Recommending level 5 RTC
16-year-old male who presented to PrairieCare Inpatient Hospital as a step up from PHP. When home for the weekend, he had increased emotional and behavioral dysregulation with symptoms of psychosis and was brought to the ED by his mother.
He has a psychiatric history of disruptive mood dysregulation disorder, autism spectrum disorder with accompanying intellectual impairment, intellectual developmental disorder, mild, fetal alcohol syndrome, and ADHD.
This is his second psychiatric inpatient hospitalization; he was attending PHP prior to this hospitalization and has a history of psychiatric outpatient services.
Ancillary Support Service: Individual Therapy
working one-on-one with a psychotherapist.
SBMC-F15-6326
Patient presented to the ED after ingesting a button battery. Surgical intervention was needed to remove the battery. Safety plan competed to allow patient to return home with father. While at school the next day, she hid in the bathroom and broke open a calculator to swallow 2 AA batteries. Hospital admission needed until batteries passed the next day. Acute inpatient MH options explored with no accepting facilities. Remains admitted awaiting residential placement at this time. Father does not feel he can keep her safe at home due to the increased risk of swallowing objects.
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.
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.
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-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.
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