Kiddo came to our ED on 2/13/25 from a foster home. Foster parents are refusing to take back at this time. Has boarded in our ED in the past, 2/13/24-3/27/24. County has since taken over custodianship. Pt also has tribal involvement and has CADI waiver. Was previously in residential for a year and that is not the recommendation at this time, primarily searching for waiver paid placements. Not wanting to pursue hotel crisis. Nexus YCT has intake scheduled for their placement coordination.
County: Dakota
MHF-F14-5169
Kiddo boarded in our ED from 11/18/24-12/18/24 after being discharged from JEC Miller GH. JEC Miller took her into a temporary placement in an apartment setting while County worked toward another permanent placement. On 1/19/25 she returned to our ED after ingesting glass and was sent to our medical floor, where she is currently boarding. County team is looking into placement options- primarily crisis respite. On CADI. Working on Nexus YCT referral to assist with placement coordination.
PH-F15-5000
Previously diagnosed with depression, anxiety, PTSD . Numerous admissions to psychiatric hospitals and Emergency Departments because of suicidal ideation, suicide attempts and self-injury. History of CPS, county mental health case managers and crisis services. Plan to jump off a bridge. Self injury has included cutting, scratching, burning and head banging.
AH-F13-4837
Admitted inpatient after running away twice from home and expressing HI towards her brother. This all occurred shortly after being discharged from M Health Fairview MICD residential treatment. She was discharged from Fairview due to threatening a peer. In the last year she has been engaging in high-risk behaviors including but not limited to substance use, fighting peers at school, theft from peers and stores, and making allegations against others (peers and family) that have not been substantiated.
EHS-F16-4792
Patient is a 16-year-old girl with history of mental illness who was brought to the emergency department from port group home where she has been residing for about 5 days. Patient states that she was in juvenile detention immediately prior to going to the group home. Patient has been prescribed psychotropic medicines in the past, but is not currently using any medications. Recommendation from probation officer and county social worker is juvenile detention center or psychiatric inpatient hospitalization pending long term psych placement. However, LE states they can’t bring her to JDC as she has no charges that would make that appropriate at this time without order from probation. Pt has been aggressive, verbally and physically while in the ED. She has eloped on multiple occasions and has attempted to harm herself.
CH-M15-4753
Pt presented after eloping from foster placement. Needing long term placement. Difficult placement with history of substance use, possible gang affiliation, elopement, substance use – THC, nicotine.
PH-F16-4545
Recommendation is now for level 6 PRTF. Patient is currently in psychiatric inpatient hospitalization.
Patient is a 16-year-old who identifies as non-binary using they/them. They presented to inpatient from ED due to increased SI. This is patient’s 14th psychiatric inpatient hospitalization. They have participated in outpatient services and PHP historically.
Patient was initially recommended for level 5 QRTP by inpatient providers although Dakota County recommended level 6 PRTF.
Discharge Plans:
PRTF (county determination/recommendation – DHS approved)
-Nexus East Bethel (referral submitted & under review)
-Grafton (not an option as they do not meet admission criteria)
-Northwood (referral submitted; two year waitlist)
RTC: (county declined funding for level 5 QRTP, recommended Level 6)
-Avanti (declined)
-Gerard (referral sent, unable to move forward due to lack of funding)
-North Homes (referral sent, unable to move forward due to lack of funding)
Established outpatient providers:
Individual Therapist: Your Vision
Psychiatrist: Associated Clinic of Psychology
PCP: Allina Healthcare
CMHCM: Dakota County
PO: Dakota County
MHF-M9-4600
Came to ED 9/13 after Dad reported pt was threatening. Family came from out of state recently, have been homeless in MN, living in their car. CPS involved and took temp custody of pt effective 9/17. CPS looking for foster care/shelter placement for kiddo and sibling. Referral made for Nexus YCT.
MHF-F8-4597
Came to ED 9/13 after Dad reported pt was threatening. Family came from out of state recently, have been homeless in MN, living in their car. CPS involved and took temp custody of pt effective 9/17. CPS looking for foster care/shelter placement for kiddo and sibling.
PH-F10-4549
Recommendation for level 5 QRTP or level 6 PRTF. Patient is currently in psychiatric inpatient hospitalization.
Ten-year-old female patient with a history of in utero exposure and early childhood trauma and attachment concerns, with a historical diagnosis of FASD-Alcohol-Related Neurodevelopment Disorder (ARND). Patient presents with emotional dysregulation, violent threats and aggression, as well as passive suicidal ideation. Patient has been hospitalized multiple times and participated in several outpatient services.
Discharge Plan:
RTC (recommendation letter sent to CMHCM who is requesting county screening meeting)
-Nexus Gerard (referral sent, reviewing, will hear back week of 9/2)
-Northwood (referral submitted, next opening end of year, will review for acceptance at that time)
-North Homes (declined due not have staffing to meet needs related to aggression, SW requested reconsideration; declined 8/21)
PRTF (PRTF eligibility form sent to DHS 8/16)
-Nexus East Bethel (referral submitted w/PRTF eligibility approval 9/4)
-Grafton (referral submitted w/PRTF eligibility approval 9/4)
Bridging with Day tx
-Catholic Charities (referral pending although may not consider d/t RTC rec, IEP sent, 8 person WL)
Current Providers:
Med Management- Mayo Clinic
CM- Dakota County
CADI waiver- Dakota County contracted provider
CTSS