Hennepin – Mental Health Collaboration Hub

CH8SCH-M12-6473

Patient presented to the ER 1/21. Patient is familiar to us. Patient has a complex psychosocial history with prior CPS involvement and a chaotic home environment. Patient typically does well in the ER & hospital setting but struggles at home with severe aggression and behavioral dysregulation in relation to conflict with parents. Patient does not appear to comprehend the severity of his actions and feels like his actions are justified (which appears to be related to his level of functioning). Patient likely needs a crisis respite placement/group home placement, but his CADI waiver and insurance are on hold while transferring to Benton County.

Doing very well for the most part at CentraCare.

MHF-F12-6723

Youth came to our ED on 4/16. She was on the run from 4/11-4/15 and returned to adoptive parent 4/15 who brought her to the ED 4/16. SEY concerns while she was on the run. Adoptive parent does not want her returning home. Youth was only open with contracted CMH CM when arriving at the ED. County is working on transitioning her to operated CMH CM. DA was completed 4/22/26 and recommends QRTP/Group Home, need transfer to operated CMH and County JST approval before moving forward there. No waiver currently and no access to County paid shelters due to parent having custody. Have explored parent referred shelters, but so far they have denied. Once operated CM is assigned a referral can be made to Hennepin County YSC. Has history of physical aggression toward siblings, elopement behaviors and SEY concerns.

PH-F17-6710

Inpatient Team is recommending Locked QRTP/PRTF.
17-year-old patient admitted to inpatient as a step up from PrairieCare Residential. They were admitted due to continued episodes of emotional dysregulation, intrusive SI and attempts to elope. This is their 9th psychiatric inpatient hospitalization. They have done PHP, outpatient care and residential treatment.

Discharge Plan as of 04/22/2026:
Hospital and PCR treatment team recommends:
-Bar None Haven locked RTC. They were accepted on 3/18; county did not approve placement.
-Heartland Girls Ranch. They were accepted and on wait list, county did not approve placement.

County team pursuing:
RTC-
-Gerard (reviewing)
PRTF-
-Nexus East Bethel (declined)
-Northwoods (county sent referral, currently a 2 year wait)
-Grafton (county sent referral, does not meet admission criteria)

Interim plan:
-Consider Shelter care at Ain Dah Yung Center, The Bridge for Youth- Supportive Housing-Marlene’s place, Youth Transitional Housing Program – Life Haven/ Lutheran Social Services of Minnesota
-Establish Psychiatry
-Establish Therapy
-Continue with Hennepin County Team, Guardian Ad Litem, and Tribal Representation

This youth has been medically cleared to discharge from inpatient to the appropriate next level of care although due to barriers with accessing the recommended level of care, they are now boarding. The Hennepin County Boarding team is working with inpatient on this case as well.

MFIUP-M14-6668

Pt presented to ED with family after FBI visited family after an anonymous tip that patient was having SI and HI regarding a mass shooting in the context of worsening depression and anxiety. Pt acknowledged recent homicidal ideation as a means to justify ending his own life. Initially pt denied creating a written plan, denies attempts to get a gun or have possession of a gun, or thought of a specific school or time he would do this, though, he now states he identified two elementary schools as potential targets. During past assessments he has acknowledged reasons for not going forth with this shooting – like the attempt would fail and he would be in a worse situation and he does not want to actually hurt people. Similarly, suicidal thoughts are present with thoughts of shooting himself, but does not have intent or obtained means to act on it. Although these are moderate-high risk thoughts, patient is able to keep self and others safe while in the hospital at this time. Aspects of his clinical history that put pt at risk for progressing to future violence include pre-occupation with prior shooters, nihilistic beliefs, and time spent in a potentially radicalizing online community. Additionally, mom reported partner had a gun in the home and patient + step-brother was looking around the house for this gun. The leading drivers of current SI and HI seem to be significant anxiety and co-morbid depression. Has experienced significant neglect and sexual abuse that have impacted his current mood and outlook as well.

MHF-M16-6652

Youth came to our ED on 3/24 from home after an altercation with Mom. He has a history of physical aggression against Mom. He is commercial insurance, so there is currently no County involvement. Mom would like him to get RTC however there isn’t a DA with that recommendation currently. Mom is not currently agreeable to shelters.

MHF-M16-6455

Youth came into our ED on 1/13/26 and was determined to be ready for discharge. Came from Grandparents who are refusing to take him home until he gets SUD treatment. He is unagreeable to SUD treatment at this time, willing to do OP. County is not funding shelter due to not having custody. Parent referred shelter referrals have been made however custodians refused the Bridge who were looking at accepting him. Has been to Lakeside Academy and Wings SUD treatment in the past and eloped from both. No waiver currently. FV Maplewood declined primarily due to pt being unagreeable to treatment, but also due to concerns of elopement and Grandparents being willing to get him from the ED. Has been declined by many other RTCs as well. Referral pending with Anthony Louis.

PH-F12-6449

Recommending PRTF
12 year old trans male who presents to PrairieCare Inpatient Hospital due to suicide attempt with increased SI, SIB, elopement, and aggression.
He has a history of several inpatient stays, has engaged in PHP, individual therapy, family therapy, and RTC at PrairieCare
Funding is in place for RTC with Hennepin County

Discharge Plan:
PRTF/RTC:
– PrairieCare Residential (administratively discharged due to acuity)
– Bar None Haven (under review)
– Nexus East Bethel ( under review)
– Grafton (referral submitted by PCR, Accepted )

Continue with established outpatient providers:
– Primary Care with Mhealth Fairview
– Psychiatry with Roman Becicka, MD at U of M
– CMHCM with Nakami Tongrit-Green at Hennepin County

MHF-F13-6418

Youth came to our ED on 12/24 from the YSC, after being there for a week, boarding in our ED prior to that from 12/2-12/16. YSC has not yet finalized their decision about acceptance back to their program, County leadership is meeting with their team again today, but they have concerns about them returning. Has a crisis home via Wingspan that they can return to in mid Feb once they have established 3:1 staffing, but they can not get staffing set up until then. CABHH referral is being made however that will be a long time out. Pt has been to Grafton in the past, no current recommendation for community treatment placement, our team is not recommending acute IPMH. Has intellectual disability as well.

MHF-F13-6390

Youth came to ED on 12/13 after altercation at home with Grandfather. Was in at FV hospital, primarily in the IPMH unit from 11/11/25 until 12/12/25, discharged to Grandfather for one night before brought back to the hospital, Grandfather unable to take youth back again. Has previously been to Bar None and Divine GH. County currently has approval for therapeutic GH level of care, but many of these settings have denied. No current recommendation for RTC. County has temp custody, but Mom has parental rights. No waiver currently.