Pt is presented to the ED by police. Pt was adopted at age 2, and adoptive parents are now deceased. Pt lives with his sister/legal guardian, sister’s boyfriend, 2 year old cousin, and 15 year old brother. Pt had an altercation with his sister, where he tried to stab her, so she called the police. Pt was in the ED from 6/15 to 6/23 for a similar issue. Pt’s sister says aggressive behaviors are escalating, and he is said to have threated to kill everyone in home earlier this month. There is some concern that pt has been using weed and possibly other substances. Pt has PMH of AHHD, MDD and ODD.
County: Hennepin
HCMCH-M14-1300
14y/o male from JDC. He is currently under the custody of JDC. He attempted to hang himself from the basketball hoop. He did not lose consciousness. He continues to endorse SI.
MHF-M16-1239
Pt is presented to the ED via EMS due to possible ingestion of cold medications. Pt’s father had called 911, reporting patient’s presentation as being confused and “high” on drugs. Pt admitted to taking pills (unclear about the number of pills) in order to get high. He denies that this was a suicide attempt, and currently denies any suicidal ideation. Pt denies recent self-harm, but has a hx of self-harm over one year ago. Pt lives with his father during the week, and mother on the weekends. Medical records indicate the following history: He has a history of major depressive disorder, generalized anxiety disorder, and substance use disorder. He had been evaluated in the ED for close monitoring in the setting of altered mental status secondary to presumed toxic ingestion of unknown substances, and has a history of multiple inpatient psychiatric admissions. Most recently admitted in March 2023 due to “ingestion/inhalation of multiple substances, including dextromethorphan and benadryl”. Pt has a history of residential treatment, and has a hx of substance abuse for several years and participating in both inpatient and outpatient treatment.
MHF-F6-1228
Pt presented to the ED via EMS after jumping out of her mother’s car into traffic, stating that she wanted to die. Pt lives with her mother and brother, who moved to MN from TX in December of 2022, to escape domestic violence and pervasive sexual trauma. Pt has a history of significant sexual abuse from their father, including sex trafficking. Pt has been screaming, kicking, and running outside, placing the family’s housing at risk.
MHF-M16-350
Patient presented from group home with aggression, breaking things. He has chronic aggressive behaviors. He was admitted to Hawthorn Center state hospital in 6/21-7/22. During his admission, patient’s mom passed away and he was placed in Beacon Crisis Residence. Patient had a prolonged stay in UMMC ED September 2022-October 2022 and was discharged to RTC in TN. Patient was discharged from the facility in TN due to concerns with the facility and was returned MN. He was brought from the airport to Children’s Hospital on 1/11/23-1/13/23 and was discharged and immediately brought to UMMC ED by parent and county worker. He was in UMMC ED 1/13/23-2/7/23 and was started on Zyprexa ODT due to cheeking medications. He was eventually discharged to crisis home. Patient then returned for further concerns of medication non adherance and exacerbation of psychotic symptoms. He had inpatient admission on Inpatient mental health at UMMC from 2/15/23-3/12/23. Patient was discharged to respite house with additional wrap around services. Patient has had 4 ED encounters since that time. Patient discharged to his group home on 5/1/23 and returned to ED on 5/2/23 due to aggressive behaviors. Patient is unable to return to group home.
SD8SC-M8-1067
Client in process of completing DA through our Assessment Team so not all information is complete at this time. The system has not been helpful to this family for a long time and they are struggling to maintain his adoption. He has low IQ, largely non-verbal with few receptive language skills (communicates by pulling people to things), approved for residential treatment over 3 years ago – not accepted to any placement so far, has a DD case manager and “unlimited” waiver. Historical diagnosis include: ASD, PTSD, GDD, and ADHD. He has significant behaviors including hitting, pushing, stomping and fecal smearing when told “no” or denied access to something even with a body suit. Behaviors of some kind occur multiple times daily. He is aggressive toward all family members but the fecal smearing happens more in response to mother. He has been declined services at over 20 PCA agencies, is not successful attending outpatient therapy services or medical appointments (aggressive to providers and engages in behaviors), no respite providers will accept him, and he has been declined admission to psychiatric hospitalization and most outpatient providers declined him for services as his needs are “too great”. The family includes 4 other children many with special needs, and 2 are medically fragile. The family is to the point where parents are considering having one parent live with this child and the other 4 with the other parent for safety reasons.
6-23-23 client is now linked to Fraser and LSS for possible additional in-home wavier paid supports/services to decrease the likelihood of a boarding or out of home placement
HCMCH-16-1073
Patient is a ward of the State of MN, she has been unsuccessful in foster care placements the past 3 years. She attends a Level 4 school, Reach Academy. Patient in need of higher level of care, group home.
Patient discharged to kinship foster care 6/15/23 while Legal Guardian/Social Worker is still pursuing group home placement. Namia House, Willow Trails.
MHF-M9-1185
Pt is presented to the ED via EMS due to aggressive behavior in his foster mother’s home. Pt became escalated when his foster mother asked him to take a bath, and began throwing chairs and kicking his mother. Pt has an intellectual disability and lacks insight into behaviors and mental health concerns. Pt has hx of autism and ADHD combined type, and hx of agitation/aggression.
MHF-M15-999
Patient is reported to be under the guardianship of Hennepin County. Patient presents to ED with his social worker for a mental health evaluation after having “mental breakdowns” while under the care of his mother, who kicked him out and told him not to return. Patient has a hx of autism spectrum disorder. Patient has hx of abandonment from both parents, and has a foster placement with his aunt, but is refusing to return to her care, stating that he will kill her if he has to go back.
MHF-F8-348
Pt has been residing in foster homes since she was a few days old. Pt has lived in approximately 9 residences, some were with biological family members. She has been in her current foster home since October 2022. Pt is under guardianship through Hennepin County ICWA program with a Hennepin County Case Manager. According to her guardian, pt has been subjected to significant trauma from her previous placements, including physical/emotional/sexual abuse and neglect. Pt’s biological parents’ parental rights were terminated before pt was 1 year old. Pt is now enrolled in school through the MPLS public school, attending while boarding in the ED. She has frequent, chronic aggression in the community. Generally no concerns in the hospital.