Written by Justin Turley
From the streets of Omaha to deep within the rural enclaves of the state, Nebraska is facing a serious substance abuse crisis. The rise in drug overdose deaths and the prevalence of substance use disorders highlight the urgent need for dedicated substance abuse counselors.
In 2020, Nebraska reported an overdose death rate of 11.4 for every 100,000 people. Opioids remain a significant concern, while everything from meth to excessive alcohol use are also pushing those numbers higher. Substance use among high school students here surpasses the national average, and the state has seen a dramatic rise in methamphetamine use, with treatment admissions doubling over the most recent ten-year reporting period.
Despite these challenges, Nebraska is actively working to combat the substance abuse epidemic through various initiatives. There are ongoing efforts to improve access to treatment and recovery services, with nearly 6,000 Nebraskans enrolled in substance use treatment programs on any given day. The state also supports three treatment centers for opioid use disorder, providing essential services for underinsured or uninsured individuals​.
The lynchpin to the success of all these efforts are Nebraska’s Licensed Alcohol and Drug Counselors (LADC).
Whether you’re inspired to help because of the staggering statistics or the personal stories behind them, a career in substance abuse counseling offers a profound opportunity to make a difference.
Steps to Becoming Certified as a Substance Abuse Counselor in Nebraska
The Nebraska Department of Health and Human Services (DHHS) is the state agency that licenses substance abuse counselors. There are two levels of licensure:
- Provisional Licensed Alcohol and Drug Counselor (PLADC)
- Licensed Alcohol and Drug Counselor (LADC)
If you’re passionate about helping individuals struggling with addiction, the Licensed Alcohol and Drug Counselor (LADC) credential is what you’ll be aiming at. This step-by-step guide will demystify the process, starting with obtaining your Provisional Licensed Alcohol and Drug Counselor (PLADC) credential and guiding you through the requirements to become a fully licensed professional.
You’ll take six major steps to become an LADC in Nebraska:
1. Complete a Pre-Approved Training Program or Meet the Education Requirements with a Degree
2. Complete 300 Hours of Supervised Professional Training in the 12 Core Functions
3. Apply to Become a Provisionally Licensed Alcohol and Drug Counselor (PLADC)
4. Satisfy Clinical Work Experience Requirements
5. Take and Pass the IC&RC Exam
6. Apply to Become a Licensed Alcohol and Drug Counselor (LADC)
Don’t let the licensure process intimidate you. Becoming a substance abuse counselor in Nebraska is an attainable goal, and we’re here to simplify the steps and make it even easier.
1. Complete a Pre-Approved Training Program or Meet the Education Requirements with a Degree
First things first, you’ll need at least a high school diploma or GED. Next, you’ll need to complete 270 hours of education from an accredited college, university, or training program. Several community colleges and universities in Nebraska offer pre-approved training programs specifically designed to meet the minimum requirements for initial licensure.
Pre-approved programs have already been determined to meet state coursework requirements for licensure:
- Clinical treatment issues in chemical dependency (30 hours)
- Medical and psychological aspects of alcohol/drug use, abuse, and addiction (45 hours)
- Counseling theories and techniques (45 hours)
- Group counseling (45 hours)
- Multicultural counseling (30 hours)
- Alcohol/drug assessment, case planning, and management (30 hours)
- Professional ethics and issues (15 hours)
- Human growth and development (30 hours)
Though earning a degree in substance use disorder counseling or a similar behavioral science field isn’t an explicit state requirements for licensure, many of the pre-approved programs offer this course sequence as part of associate degree programs or post-degree certificate options.
You’ll find options that are perfect for any situation, whether you only have a high school diploma or have already earned a degree and just need to complete the required course sequence. These options include:
- Associate of Applied Science (AAS)
- Minor in alcohol and drug counseling that can be earned alongside a bachelor’s degree in mental health and addiction
- Post-degree certificate for candidates who already hold an associate degree
- Graduate certificate program for candidates who already hold a bachelor’s degree
The most practical benefit to earning a full degree is that it significantly reduces the number of supervised work experience hours required for the LADC license. Also, the general undergraduate coursework you’ll take will build other useful skills in areas like communication and critical thinking and give you a better grasp of the social and cultural factors that contribute to substance use disorder.
By fulfilling these educational requirements, you’ll be on your way to becoming a PLADC and eventually a fully licensed LADC in Nebraska.
2. Complete 300 Hours of Supervised Professional Training in the 12 Core Functions
To become a PLADC in Nebraska, in addition to the required education, you must complete 300 hours of supervised practical training under the supervision of a department-approved substance abuse counselor trainer, or a licensed physician or psychologist. (You can call the Oklahoma Department of Health and Human Services at 402-471-4970 to get a full list of approved trainers).
Your training must cover the following 12 core functions, with a minimum of 10 performance hours in each:
- Screening
- Intake
- Orientation
- Assessment
- Treatment Planning
- Counseling
- Case Management
- Crisis Intervention
- Client Education
- Referral
- Reports and Recordkeeping
- Consultation
For every ten hours of core alcohol and drug counseling training completed, you will need to meet with your supervisor for a face-to-face evaluation lasting at least one hour. Additionally, you’ll need to log one hour of individual or group supervision for each hour of paid experience. These supervised hours ensure you gain the necessary experience and skills to effectively support clients in their recovery journey.
If you complete a certificate program, you’ll need to find your own trainer and enter into a period of training on your own time. However, if you choose an associate degree, the program will likely include an integrated practicum that meets this requirement. For example, Metropolitan Community College offers an AAS in Human Services – Chemical Dependency Counseling at its Fort Omaha campus that includes a six-credit, 300-hour practicum.
3. Apply to Become a Provisionally Licensed Alcohol and Drug Counselor (PLADC)
After completing the required education and supervised professional training, the next step is to apply for the PLADC credential in Nebraska. Start by gathering the necessary documents, including proof of education (transcripts or training verification) and verification of 300 hours of supervised practical training in the 12 core functions.
Next, fill out the PLADC application form available on the Nebraska Department of Health and Human Services website. Send the completed application, all required documents, and the $275 application fee to the Nebraska Department of Health and Human Services.
Once your application is reviewed and approved, you will receive your PLADC credential. This credential allows you to gain the necessary work experience for full licensure as an Alcohol and Drug Counselor in Nebraska. The PLADC credential is valid for six years, during which you must complete the required work experience to apply for full licensure.
4. Satisfy Clinical Work Experience Requirements
Once you’ve completed the required education, you’ll begin a period of supervised clinical work experience. This involves direct contact with patients, working under a qualified supervisor who will document and attest to your work hours. Your duties must include direct client interaction, counseling (individual and group), treatment planning, and associated tasks.
The required hours vary based on your education level:
- High school diploma or GED: 6,000 hours
- Associate degree in addictions or chemical dependency: 5,000 hours
- Bachelor’s degree in addictions, chemical dependency, sociology, social work, or psychology: 4,000 hours
- Graduate degree in these fields: 2,000 hours
While working through the required supervised experience for a LADC, you must meet with your supervisor for one hour of face-to-face evaluation for every 40 hours worked. Maintain detailed records of your clinical work experience, including hours worked, tasks performed, and supervision received. Ensure you continue to perform duties related to the 12 core functions of substance abuse counseling.
5. Take and Pass the IC&RC Exam
The next step in becoming a certified substance abuse counselor in Nebraska is taking the IC&RC exam. Here’s what you need to do:
First, you’ll have to download and the Examination Application to the Department of Health and Human Services (DHHS) with your email address. You will have to pay a $100 fee when requesting exam permission. Once approved, you’ll get an email from Schroeder Measurement Technologies (SMT) with instructions to pre-register for the exam through the IC&RC’s online test database.
Follow the link in the email to choose your exam site, day, and time. You can take the exam at any approved testing site including out of state sites. There are 5 approved testing sites in Nebraska:
- Kearney
- Lincoln
- North Platte
- Omaha
- Scottsbluff
To prepare, review the Candidate Guide on the IC&RC website, which covers the exam format and topics.
After completing the computer-based exam, DHHS will mail you your official score report. If you don’t pass, you can retake the exam after a 60-day wait by submitting another application.
Thorough preparation is key. Focus on core areas like screening, intake, assessment, and counseling, and take practice exams. With diligent study, you’ll be ready to pass the IC&RC exam and move closer to becoming a fully licensed Alcohol and Drug Counselor in Nebraska. Good luck!
6. Apply to Become a Licensed Alcohol and Drug Counselor (LADC)
After completing the required education, supervised clinical work experience, and passing the IC&RC exam, you’re ready to apply for your LADC credential in Nebraska. Here’s how you can do it:
Download and complete the LADC application form from the DHHS website. Ensure all sections are filled out accurately and include all necessary supporting documents, such as transcripts, work experience verification forms, and proof of passing the IC&RC exam. Submit the application along with the $175 application fee, unless you qualify for a fee waiver based on age, income, or military status.
The DHHS will review your application, usually within a few weeks. If additional information is needed, you’ll be notified via email and given 90 days to provide the required documents. Once your application is approved, you will receive your LADC credential.
Your LADC credential is valid until September 1 of even-numbered years (Regardless of when you earn it.) To renew your license, you must complete 40 hours of continuing education prior to the expiration date, with at least 20 hours being alcohol and drug-specific. Additional hours cannot be carried over to the next renewal period. Be sure to stay updated with the continuing education requirements to maintain your credential and continue practicing effectively.
Keep a copy of your application and all documents for your records. Congratulations on taking this significant step toward becoming a licensed substance abuse counselor in Nebraska!
Substance Abuse Counselor Jobs in Omaha, Lincoln, and Throughout Nebraska
Nebraska, like many states, faces significant challenges related to substance use disorders, making the role of substance abuse counselors critically important. According to recent data, an average of 720 annual deaths in Nebraska are attributable to excessive alcohol use, highlighting the ongoing need for effective counseling and intervention programs.
In Nebraska, substance abuse counselors have opportunities in various settings, including hospitals, residential treatment centers, outpatient clinics, and community health organizations. Notable facilities offering treatment services include:
- The Bridge Behavioral Health in Lincoln provides residential and outpatient services for substance use and co-occurring mental health disorders.
- CenterPointe in Omaha offers a range of services including crisis response, residential treatment, and outpatient counseling.
- Bryan Independence Center in Lincoln specializes in comprehensive addiction treatment programs.
Substance Abuse Counselor Salary in Omaha, Lincoln, and Throughout Nebraska
According to the Bureau of Labor Statistics (BLS), substance abuse counselors in Nebraska earned a median salary of $58,320 as of May 2023. Entry-level professionals in this field earned approximately $37,350, while highly experienced substance abuse counselors earned about $82,490.Â
- Omaha: As of May 2023, the BLS reported a median salary of $58,320 for substance abuse counselors in Omaha. Less experienced counselors earned about $37,360 during this time, while the top counselors earned $95,380 or more.
- Lincoln: According to the BLS, substance abuse counselors in Lincoln earned a median salary of $59,110 as of May 2023. Those with less experience earned around $36,510, while more experienced counselors earned at least $76,100.
Substance Abuse Counselor Degree Options in Nebraska
If you’re looking to become a substance abuse counselor in Nebraska, there are several degree options available to you. A number of colleges and universities in Nebraska offer certificate programs that meet the educational requirements for licensure. These include Bellevue University, Central Community College, and the University of Nebraska at Kearney, among others.
If you prefer online learning or want to explore options outside of Nebraska, there are also many out-of-state colleges and universities that offer online programs that meet Nebraska’s certification requirements. These programs can provide you with the flexibility and convenience to pursue your education while gaining the necessary knowledge and skills to become a substance abuse counselor.
Northeast Community College
Accreditation: HLC
Online
Undergraduate Certificates
- Drug and Alcohol Counseling Certificate
Southeast Community College Area
Accreditation: HLC
Campus
Undergraduate Certificates
- Alcohol and Drug Certificate
Associate Degrees
- AAS in Human Services with an Alcohol and Drug Counseling Certificate included
Western Nebraska Community College
Accreditation: HLC
Campus
Undergraduate Certificates
- Certificate in Drug and Alcohol Counseling
Associate Degrees
- AAS in Human Services with a Certificate in Drug and Alcohol Counseling included
2023 US Bureau of Labor Statistics salary figures shown here for Substance Abuse, Behavioral Disorder, and Mental Health Counselors. Job growth projections are from the US Department of Labor-sponsored resource, CareerOneStop. Figures are based on state data, not school-specific information. Conditions in your area may vary. Data accessed August 2024.