CH-F14-5404

Patient presents from group home. Patient is known to our ER and previously boarded 12/3/24-1/7/25. Patient presents after engaging in aggressive behavior that reportedly included verbal threats and chasing them with a shovel. She has had episodes of aggression with staff in the ER and has been targeting another patient that is boarding. The group home has provided a suspension of services and plans to submit a termination of services. County case worker has been making referrals and looking for crisis respite placement. She will likely need a home created for her.

MFIUP-F13-5535

Pt presented to the FV Riverside ED on 3/17/25 from school for agitation and aggression in the context of being questioned by school security about misusing her medications (which was reported to school by her guardian). She has remained in the ED boarding awaiting placement at a residential facility as guardian/aunt has not felt safe to have her return home. In the ED, she has had multiple behavioral codes, has been aggressive to staff, and has self injured. Given her out of control behaviors and the ED’s inability to manage her, she was admitted to UMMC unit 7ITC on 4/11/25 as a boarder while she awaits placement. Significant symptoms on the initial presentation include irritability, aggression, out of control behaviors, impulsivity, and SIB. Was previously admitted to Nexus-East Bethel but assaulted staff so unable to return.

PH-F15-5528

Recommending Level 5 RTC/QRTP
15-year-old female who presented to PrairieCare Inpatient Hospital due to a conflict with her mother leading to an increase in SI.
She was living in a group home for 2 years until approximately January 2025 when she returned home to her adoptive mother.

The JST through Faribault County occurred on 4/16/25. The county did not make a determination whether they support or deny QRTP for this youth at the conclusion of the meeting and discussed they would like to keep this determination open. The county is wanting to pursue shelter and corporate foster care for this youth.

This youth does have a scheduled admission to Nexus Gerard Academy RTC on 4/19/25 pending approval of county funding.
This youth was also accepted to Avanti Center for Girls RTC pending approval of county funding.

AH-M13-5387

Patient and family unhoused, staying in shelter. Due to a behavioral incident of aggression, patient unable to return to shelter. Family unwilling to pick patient up from ED. Hennepin County now granted interim custody. Shelters unable to accommodate patient’s needs. Patient does need help with some cares and activities of daily living.

PH-M16-5290

Patient is a 16 yo male with history of DMDD, ADHD, GAD, and MDD. Patient has a history of at least 8 inpatient hospitalizations in the past seven years and has also participated in multiple outpatient programs. Stressors include family conflict, housing insecurity, and school.

PH-F12-5305

Patient is a 12-year-old female, currently at PrairieCare Inpatient Hospital.
Recommendation is for level 5 QRTP. Patient’s mother is requesting PrairieCare Residential – patient has been accepted. Waiting for JST through county to obtain necessary funding.
Patient would be able to discharge to a lower level of care while awaiting admission to a QRTP, although she does not have a current placement through the county.
Patient was recently at inpatient through UMMC for 38 days waiting for a placement through the county.

She was admitted to PrairieCare Inpatient Hospital on 2/2/25 due to an increase in suicidal thoughts. She has a known history significant for MDD, GAD, and PTSD.

PH-F14-5154

Psychiatric history of Major Depressive Disorder, Generalized Anxiety Disorder, and Oppositional Defiance Disorder. Patient has two prior inpatient psychiatric hospitalizations in October 2024 and December 2024. Patient has a history of partial hospitalization programming in October 2024. Patient presented to PrairieCare through the ED following a suicide attempt and increasing behaviors at home. The current recommendation is for residential or PRTF..

CH-F14-4594

Patient presented to the Emergency Trauma Center at St. Cloud Hosptial with aunt. Patient presented after being on run from NW Passages in Wisconsin. During times of elopement, patient is known to spend time at the home of a person known for drugs and trafficking. Patient has a county mental health case manager that is working to make referrals for appropriate levels of care. Patient has a history of aggression towards their aunt. Patient does not have any contact with biological father as he is incarcerated and limited contact with biological mother. Parental rights have not been terminated, but patient’s aunt has physical and legal custody. Patient is very vulnerable and has no insight into the unsafe nature of his behaviors.

AH-M16-5148

The patient has a history of ADHD, disruptive mood dysregulation disorder, anxiety, and PTSD. Last night he became frustrated at residential treatment facility- Bar None, kicked a door with his right foot, and put a shoestring around his neck out of frustration. He states he was not trying to hurt himself and did not intend to hurt himself. Bar None completed an administrative review and will not allow his return.

PH-M15-4994

Psychiatric history of autism spectrum disorder, anxiety, and ADHD, with no prior psychiatric hospitalizations, with no prior reported self-harm, with no prior reported suicide attempts, who presents to PrairieCare due to safety concerns after patient jumped out of his window to run away(he hurt his leg, and was found semi-hypothermic in water) due to anxiety about an upcoming court case regarding him lighting his house on fire with his family inside last month.