Mental Health Collaboration Hub
Recommending Level 5 QRTP/Level 6 PRTF
16 year old female presented to PrairieCare Inpatient Hosptial due to increased SI and SIB. She has had multiple psychiatric inpatient hospitalizations.
County: Hennepin
MHF-F17-5917
Youth came to us 7/29 from out of state placement in Utah, came to ED as there was no other place for him to go. Has boarded with FV at least 3 other times. Looking for any placement that may accept him. Has been to multiple placements in the past. Getting an updated DA completed today, by Hennepin County Mental Health Center.
PH-F10-5904
Pt is a 10 year-old female with historic diagnoses of anxiety, depression, ODD, specified neurodevelopmental disorder who presents today to address running away from home. Upon interview pt was observed to be easily distracted and appears to be guarded. Pt was resistant to the interview stating, “I don’t want to answer any questions.” After roughly 5 minutes pt refused the interview process leaving the room and forcefully pushing the door close with writer still in the room. Writer could hear pt yelling and laughing from the hallway “she’s locked in there” and “I locked her in there”.
Mother reports pt has been running away from home and putting herself in dangerous situation. Mother reports pt was sexually assaulted during one of her runaways. Mother reports pt’s motive for running away this time was to get on an airplane. Mother stated due to pt’s behaviors, pt has been hospitalized 3 times within one and a half weeks. Mother reports pt’s mental health is worsening. Mother reports pt struggles with authority figures and being held accountable. Mother states they use to have structure and routine in the home and is trying to incorporate it into the home again but when pt is held accountable, pt will threaten mother and think mother is “being mean.”
PH-F15-5890
Presented to ED after a verbal altercation with mother and expressed a suicidal plan to walk into traffic. History of cutting, scratching, elopement behaviors.
MHF-F5-5847
This 5 year old youth came to our ED via her foster parent after making some threats at the home. County currently has custody. The foster parent is refusing to let kiddo return. The week prior they had issued a 30 day termination notice, but are not willing to take kiddo back in the interim. County is looking for new foster care options. Not many other placement possibilities due to age. History of trauma for kiddo.
PH-F14-5760
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.
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.