Geriatric Psychiatry Inpatient Services

Fremont Health’s overall Vision for inpatient psychiatric services:

  • Help meet critical mental health needs in our area, region and state;
  • Work collaboratively with adult and geriatric care providers to raise awareness, improve access to care, and de-stigmatize mental illness; and
  • Utilize existing Medical Center facilities to contribute to the specialties offered by and stability of Fremont Health as a community healthcare organization.

Geriatric Psychiatry Defined:

Emphasizes the biological and psychological aspects of normal aging, the psychiatric effect of acute and chronic physical and mental illness, and the biological and psychosocial aspects of the pathology of primary psychiatric disturbances of older age. (American Psychiatric Association)

Demonstrated Need:

  • It is estimated that 8 – 15% of community-dwelling elderly have clinically significant depressive disorder symptoms. These rates are considerably higher in primary care settings, general inpatient hospital units, and nursing homes.
  • Approximately 38% of individuals 85 years or older have at least moderately severe cognitive impairment.
  • Anxiety symptoms have been reported as high as 40%.
  • It is estimated that paranoid or other psychotic symptoms can be found in 11% of the elderly population.

Source: National Institutes of Health


  • Maximize quality of life and functional for the older patient.
    • Whether or not they have previously experienced mental or cognitive health issues, the common feature of older patients is a lifetime of accumulated experience. So with help, they can adapt to change and improve their level of functioning.  (Dr. Helen Kales)
  • Evaluate, diagnose and treat mental and cognitive health issues in older adults.
    • i.e. symptoms of depression can be triggered by life events, medical issues and/or medication side effects. 

Our processes:

  • Special Admission, Continued Stay and Discharge Criteria.
  • Special training for and understanding of older adults’ physical, emotional and social needs.
  • Specific and age-appropriate evaluation and assessment.
  • Medications – knowing when they can help and when they can’t.
  • Psychotherapy – individual, family and group.
  • Teamwork with the older adult’s other healthcare professionals, family and community resources.
  • Active nursing facility consultation service.
  • Commitment to be an on-going resource and solution for regional referral sources, not just when they need admission.

Fremont Health
Behavioral Health - Inpatient Unit
450 East 23rd Street
Fremont, NE 68025