Patient presented to the ER on 11/8 with law enforcement after an argument with his parents for evaluation of suicidal thoughts. Initially, patient was recommended for admission to IP psych, but due to a lack of open beds, he remained in the ER through the weekend. Patient was re-evaluated and deemed stable to discharge home with outpatient follow up as scheduled. Parents have refused to pick him up due to safety concerns for them and the younger children in the home. Benton County was consulted, and a CPS report was made. County placed patient on a hold while looking for alternative placements. Parents reportedly have been working on residential placement referrals.
Ancillary Support Service: Children's Mental Health Targeted Case Management
Children’s Mental Health Targeted Case Management involves coordinating and managing mental health services for children and youth to ensure they receive appropriate care and support.
AH-M6-6272
Behavioral dysregulation in the context of Familial Foster Home, and in care of respite provider. Breaking items in the home environment. Suicidal behaviors “wrapping items around his head”. CPS involved. Working towards residential placement.
PH-F16-6225
Recommending RTC/PRTF.
16-year-old transgender male who presents to PrairieCare Inpatient Hospital due to increased SI and SIB. Patient has a history of several inpatient stays and a significant trauma history.
MCR-F14-5997
Comes from Von Wald 180 degrees after being there almost 5 days, due to her statements about “what would happen if someone died here,” and some fixation on the gas stove causing concern that she would tamper and cause harm to many. She is removed from family home and there are complex family dynamics. She is adopted and is the youngest of 6. Adoptive mom is in TCU level of care and cannot care for her, needing supervised visits, and dad is not able to have contact. CPS and MH workers involved. This week she was certified disabled and hopefully a CADI SW will be assigned soon!
CH8SCH-M10-6113
Presented from partial hospitalization program (Clara’s House) for worsening aggression and self-harm. Has had in-home skills worker and outpatient providers. Was referred to Clara’s House for worsening non suicidal self-injurious behaviors. Recommended residential treatment due to attempting all lower levels of care.
PH-F15-6047
15-year-old female history of depression and anxiety PTSD. Significant sexual abuse by immediate family members. Admitted to hospital after argument with grandma, who is guardian. Patient then tried to strangle herself by placing a 20-foot cell phone cord around her neck. Perpetrator of sexual abuse is out of jail on bail and has cut of ankle monitor. Significant long standing sexual abuse, trauma, and drugs from abuse.
MCR-F16-5994
She had been residing at Von Wald 180 Degrees since May. Big escalation on 8/19 and brought to ED. Unable to return to Von Wald; parents are guardians but unwilling to have her in their home (possibly homeless?) and want to terminate their parent rights. Mom is difficult to get in touch with and wants all communication through her attorney.
PH-F11-5970
Recommending Level 5 QRTP.
11 year old female. Presented to PrairieCare Inpatient Hospital due to increased family conflict and SI. She has had attended PHP numerous times. Most recently she was at PrairieCare PHP and stepped up to inpatient due to an increase in safety concerns. The family and outpatient team were already pursuing level 5 QRTP although were running into funding barriers. She does have a current CMHCM with Anoka County. This youth will need funding from the county to support QRTP admission.
Referrals:
-Avanti Center for Girls
-Gerard Academy
-North Homes
-PrairieCare Residential
PH-F12-5898
Recommending Level 5 QRTP
12 year old transgender male. Presented to PrairieCare Inpatient Hospital due to mood and behavioral dysregulation. He has had multiple inpatient hospitalizaitons.
PH-F16-5956
Recommending Level 5 QRTP/Level 6 PRTF
16 year old female presented to PrairieCare Inpatient Hosptial due to increased SI and SIB. She has had multiple psychiatric inpatient hospitalizations.
Mental Health Collaboration Hub