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Valley Hope Of O'Neill

1421 North 10th Street, O'Neill, Nebraska, 68763
Founded in 1977, the O'Neill Valley Hope facility offers residential treatment for men and women ages 16 and up. The facility takes a 12-step approach to recovery, and combines AA’s principles with psycho-educational and small-group counseling to give each client a solid foundation for long-lasting sobriety. Family support and education is also provided, as is a plan for continued care long after treatment is complete.

Facility Highlights

  • Small Group Counseling
  • Spiritual Counseling
  • 12-Step Lectures


  • Family Program

    Research shows that the odds of successful, sustained recovery from addiction are far higher when family members and loved ones are involved in treatment. Drug and alcohol addiction often have genetic roots, whether related to substance abuse, mental illness or both. Family dynamics also play a role and, often, family members are the first to realize a loved one has developed an addiction. Also, it’s important for family members to understand and embrace the lifestyle changes that are required to sustain recovery.
  • Aftercare Support

    Addiction recovery does not end with discharge after completing a rehab program. Facilities that offer aftercare planning and/or support work with patients to ensure sustainable recovery by helping to plan and make arrangements for transitional or sober living, help with housing, vocational counseling, etc.

Facility Settings

  • Average Location/Amenities

Meet the Staff

  • Deb Ludemann
    Deb LudemannCommunity Services Clinician
    Deb Ludemann has been with O’Neill Valley Hope since 2002, when she entered the counselor training program. She is a licensed alcohol and drug counselor (LADC) and, after working as a counselor at O’Neill Valley Hope for 8 years, took the position of Community Services Clinician. Her job now includes some of the duties of counselor when in O’Neill, but also has her on the road networking and helping get people into treatment. When substance abuse gets in-between a person and what is important to them, Deb believes in the need for people to begin their recovery journey to get back what is important to them in their lives.

Financial Details

  • Financing Available

Treatment Center Links

Rehabs 360 Guide


Valley Hope's location in O’Neill, Neb., is one of 16 substance misuse treatment facilities operated by the organization across seven states. The O'Neill location offers residential care, family programming, medication-assisted treatment (MAT), and aftercare. The facility also provides detoxification services, which are offered by 6.4 percent of Nebraska treatment centers.

Tele-therapy is also available through Valley Hope's website, while its Omaha facility offers outpatient programming. Other Valley Hope locations include treatment centers in Arizona, Kansas, Missouri, and Oklahoma.


Clients can receive an initial assessment online or by phone. Once at the O'Neill facility, each individual receives a full physical and psychological evaluation.

Those who require assistance for withdrawal symptoms can expect to spend a few days in medically monitored detoxification. The Valley Hope website reports that clients typically remain between 17 and 30 days, though the clinical staff recommends 30 days in residential treatment.

In residential treatment clients can expect to spend more than 40 hours a week in a mix of group and individual therapy, family counseling, 12-step meetings and lessons, and addiction education.

Programming also includes wellness activities and non-denominational pastoral counseling. Clients participating in Valley Hope's Suboxone program, which is offered by about 11 percent of Nebraska treatment facilities, receive the prescribed medication in combination with an intensive, full-day behavioral therapy program.


Valley Hope residential facilities, including O'Neill, employ physicians, psychologists, nurses, counselors, and chaplains. The organization operates an extensive counselor training program, during which trainees in an accredited degree program serve on-site. The facility is one of the 34 (27.2 percent) of Nebraska treatment centers accredited by the Joint Commission.


The O’Neill Valley Hope facility accommodates up to 76 residents at a time, more than three times the average capacity at residential facilities in Nebraska (25). Website photographs depict a single-story treatment and residential building surrounded by open spaces, outdoor gathering spots, and a chapel. To date, the eight individuals polled on the matter by Rehabs.com offered moderately positive ratings for the facility's upkeep and amenities.

Cleanliness: 4.5/5
Exercise and Leisure: 3.4/5


The alumni polled by Rehabs.com to date offered polarized opinions of the facility. Out of 20 alumni surveyed to date, 13 provided positive reviews and seven provided negative reviews. Several reviewers praised the staff and expressed appreciation for the fact that many counselors were in recovery themselves.

"Very experienced counselors, many of whom have been through treatment themselves," alum L. wrote in a representative review. The five individuals surveyed on more granular metrics gave high ratings to the staff:

Staff Experience and Training: 4/5

These alumni also gave high ratings to the program's family participation, connectivity, and the cleanliness of the facility:

Family participation: 4.8/5
Cleanliness: 4.6/5
Connectivity: 4.2/5

There were, however, several alumni that were critical of the staff and their overall experience at Valley Hope. Additional criticism came in the form of low ratings of the program's holistic offerings and counseling options.

Counseling Options: 2.6/5
Holistic Offerings: 2/5

On Google, 15 reviewers contributed to an average rating of 3.7 out of five stars.[1]


Reviews from seven family members polled by Rehabs.com to date were mixed. Like alumni, the center’s family programming was also well-received by loved ones. One survey respondent, K., who described her brother as a “changed person,” wrote: “We were encouraged to visit and attend classes to learn how to help.”

Criticism often referenced the length of treatment. Two loved ones shared a desire for more than 30 days of programming, and one pointed out the importance of a client remaining to the end for the best outcomes.


The lone staff member polled by Rehabs.com to date shared praise for their employer, awarding five-star ratings for the center’s quality of care and staff's honesty and credentials, among other metrics evaluated. "People have an opportunity to become accountable, we allow people to make choices, we do not make them for them," they wrote.


According to the Valley Hope website, the rehab center offers a 10 percent discount to clients who self-pay for their treatment. The website also reported that treatment is covered in-network by most insurance plans. Payment plans can be arranged, and a limited amount of financial aid is available for qualifying individuals. To date, the eight individuals polled on the matter generally approved of the facility's cost.

Affordability: 3.8/5

[1] GoogleReviews

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