Mental Health Collaboration Hub
Youth came to our ED this time on 2/21 after physical aggression at his GH where he injured staff. This is the 3rd time he has boarded with Fairview in the past month. The GH has taken him back previously however are reluctant this time and are considering an immediate suspension but may be willing to take him back one more time with additional supports. Trying to get started with Youth ACT for additional support, they are reviewing but have concerns related to DD and if they are a proper fit. County is also trying to pursue CABHH and PRTF simultaneously as they feel he needs a higher LOC but have not gotten acceptance. Was previously at Northwoods PRTF for 1.5 year. Looking for any additional supports that could be offered to this youth in the GH to make it successful. Currently has 3:1 staffing at the GH, psychiatry, therapy multiple times per week, has had MCCP behavioral analyst in the past and another referral is being made there, seeing if he may qualify for Youth ACT, and if not ACT looking to connect him to MIDB for psychiatry.
County: Dakota
MHF-M14-6458
Youth came in to our ED 1/8 after altercation at his Group Home where he has 3:1 staff. Initial recommendation was IP but he was denied by several units. He stabilized while waiting in the ED and the recommendation changed to discharge. Struggling due to sensory needs and the environment of an ED. GH is likely going to take him back once they can figure out staffing and some modifications. Looking for potential ideas to further support this youth in the community. Referral being made for youth ACT team but unsure if he will be accepted due to DD diagnoses. Has DD waiver and CM.
PH-M16-6335
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.
MHF-F13-6222
Youth came into our ED on 10/8 after altercation at placement and she can not return there. County is working on getting an updated DA completed while here for recommended care. Has CADI waiver open currently. Guardian is through Mille Lacs Band. This is her 8th time boarding in our ED. Referrals have been made to CABHH, MORA and some group homes.
PH-M12-6065
Recommending RTC. Will need county funding.
12-year-old male presenting to PrairieCare Inpatient Hospital due to an altercation with his mother after not wanting to go to school. Following this altercation, his mother found a suicide note. He is a history of depression, anxiety, PTSD, mood/dysregulation resulting in intrusive SI. This is his 2nd psychiatric inpatient hospitalization. He has engaged in PHP and outpatient psychiatric services.
Discharge Plan as of 9/9/25:
– PrairieCare
– North Homes
– Gerard
AH-F15-6102
The Guardian/Dakota Cty are planning for residential treatment for pt and she is indeed currently court ordered to remain hospitalized until this is located. She does not need inpatient level of care but here is no safe discharge location. History of sex trafficking and was recently picked up with a known trafficker. It was verbally reported that pt had a DA in July that recommended a level 6 placement and that CM was working on a facility in Arizona. Will ask for confirmation and documentation as hear from CM and request list of referrals, assist as able.
MHF-F13-6075
Youth came to our ED on 9/4/25 from a group home after reportedly ingesting extra medications. It’s unclear how she got the medications, but her custodian does not want her returning to the home at this time. IP was initially recommended however she was declined from multiple IP units due to feeling there would be no benefit from IPMH and due to her acuity. She has since stabilized while waiting in the ED, and is now being recommended for discharge. This is this youth’s 7th time boarding in Fairview EDs. There is a tentative placement set up for the 22nd, looking for potential interim plans.
MHF-F13-5959
Youth came into our ED on 8/9, discharged from her crisis home. Previously boarded at FV in both the ED and then our IPMH unit from 3/17/25-5/5/25, and has boarded on our IPMH unit before that as well. Crisis home has terminated pt from their home. Has been denied by many PRTF and RTC facilities due to behaviors/aggression, in and out of state. Has waiver but County reports that her needs are too high for most waiver placement options.
MHF-M10-5723
Youth came to our ED 5/28 from home after an escalation. Mom unable to take him back currently. Dakota County CPS has a custody hearing today, 6/4/25. If given custody, they will be working on foster/shelter placement and kinship. All have been explored in the past for this kiddo, but previously denied due to behaviors. Kiddo has trauma history and does very well in school, only behavioral at home. Unsure if there is a current DA- team is looking into it. Its reported by CPS that they tried to get CMH CM for kiddo 4 months ago but that was denied. No waiver currently.
MHF-F13-5407
Kiddo came to us on 3/17 from residing with aunt who adopted her, and aunt is refusing to let her return. She has previously been in PRTF and has a felony assault charge that she was deemed incompetent for via a rule 20. Due to that most placement options have declined her. She has a CMH CM and the County team is exploring getting MNchoices expedited to look at waiver placement options.