay Options Military Insurance Medicaid | ||
 | ARCH Halfway HouseARCH Halfway House, located at 604 South 37th Street, Omaha, NE, provides a supportive transitional living environment for individuals in recovery from addiction. The halfway house offers a structured program designed to assist residents in building a foundation for lasting sobriety while reintegrating into daily life. With a focus on personal responsibility and community support, ARCH Halfway House provides residents with essential resources, including counseling, life skills training, and peer support. The dedicated staff fosters a nurturing atmosphere where individuals can work towards their recovery goals, develop healthy coping mechanisms, and establish a network of support. Discover the transformative experience at ARCH Halfway House and take the next step towards a successful recovery journey. 604 S 37th St, Omaha, NE 68105 | Levels of Care:InpatientOutpatient Payment Options:Self-Pay Options | ||
 | ARCH O’HanlonARCH O’Hanlon, located at 1502 North 58th Street, Omaha, NE, is dedicated to providing comprehensive recovery services for individuals struggling with addiction. This facility offers a range of programs, including residential treatment, outpatient services, and support groups, all aimed at fostering healing and personal growth. With a compassionate team of trained professionals, ARCH O’Hanlon creates a safe and supportive environment where clients can address their substance use challenges and develop essential life skills for a successful recovery. Committed to evidence-based practices, the center tailors its approach to meet the unique needs of each individual, empowering them to embark on a transformative journey towards sobriety. Explore the resources available at ARCH O’Hanlon and take the first step towards a healthier, more fulfilling life. 1502 North 58th Street, Omaha, NE 68104 | Levels of Care:InpatientOutpatient Payment Options:Private Insurance Self-Pay Options Financial Aid Medicaid | ||
 | Associates in Counseling and TreatmentAssociates in Counseling and Treatment | Payment Options:Medicaid | ||
| Avera St. Anthonys Hospital300 North 2Nd Street Oneill NE, 68763 www.avera.org(402) 336-2611 | Payment Options:Self-pay options Financial aid Employee Assistance Program Medicaid Military insurance Medicare Private insurance | ||
| BAART ProgramsBAART Programs | Payment Options:Self-pay options | ||
 | BAART Programs LincolnBAART Programs Lincoln, located at 4305 O St, Lincoln, NE, is dedicated to providing comprehensive addiction treatment services to individuals seeking recovery from substance use disorders. The facility offers a range of programs, including medication-assisted treatment, counseling, and support services, all designed to promote lasting recovery and improved well-being. With a compassionate team of professionals, BAART Programs creates a supportive environment where clients can work through their challenges and develop the skills necessary for a successful recovery journey. Committed to individualized care, the center tailors its programs to meet the unique needs of each person, empowering them to lead healthier, substance-free lives. Discover the transformative services available at BAART Programs Lincoln and take the first step toward a brighter future. 4305 O St, Lincoln, NE 68510 | Levels of Care:DetoxInpatientOutpatient Payment Options:Private Insurance Self-Pay Options | ||
 | Behavioral Health Resources, LLCBehavioral Health Resources LLC, located at 7441 O Street, Suite 107, Lincoln, Nebraska, is dedicated to providing a wide range of mental health services aimed at supporting individuals and families. The organization offers programs including therapy, counseling, and support groups, designed to promote emotional wellness and resilience. With a team of experienced mental health professionals, Behavioral Health Resources creates a compassionate environment where clients can explore their challenges and develop effective coping strategies. Committed to personalized care, the center tailors its services to meet the unique needs of each individual, empowering them to lead healthier and more fulfilling lives. Explore the valuable resources available at Behavioral Health Resources LLC and take the first step toward improved mental health. 7441 O St #107, Lincoln, NE 68510 | Levels of Care:Outpatient Payment Options:Private Insurance Self-Pay Options | ||
| Behavioral Health SpecialistsBehavioral Health Specialists | Payment Options:Medicaid | ||
| Beneficial Behavioral Health ServicesBeneficial Behavioral Health Services | Payment Options:Medicaid | ||
| Blue Valley Behavioral HealthBlue Valley Behavioral Health | Payment Options:Medicaid | ||
| Blue Valley Behavioral HealthBlue Valley Behavioral Health | Payment Options:Medicaid | ||
| Blue Valley Behavioral HealthBlue Valley Behavioral Health | Payment Options:Medicaid | ||
| Blue Valley Behavioral HealthBlue Valley Behavioral Health | Payment Options:Medicaid | ||
| Blue Valley Behavioral HealthBlue Valley Behavioral Health | Payment Options:Medicaid | ||
| Blue Valley Behavioral HealthBlue Valley Behavioral Health | Payment Options:Medicaid | ||
| Blue Valley Behavioral HealthBlue Valley Behavioral Health | Payment Options:Medicaid |
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Drug and alcohol rehab is a structured treatment program designed to assist individuals struggling with substance use disorders. These programs focus on helping participants stop using drugs or alcohol, learn about the nature of addiction, and develop coping strategies to maintain long-term sobriety. Rehab may include a combination of medical care, counseling, and therapeutic activities tailored to each individual’s needs.
Rehab programs generally fall into two primary categories:
The duration of rehab can vary significantly based on individual circumstances, the severity of addiction, and the chosen program. Traditional programs may last:
Participants can expect a structured environment that emphasizes healing and recovery. Key components of the rehab experience may include:
Many health insurance plans provide coverage for drug and alcohol rehab, but the extent of coverage can vary. It’s important to:
Detoxification, or detox, is the process of ridding the body of harmful substances while managing withdrawal symptoms. Detox may be necessary for individuals with severe physical dependence on drugs or alcohol, and it can involve:
Rehab centers utilize a variety of therapeutic approaches to address addiction. Common therapies include:
Aftercare is a crucial component of the recovery process, providing ongoing support to individuals after they complete their rehab program. Key aspects of aftercare include:
Yes, many rehab programs encourage family involvement as a critical aspect of healing. Family participation may include:
Selecting the right rehab center involves careful consideration of various factors:
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