Rehabilitation Services for Adults with Behavioral Health Needs


How Do I Qualify?

  • Adult age 19 or older
  • Diagnosis of a Major Mental Illness expecting to last for a year of more (includes Schizophrenia, Schizoaffective Disorder, Bipolar Disorder, Major Depression)
  • Difficulty in major life areas such as Activities of Daily Living, Social Functioning and or Vocational/Educational Functioning
  • Please contact our offices for referral information.

Day Rehabilitation

What is Day Rehabilitation?

  • A structured setting where an individual can practice skill building to improve daily routines, relationships and or provide meaningful activity.
  • Service provided five days a week, five hours a day
  • Social activities are scheduled in the evening and weekends
  • There are two locations:


What will Day Rehabilitation do for me?

Individual and group activities for:

  • Pre Vocational skill building
  • Social skill building
  • Health/Exercise
  • Healing from Trauma
  • Classes for personal wellness and independent living skills
  • Developing a Wellness Recovery Action Plan (WRAP)
  • Support for mental and physical health and substance use concerns.
  • Peer Support 


Who would I be working with?
Everyone is assigned a “go to” person or Recovery Specialist. You would work with this staff member to identify your strengths and how to use them to reach your goals.


What Kind of Support will I get from Day Rehabilitation?

  • Service planning
  • Case management
  • Support for physical health care
  • Access to 24/7 Crisis Line



Psychiatric Residential Rehabilitation (PRR)

What is PRR?
The psychiatric residential rehabilitation facility is called ABLE House. A.B.L.E. stands for “A Better Living Environment” . A person lives at ABLE House to learn skills for independent living. This may include:

  • Making daily routines
  • Task completion
  • Meal planning and cooking
  • Social relationships
  • Community access
  • Self- soothing exercises
  • Medication management
  • Average length of stay is individualized, typically 6-18 months.

ABLE House is located in Hastings, NE. People who live at ABLE House attend the Day Rehabilitation program at Opportunity House.  Click here to view photos of ABLE House.


What will ABLE House do for me?

  • Teach you how to make a daily schedule
  • Support you in getting things done around the house
  • Reinforce taking your medications as directed
  • Practice with you in forming relationships
  • Help you go out in the community for shopping and outings
  • Develop “Change Plans” with you for managing emotions
  • Learn how you can redirect thoughts and stop repeating the same message
  • Review your Wellness Recovery Action Plan (WRAP)
  • You could work with Peer Support for extra help to learn skills


Who would I be working with?
Everyone is assigned a “go to” person or Recovery Specialist. You would work with this staff member to identify your strengths and how to use them to reach your goals.


What Kind of Support will I get from ABLE House?

  • Service planning
  • Case management
  • Support for physical health care
  • Access to 24/7 Crisis Line
  • “Good Things are finally happening for me.  I don’t want to give the impression that in a little while or with a little more work I’ll be finished, it’s not really like that.  What is true is that I am stable and able to take things as they come, and that’s a change for me.  For so long it was hard to separate reality from fear and anxiety, and it was an unending struggle.  With the help of South Central Behavioral Services, Doctor Supervision, the ABLE House, and the OPPORTUNITY House, things feel different now.
    Having learned what drives my behaviors means I am adapting better because the first thing to do was address my current situation, in favor of a better situation.  While there have been some treatment programs that only took me so far, did not work on all of me, only to return me to what felt like was the insanity that brought me there in the first place to start the cycle that repeated itself over and over. 
    Unless you make a clean break, in a supportive environment, surrounded by those with a flexible plan for wellness and recovery, you cannot make it by yourself.  How can you?  This is the realization that was missing.  There are hard times every once in a while, but keep going, and don’t lose sight of where you want to be, and accept the help of people who care along the way.  That what works for me now….
        ~ Anonymous (Able House Resident)

Mental Health Respite

Mental Health Respite helps people needing a short term, emergency stay (7 days or less). A person may need support outside of a hospital or crisis facility setting. ABLE House can provide a bed, for someone who needs a place to stay for a brief time. Please call for more information.


Community Support

What is Community Support?
Community Support is best described as someone to help you live independently. They help you figure out what is needed and find the resources to help support you. This includes meeting in your home or in the community . Community Support workers:

  • Have offices located in Hastings and Kearney
  • Travel within a 10 county area
  • Are available for crisis support 24/7
  • Screen for mental, physical and substance use concerns
  • Identify past trauma and provide referral for treatment or skill building
  • Meet with you based on your need (varies from minimum of weekly to once a month)
  • Develop a goal plan based on your strengths
  • Review goals with you during scheduled visits

What will Community Support do for me?

  • Ensure safe, affordable housing
  • Assist to complete paperwork and manage mail (Social Security, assistance programs)
  • Provide reminders for appointments
  • Help connect to community resources
  • Support employment and or meaningful activity
  • Model and practice social skill building
  • Promote physical health care and exercise
  • Skill building for healing from trauma
  • Developing a Wellness Recovery Action Plan (WRAP)
  • Help you define “recovery” and how it makes sense in your world
  • Peer Support 

Who would I be working with?
Everyone is assigned a “go to” person or Recovery Specialist. You would work with this staff member to identify your strengths and how to use them to reach your goals.

What Kind of Support will I get from Community Support?

  • Service planning
  • Case management
  • Support for physical health care
  • Access to 24/7 Crisis Line




What is ACT?

ACT (Assertive Community Treatment) is an all-inclusive treatment team that provides services primarily within the community.  A low staff-to-client ratio provides the opportunity for intensive rehabilitation services for independent individuals with the highest needs.  Individuals involved with ACT will receive whatever it takes to meet their treatment goals. ACT has the capability to see individuals multiple times per week or day, as needed.  Individual services and intensity are based on your needs.


What will ACT do for me?

ACT offers treatment, rehabilitation, and support. ACT focuses on your personal goals of recovery and staff hold a belief that any goal is achievable. Staff will assist you on developing these goals and teaching you new skills to reach them. ACT Treatment can include:

  • Medication Management
  • Medication Service Delivery
  • Symptom Assessment
  • Mental Health Therapy
  • Substance Use Counseling


Who will be on my team?

The ACT team is diverse and covers multiple disciplines. Participants will be assigned a primary staff member, but you will have a whole team of support. Your team could include a variation of any of the following:

  • Psychiatrists and APRN-Licensed Professionals who will manage your psychiatric medications
  • Mental Health and Substance Abuse Counselors-Licensed Professionals who will provide therapy, support, and evidenced-based practices
  • Psychiatric Nurses-Registered Nurses who will manage your psychiatric needs and coordinate and educate on any health care needs.
  • Mental Health Workers-Staff who provide a variety of case management, skill building and support with daily needs, and social and family support.
  • Support from a Certified Peer Support and Wellness Specialist will provide hope and recovery inspiration. Vocational Specialists will help with job development, placement, and support. Housing Specialist will assist with placement and support.


What kind of support will I get from ACT?

Support includes 24-hour on-call services, transportation, and Peer Support. You will have access to a Psychiatrist or APRN more frequently than in an outpatient setting, leading to a higher rate of success and decrease in hospitalizations.  ACT offers a Dual Recovery Group, WRAP Group and a Trauma Informed Seeking Safety Group.  You will also receive support and coordination regarding your physical health goals including dental, vision, and primary care.


How do I get ACT services?

ACT has additional admission qualifications, which include having a history of multiple psychiatric hospitalizations and an IQ of at least 80.  Ask your current doctor, psychiatrist, therapist, or case manager for a referral to ACT, or call the office for more information.  



1. a person who publicly supports or recommends a particular cause or policy:

We hear this word quite a bit these days. Some of though are not sure who, what and how we can do this.
You can advocate for many things that you feel strongly about, for instance the 2nd Amendment or even what is served in the school’s lunch program.

The most important thing we can advocate for are those who don’t have a voice or have difficulty advocating for themselves. We can do this in many ways including helping those people find their voice to advocate for them. Sometimes we have to walk alongside people to help them do this as they have been affected by past trauma. Also we can advocate you children and vulnerable adults.

Somethings to think about is how people are going to be affected by this, does it interfere with others rights? Sometimes we need to take a stand to help. These things can range from helping in a shelter to talking to legislatures about how a bill can affect a certain population. We all can advocate in some form and are probably already are. If you are not I would like to encourage you look into doing so. When you advocate for others you are not just helping someone but you are helping yourself as well. You will discover that you feel better about yourself, you understand and learn things you didn’t know before, make new friends and also can help build a network of contacts in your field. You never know you just might meet your governor or other influential person you admire. Most of all let’s take care of each other!