Veterans Affairs Medical Center - Substance Use Disorders Program

They offer inpatient residential, inpatient hospital, outpatient, telemedicine and detox. The practical difference is whether you sleep at home or at the center, and are 8 other centers inside 14 miles if neither suits.

They detox from opioids, alcohol, benzodiazepines, cocaine and methamphetamines, so the first stage and the treatment after it can happen in one place rather than across two trips to Omaha.

8 other centers are within about 14 miles, the nearest of them a few streets away in Omaha.

Omaha has 523 free AA meetings as well, which is not treatment but costs nothing and needs no referral.

They treat adults from 26 to 64 and young adults from 18 to 25. Anyone outside that range is worth a call rather than an assumption, and Omaha has 8 other centers to try.

Some programs have a prescriber on site and some rely on yours, which is worth knowing in advance. Pregnancy changes medication decisions substantially and needs specialist input. Keep whoever prescribes for you informed rather than assuming a handover happens by itself.

Treating the substance use and leaving a diagnosis untouched is a common reason a first attempt does not hold. Not every center has a prescriber for psychiatric medication, and that is a concrete difference to ask about. Ask what happens if the psychiatric side turns out to need more than the program planned for.

Treatment often qualifies for job protected medical leave, though the rules depend on the employer's size and your length of service. Where a workplace runs an assistance program it usually sits outside the management chain and keeps what it is told. Look at what your own employer offers before you tell anyone anything.