Runaway to Ohio. Retrieved by case management and HHS team with their Native American tribe. Escorted to Newport Academy. Transgender status – was allowed to be assigned to male cottage initially, but transferred to female cottage for not following boundaries in place for clients in cottage. After told of the move, patient eloped from campus. Later returned, but refuses to move to female cottage. Eloped again later the same day, with another client and found alcohol in dumpster and ingested this. Is stating they are going to do whatever they can to get kicked out. Needs higher level of care that Newport is able to provide. Needs secure place to prevent from running away again out of state or elsewhere.