12 year old, history of trauma with subsequent depression and anxiety ADHD and anxiety. Multiple treatment interventions at PHP. Patient reports that depression has been worsening over the last several months and has becoming more difficult to manage. Patient reports ongoing suicidal ideation and difficulty thinking about anything in the future that would be of benefit. Patient reports ongoing mood disorder low mood low energy reports difficulty with school reports anxiety.
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County: Hennepin
PH-M15-4994
Psychiatric history of autism spectrum disorder, anxiety, and ADHD, with no prior psychiatric hospitalizations, with no prior reported self-harm, with no prior reported suicide attempts, who presents to PrairieCare due to safety concerns after patient jumped out of his window to run away(he hurt his leg, and was found semi-hypothermic in water) due to anxiety about an upcoming court case regarding him lighting his house on fire with his family inside last month.
MHF-M13-4917
Youth came to our ED 11/30 after an altercation in the car with adoptive parents and suicidal threats. Has been to Northwoods PRTF for year and Leo Hoffman PRTF for 6 months, which were not successful. Team is exploring possibility of return to Northwoods. Previously had a waiver through Morrison County but current dispute between Counties about where Case Management for that waiver will be- Hennepin County is digging into this, and plan to explore waiver placements once sorted.
MFIUP-M13-4967
History of present problem: pt endorsed SI and having thoughts/plan to slit his wrists with a knife, which he has access to at his dad’s house, and endorsed self harm via cutting in recent past. Pt reports feeling isolated due to lack of consistent phone connection.
**Aggression is verbal and throwing objects (no contact)
**MnCHOICES Assessment referral made
**Psychiatry scheduled at BHSI – Brooklyn Center
MHF-F16-4907
Came to our ED on 11/28 following and altercation at home with Grandma who is custodian, that led her to eloping 11/27 and then was picked up by police. Grandma is refusing to let her return. CPS is getting involved as family situation is complicated and not ideal. Previously boarded in our ED 4/24-5/29. Has previously been denied by most residential programs. Needing an updated DA- which County and our team are trying to work on, but due to previous residential denials are not confident this will help with placement. Has CMH worker.
GC8S-M10-4890
Patient was at school when he began having hallucinations, pulled his hood over his face, then ran into a concrete wall. He was admitted to Gillette for medical management of his bleed needing surgery to repair. Initially he was calm and not demonstrating behaviors then once he was fully off all sedation, he began showing his behaviors. He verbalized thinking everything is poison so he wouldn’t eat or drink, hearing and seeing things that are not there, extremely anxious and afraid. He needed physical holding for safety this am due to behaviors that put him at risk for his safety and others in the room. Patient has a history of this behavior prior to this incident. Strong family history of schizophrenia, this is currently in question for patient. Have connected with Children’s, Abbott and Prairie Care for possibly inpatient psych placement and med management.
NMH8R0MGH-M13-4848
Patient was placed in residential treatment for one year in 2022-2023 from the ER. Grandmother/legal guardian does not feel safe with patient in her home as he has been physically aggressive with her, she is declining to pick him up from the ER and wants out of home placement. Per Grandma, he was successful in the home following residential treatment, however, this year his aggression has become worse. Community case manager has been unsuccessful in securing placement.
HCMCED-M11-4844
On 11/14/24 the patient’s foster parents brought him to HCMC APS after he was discharged from Children’s Hospital St Paul because of his aggressive behavior. When in APS the patient began hitting his foster mom and becoming increasingly agitated. Security had to assist in transporting the patient to an emergency department bed, where he was then put into restraints for his and others safety. He was given sedative medications, IM.
The patient has been in foster care since he was 7 years old. He was physically and emotionally abused by his biological mother. He has been hospitalized at Fariview inpatient pediatric psych for a year, where he was then transferred to a residential treatment center. He has been with his current foster parents since August 7th, 2024.
HCMCED-M11-4841
The patient presented to HCMC emergency department on 11/13/24 with police after running away from home. He is still currently in HCMCs emergency department. He was found on a metro transit bus where he became agitated, fighting and fleeing from officers, making suicidal comments. When in the emergency department the patient significantly agitated, pacing room, yelling. He began destroying hospital property and was physically restrained by security and placed in pediatric violent restraints. He repeatedly shouted, “just kill me” and threatening harm to self and staff. He has been angry and agitated about his situation at home. When he doesn’t get his way with his mother, he acts out, runs away from home, and he places himself in danger as he is impulsive and does things that place himself at risk. The patient was given sedatives for the agitation and heightened state on two different occasions so far.
Presented to the emergency department at HCMC on 11/9/24 for suicidal ideation. The patient ran away from home two hours prior to arrival at the ED. He was encountered by police and was very upset, refusing to go home because he did not like it there. Made suicidal comments, prompting PD to bring patient to the ED. Patient currently is adamantly denying any suicidal attempts this evening. He endorses self-harming in the past by punching himself in the head, no self-harm tonight. He reports that he feels safe at home, but that he does not want to be there because it is boring.
He was at an inpatient psychiatric from 9/6/24-9/24/24, which was his first inpatient hospitalization. The patient was brought in by ambulance from school after an aggressive outburst. Patient was verbalizing suicidal thoughts. He was aggressive in school and required ketamine and restraints during transport. Patient presenting with episodic episodes of dysregulation of such magnitude that he requires multiple psychotropic medications as well as physical restraints to calm him down for his safety and that of others.
MHF-F15-4766
This kiddo came to our ED on 10/21 because she did not have any other placement. County currently has custody. She was previously at Niama House where she had physical aggression toward staff on 10/19. They brought her to the ED on 10/21 and discharged her from their program. She previously boarded in our ED from 4/25-6/20, also due to needing placement.