Mental Health Collaboration Hub
According to hospital collateral, pt is a 16-year-old female with historic diagnoses of depression, OCD, and binge eating disorder who is currently taking Fluoxetine, Guanfacine ER, and Hydroxyzine and presents today to address increased SI w/ a plan to either lay on railroad tracks or jump off the silo at her ftr’s house but hasn’t found the right time. Pt also has been engaging in SIB via cutting. Pt has been engaging in suicidal bx’s most days. Recently, mtr attempted to file for full custody but was told to go to family court. She then proceeded to kick pt out of her house and told her she wanted nothing to do with her. Pt did have a children’s mental health case manager from Hennepin County, but biological mtr no longer wanted pt work w/ her and discontinued services. After completing paperwork, pt declined to meet w/ writer. According to LG, “she would spit out her medications after her caregiver would give it to her. She thought it wasn’t working, and she stopped taking it and thought it would be better. She has issues w/ her mtr and her mtr has her own issues. She told patient that she wanted to pt her in foster care. I pretty much raised her on my own.”
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.
CH8SCH-M14-5911
Patient presented from home where he lives with his mother. Patient was in residential treatment and group home from June 2022 until February 2025.
Patient has had several ER visits for aggressive behavior towards mother since returning home in February. Patient’s behaviors at home target his mother. He has engaged in eloping from home, stealing from neighbors in the apartment complex. Patient’s mother is struggling with her own mental health as a result of patient’s behaviors and does not feel safe with patient returning home.
PH-M15-5886
15 year old male with increase in arguments at home and sharing that he no longer wants to be at home and wants to live with a different home. Had barricaded his bedroom door, left out window with intent to keep walking without food or water with intent to die. Ongoing, some passive SI and aggression towards siblings in the home.
Has previously completed outpatient therapy, psychiatry, PCP, CMHCM, PHP, residential treatment, multiple inpatient hospitalizations at PrairieCare (3 in 2025).
PH-F12-5898
Pt reports since his last inpatient stay with Prairie Care, “it was going good.” Pt reports this current inpatient admission is for his behaviors and denied SI, SIB, or HI. Pt reports stressors of “just the fact that I’m not listen to by my mom.” Events bringing pt back to Prairie Care for inpatient admission is as follows: pt had thumbtacks in his room to put up things. When parents found out about the thumbtacks, they took these away as pt has a history of self harming with them. Pt became upset and had a behavioral outburst of kicking and punching things in the home. Parents became concern for their safety and called 911. Once law officers arrived, mother wanted pt to be evaluated and pt was brought to an outside ED for further evaluation.
PH-F10-5904
Pt is a 10 year-old female with historic diagnoses of anxiety, depression, ODD, specified neurodevelopmental disorder who presents today to address running away from home. Upon interview pt was observed to be easily distracted and appears to be guarded. Pt was resistant to the interview stating, “I don’t want to answer any questions.” After roughly 5 minutes pt refused the interview process leaving the room and forcefully pushing the door close with writer still in the room. Writer could hear pt yelling and laughing from the hallway “she’s locked in there” and “I locked her in there”.
Mother reports pt has been running away from home and putting herself in dangerous situation. Mother reports pt was sexually assaulted during one of her runaways. Mother reports pt’s motive for running away this time was to get on an airplane. Mother stated due to pt’s behaviors, pt has been hospitalized 3 times within one and a half weeks. Mother reports pt’s mental health is worsening. Mother reports pt struggles with authority figures and being held accountable. Mother states they use to have structure and routine in the home and is trying to incorporate it into the home again but when pt is held accountable, pt will threaten mother and think mother is “being mean.”
PH-F15-5890
Presented to ED after a verbal altercation with mother and expressed a suicidal plan to walk into traffic. History of cutting, scratching, elopement behaviors.
PH-F14-5760
Youth stepped up to inpatient from PHP setting. Current admission is this youth’s third inpatient stay this year. Additionally, this patient has two historical PHP admissions and reports ongoing suicidal ideation and urges for self-harm.
PH-M13-5662
Youth (he/Him) came to hospital after significant self harm at home. Self harming at school. Suicide attempts recently. Ongoing self harm at the hospital. Struggles making friends, feels isolated at school. Resides with Dad, dad is guardiann.
PH-F15-5562
Patient is a 15-year-old female, currently at PrairieCare Inpatient Hospital.
Recommendation is for level 6 PRTF.
Patient has had five previous inpatient hospitalizations through Abbott Northwestern and PrairieCare since April of 2022. Patient has had two admissions to PrairieCare partial hospitalization programming, and one admission to Anthony Louis Center RTC.
Establish PRTF:
-Nexus East Bethel (CMHCM sent referral, PC also sent a referral, declined for admission 04/16 due to believing PT needs a higher level of care- CABHH)
-Northwoods (Not a viable option due to insurance and 2 year waitlist)
-Grafton (Not a viable option due to patient not meeting admission criteria)
-Leo Hoffmann Center (Not a viable option due to patient not meeting admission criteria- only accept biological males)
PH-F12-5504
Patient is a 12-year-old female, currently at PrairieCare Inpatient Hospital.
Recommendation is for level 6 PRTF.
Patient would be able to discharge to a lower level of care while awaiting admission to a PRTF, although she does not have a current placement through the county.
Patient has had a previous inpatient hospitalizations, through UMMC for 38 days waiting for a placement through the county and
PrairieCare Inpatient Hospital 02/02/2025-03/17/2025. Patient was admitted to PrairieCare Residential 03/17/2025-03/20/2025 although was stepped back up to inpatient due to safety concerns.
She has a known history significant for MDD, GAD, and PTSD.
SEE UPDATES BELOW
Establish PRTF:
(eligibility form sent to AFMC on 3/26)
-Nexus East Bethel (referral sent & under review)
-Northwood (referral sent, pt’s mother revoked consent on 4/10 due to distance)
-Leo Hoffman (not viable option due to only male patients)
-Grafton (not viable option due to needing ASD, ID, or DD)
