Youth stepped up to inpatient from PHP setting. Current admission is this youth’s third inpatient stay this year. Additionally, this patient has two historical PHP admissions and reports ongoing suicidal ideation and urges for self-harm.
County: Hennepin
AH-F15-5741
Was residing at Meridian crisis home; filed notice of service termination. County has guardianship and has no other alternative housing. Will need updated DA with recommendations for level of care beyond mental health group home.
PH-F14-5713
Youth (he/him) stepped up to inpatient from residential following a suicide attempt. This is youth’s third inpatient stay this year. Youth struggles with ongoing suicidal ideation and urges for self harm. Currently on 1:1 monitoring for safety.
AH-M15-5556
Impression of Crisis Behavior (precipitants): Patient presented to the ED due to agitation and SI. The identified precipitant for this crisis is a verbal and physical argument with his mother and her boyfriend at the home. Patient was released from the JDC to home on 4/5/25.
Vulnerabilities: adolescent, ASD, h/o trauma, recently released from JDC, parent-child conflict, inadequate outpatient supports
Behaviors / Symptoms to address in the ED: deferred
Methods to increase desirable behaviors in the ED: meet basic needs, set behavioral boundaries/limits,
Barriers to Discharge include: At this time, patient is NOT felt to meet criteria for inpatient hospitalization. There are no new acute safety needs that warrant admission. His mental health concerns are chronic and environmental.
Mom is refusing to take him home, JDC won’t take him back as there are no new charges and he has no place to go. CPS is investigating allegations of abuse by parents and child but are not seeking placement. Mom does not consent to use of a shelter or Nexus YCT.
MHF-F11-5677
Youth came to our ED 5/18 after physical altercation at home with adoptive mom and family. Has been expelled from school due to aggression also. Adoptive Mom reports no therapy or mental health services, besides medication management, in last 5 years, and has never had out of home placement. Referral was made for a DA and for CMH CM. Parent referred shelters that accept pt age declined. CPS is inquiring about other family to care for pt. Currently no County CMs that can authorize OOHP.
MHF-F17-5573
Youth came to our ED 4/17 from group home, who are not allowing her to return. Stearns County has custody currently and there is a CPS worker as well as ICWA advocate. No waiver currently. Had a SUD assessment that recommends residential treatment and she was agreeable to that, however no acceptance at programs yet and wait lists for those also. CPS is exploring shelter and kinship options. Was denied by Red Lake shelter and Ain Duh Yung.
MHF-F13-5650
Youth came into our ED on 5/12 after child/parent conflict at home with adoptive parents. Parents are not wanting her to return home. Kiddo has boarded with us before, 3/4/25-3/14/25. Just opened to CADI, and has CMH CM. Last DA was level 3 CASII, OP therapist is reportedly working on updating the DA.
HCMCH-F13-5634
13-year-old female with a history of autism spectrum disorder, oppositional defiant disorder (ODD), attention-deficit/hyperactivity disorder (ADHD), major depressive disorder (MDD), and traumatic brain injury (TBI).
On 4/23/25 according to EMS, the patient had an argument with her mother around 5:00 PM today and subsequently left the home abruptly.
This is her second time boarding in APS; she was admitted two weeks ago and remained for two weeks while in-home services were being arranged. She was discharged but returned due to elopement and aggressive behavior toward her mother.
During her previous admission, she was referred to CABHH but placed on the waiting list. She has also been referred to Beacon for respite care and has been on the waiting list at Grafton for over a year.
MHF-F14-5621
Youth came into our ED on 5/6 from the Bridge for Youth shelter. Shelter refusing to take her back. She has boarded with us before for a short time last June. Currently has CADI and CMH, both through contracted agencies. Unable to access County screening team due to contracted CM, so MH GH and residential are not options currently. MCCP referral is in, also have referral to CABHHS and Grafton- awaiting approval from Arkansas Foundation and for acceptance at the program.
PH-F12-5504
Patient is a 12-year-old female, currently at PrairieCare Inpatient Hospital.
Recommendation is for level 6 PRTF.
Patient would be able to discharge to a lower level of care while awaiting admission to a PRTF, although she does not have a current placement through the county.
Patient has had a previous inpatient hospitalizations, through UMMC for 38 days waiting for a placement through the county and
PrairieCare Inpatient Hospital 02/02/2025-03/17/2025. Patient was admitted to PrairieCare Residential 03/17/2025-03/20/2025 although was stepped back up to inpatient due to safety concerns.
She has a known history significant for MDD, GAD, and PTSD.
SEE UPDATES BELOW
Establish PRTF:
(eligibility form sent to AFMC on 3/26)
-Nexus East Bethel (referral sent & under review)
-Northwood (referral sent, pt’s mother revoked consent on 4/10 due to distance)
-Leo Hoffman (not viable option due to only male patients)
-Grafton (not viable option due to needing ASD, ID, or DD)