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Siena Francis House

1702 Nicholas Street, Omaha, Nebraska, 68102
Miracles Treatment Center is devoted to giving men and women the opportunity to recover from addiction and lead meaningful, productive lives. In addition to offering cost-free treatment and housing assistance, the center provides education and employment services designed to cultivate a sense of self-sufficiency, responsibility and accountability. The only requirement for the program is a sincere desire to get better, as well as a commitment to a minimum of 120 days in the facility’s residential program.

Facility Highlights

  • Individual Therapy
  • Client & Family Support Groups


  • Phase 3

    The client must obtain full-time employment or make other financially responsible arrangements. The client may be allowed to stay at the Siena/Francis House for one additional month in order to save money prior to moving out. The client must obtain a healthy living arrangement.
  • Phase 2

    The client must continue to work on areas that could lead to a relapse. The client may enroll in school or gain full or part-time employment that still allows the client to fulfill treatment and job obligations of the program.

Facility Settings

  • Average Location/Amenities

Treatment Center Links

Rehabs 360 Guide


Operating since 1975, Siena/Francis House is Omaha’s largest homeless shelter, providing food, clothing, and case management outreach to men and women in need. The organization’s Miracles Recovery Program offers residential treatment to individuals over the age of 19, and focuses on substance abuse and co-occurring disorders, as well as gambling addiction, eating disorders, and other addictions. Detox services are not offered on-site.

Aftercare services are available through the facility. In the state of Nebraska, Siena/Francis House is among 40.8 percent of substance abuse treatment facilities with programs tailored to the needs of clients with co-occurring disorders.


The process at Siena/Francis House’s Miracles Recovery Program begins with identifying homeless clients and helping them get off of the streets. Siena/Francis offers overnight shelter services to the homeless as a way of providing temporary relief. While in the overnight shelters, they are encouraged to seek further services and can be considered for residential treatment through the Miracles Recovery Program.

Prospective clients must commit to a minimum of 120 days of residential treatment, participate in the job training program, and provide 40 hours of weekly service to the Siena/Francis House shelter. They also must be able to maintain their sobriety during their stay. Within Nebraska, the organization is one of 27 substance abuse treatment facilities that offers long-term ( over 30 days) of residential, non-hospital care and among [26.4 percent] that provide employment counseling and training.

The recovery program is based on the traditional 12-step model, and utilizes multiple trauma and evidence-based treatment modalities. These include dialectical behavioral therapy (DBT), Seeking Safety, eye movement desensitization and reprocessing (EMDR), and grief recovery counseling.

Clients work their way through three phases of treatment. Phase One covers the first 90 days of treatment, when clients attend individual therapy as well as group counseling sessions. Clients also participate in job training and begin to attend educational sessions. In addition, they go to daily 12-step group meetings and find a 12-step sponsor. During this phase, family counseling also is available.

Phase Two addresses the client’s transition back into the community by enrolling in school or gaining employment while continuing treatment. The amount of time needed for this varies for each client; therefore, there is not a specific limit for this phase. However, clients are required to make progress toward completing their treatment and establish sober living lifestyle requirements, including finding employment.

In Phase Three, clients fully establish their aftercare plans, including having a consistent job and being involved in community-based treatment programs. If they need living arrangements at the end of the program, clients can stay up to an additional month to finalize the arrangements. Once clients transition out of the facility, aftercare counseling begins to help them maintain a sober lifestyle. There also is an alumni group for those that have completed the program.


The organization’s website lists an executive director and clinical programs directors, but does not provide additional information other than noting there are state-licensed counselors on staff. Volunteers also assist in management, fundraising, and treatment practices.


Siena/Francis House has 48 permanent supportive housing units, designed as disability accessible and minimal while providing comfortable living. Each efficiency apartment accommodates one occupant. Residents pay $250 in rent per month, which covers services, utilities, and access to amenities, including case managers, meeting spaces, classrooms, minimal healthcare services, and partner agencies.


The two alumni polled by Rehabs.com to date about Siena/Francis House’s Miracles Recovery Program submitted moderately positive to mixed feedback. Both former clients would recommend the facility overall and awarded high ratings for staff experience and training. One assigned four out of five stars for affordability and facility cleanliness and upkeep, but negative ratings for other evaluated metrics; two stars for connectivity/visitor policy, counseling options, and family participation; and one star for holistic offerings.

The other, N.R., also offered a combination of positive and negative ratings, including perfect five stars for connectivity/visitor policy, consistency, lead counselor, respect, safety, and staff support, though offered two stars for facility cleanliness and upkeep and one star for individual counseling and level of counseling promised. “My councilor was unavailable the 6 weeks I stayed. I feel that was very detrimental,” but added: “It seems of the people I know that completed the program, it has been effective.”

On secondary sites, Siena/Francis House received positive coverage to date: 3.5 out of five stars based on 179 reviews on Google; and 4.5 stars based on the opinions of 105 people on the facility’s Facebook, which the organization can manage. [1] [2] Note that the large majority of posts pertained to the organization’s homeless shelter rather than to its addiction services.

That said, those who rated the addiction program offered many positive takeaways, including good treatment program, helpful and friendly staff, which for some changed their life, such as T.M. on Google, who wrote: “I’ve learned to live with out the use of drugs or alcohol. They saved my life!!!” Alum M.M. added: “I graduated the Miracles program and it was by far the beat treatment I’ve even been to. And they do a great job of making sure you’re on the right track for success even after you leave.”


Treatment at Siena/Francis House - Miracles Recovery Program is offered at no cost to clients, who pay their way by working at the shelter. All other costs are covered by donations and fundraising efforts.


In November of 2018, the organization began construction of the Siena-Francis House's overnight homeless shelter. The shelter will have beds for 350 men and up to 100 women, plus kitchen and dining space and counseling, case management, and common areas. Currently, the shelter can accommodate up to 220 men and 40 women. Construction is slated to be complete in December of 2019.

[1] GoogleReviews

[2] https://www.facebook.com/pg/sienafrancishouse/reviews/?ref=page_internal

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