Patient was adopted 2 years prior from Bulgaria. Initially, patient had very odd behaviors. For example, he would like his adoptive dad to be present in the bathroom when he went to the bathroom and showered. Parents state his behaviors have escalated. He has tried to masturbate the dog. He draws pictures of men with erections. He has exposed his genitals to his siblings. Purposefully incontinent of stool at tines. He has killed a Chinchilla and possibly several cats. He has tried to strangle the dog. They found sharp objects including a razor and sharp screwdriver under the bed. He did cut the top of his left hand but states this was an accident. Adoptive mom states they have a special needs child and patient has tried to harm this child. Parents are worried about safety within the home and are unable to bring him home at this time.
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.
HCMCH-F16-2188
Update: DC’d to Anthony Lewis 11/20.
16 y/o F with a significant opioid use disorder and passive SI. Self-presented to APS wanting CD tx. Hx of 3 serious overdoses.While in APS, She has been calm, cooperative, and engaged. Suboxone was started and is tolerating it well.
RMC-M11-2238
Ward of the state-currently under Wright County Guardianship. Parental rights have been terminated. History of aggressive behavior with homicidal and suicidal comments towards multiple people/on multiple occasions. On 11/15/23, patient was sent to a “calming room” at his school due to throwing a ball at another students face. This caused him to miss out on an outdoor activity that he wanted to attend. Patient was upset and punched one of his teachers (mental health support services personnel) in the nose, causing a broken nose. Had been living with bio-grandparents prior to this incident. He has been removed from foster homes in the past due to homicidal threats to the foster parents/others in the home.
HCMCH-M17-2004
Update: Accepted by PrairieCare but waiting on funding. looking for respite while waiting.
A 17 year old, African American, assigned male at birth. He identifies with “both” genders (boy and girl) equally. Alternates between male and female persona. Medically stable and boarding on Pediatrics while awaiting placement disposition. History of being bullied.
Approaching his cluster of symptoms from the lens of comorbid autism spectrum disorder and mild intellectual developmental disorder is likely to lead to better treatment adherence and response to intervention.
Given his intellectual concerns and history of emotional dysregulation, the patient would benefit from residential treatment. Such a treatment facility should have access to mental health resources, independent living skills training, and regular recreational and social-emotional supports.