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Offers therapy that uses animals to treat patients emotionally and physically. The therapy is very effective in treating veterans, autism spectrum disorders, behavioral issues, depression, anxiety, attachment issues, and numerous other common concerns of clients.

Offers community and residential support services to help people learn some or all of the skills necessary to plan, shop for and prepare their own meals, do their laundry, clean their home, and enjoy community events and activities.

Provides medical and cash assistance for customers who are 65 years of age or older, blind, or disabled. Also includes the QMB (Qualified Medicare Beneficiary) program which provides payment of Medicare premiums and some Medicare co-payments.

The online application is called "Application for Benefits Eligibility (ABE)."  When applying, the state will determine the applicant's eligibility for this AABD, as well as SNAP and medical assistance (Medicaid).

Case management, client needs assessment, goal setting/plan development, and assistance to stabilize housing for individuals and families. Services vary and may include assistance with rent, utilities, rental and/or utility deposits, depending upon verification of need and progress being made on goals. Eligibility and re-certification requirements may vary by program.

Limited funding is available and only offered during certain times of the year.

Provides employment, training on using smart phones and computers and other technology for anyone who can’t see a screen clearly, orientation and mobility services, recreational and cultural programs (including audio description services) adapted for people with limited or no vision.

Various Programs include:

-- Tandem Bike Club

-- Bowling League-Golf Clinic

-- Art Programs

-- Social and Recreational Events

-- Employment training and opportunities

-- Training on Adaptive Technology for computers and smart phones

Provides behavioral health services to children, adolescents, and adult Crusader Community Health patients. Integrated behavioral health services enable patients to access mental health and/or substance use services in the Crusader Community Health location of their choice. Behavioral health staff and primary care providers work together to provide collaborative, coordinated behavioral health and medical care. 

Medication-Assisted Treatment is also provides to adults with an opioid or alcohol use disorder.

Offers apartments covered by a Section 8 Housing Assistance Program contract that preserves affordability.

- Wing Schoolhouse: 27 unit family apartment building in downtown Elgin. The property consists of a combination of studios and rooms with 1-3 bedrooms. The apartment building has on-site parking, landscaped grounds, an outdoor playground, and a laundry room.

- Elgin Manor: 100-unit senior property.

Appointment website opens mid-January 2026

Tax preparation for low and moderate income taxpayers of all ages, with special attention to people 60 and older during tax season (Feb 1-April 15).

Offers a program for parents and youth individuals ages 10-14 to work together and build relationships. Participants will practice skills, play learning games, and do family projects in highly interactive sessions. Sessions are designed to increase family bonding, build positive communication skills, and solve problems together. 

Christmas gifts and food in partnership with county partners.

For Christmas 2025:

As of 11/20/25, no longer accepting applications but community members may still call and see if the office might have extra gift cards to Dollar Fresh and Family Fare grocery stores in Richardson County for food for the families (distributed on December 14th).

[For Christmas 2024:

Holiday Gift and Food Basket applications may be picked up at the SENCA office in Falls City or Humboldt, starting October 28th, 2024. No applications will be accepted after November 15th at 4 pm.

For any questions, call the SENCA office: Humboldt number is (402) 862-2411; Falls City number is (402) 245-5284.]

Provides county offices for the community.

Provides skilled nursing services to persons in their home.

Services provided include

- Home Health Aide: Assists with hygiene care, teaches patients and/or caregivers how to safely bathe and groom the patient, obtains vital signs, looks for abnormalities in skin turgor, and reports any abnormalities.

- Nursing Care: Complicated wound care, IV therapy (including PICC line care and removal), blood testing, staple/suture removal, injections, pre-fill insulin syringes, diabetes education, medication instruction, ostomy and gastrotomy instructions and care, tracheostomy instructions and care, etc.

- Physical therapy.

• Speech therapy.
• Occupational therapy (to re-teach basic living skills).

Offers gently used clothing and household items. 

Offers a 24 hour Mobile Crisis Response Team. Anyone experiencing a mental health crisis can call to have the Mobile Crisis Unit dispatched.

Provides information, assistance, and referrals for challenges seniors face with independent living.

Assists seniors with Medicare enrollments and Part D changes (SHIP), Medicaid enrollment and recertification, SNAP applications, LIHEAP applications, and referrals to community programs that would be useful to seniors, including food assistance, mental health needs/counseling, transitioning to senior housing, assisted living, or skilled nursing facilities.

Offers educational program to assist men who abuse women to understand their acts of violence, to learn skills for nonviolent behavior, and to understand the cause of their violence by examining other factors that influence the choice to be violent.