Pt presents with behavioral escalations from out of home placement. Pt currently in hospital with no d/c plan at this time coordinated by county. Pt has a history of trauma and sexualized behaviors.
County: Hennepin
MHF-F14-3262
Patient brought in to ED by case manager after her group home discharged her due to ongoing behaviors and aggression. Case manager did not have alternate placement and therefore patient now boarding in ED until new placement can be found. Patient in need of shelter or crisis respite placement while longer term placement is found. Awaiting funding.
MHF-M17-3191
Presented from home following an episode of aggressive behaviors. History of FAS, parents do not feel safe with patient returning to their home. Seeking crisis respite or shelter placement for patient. Has been calm and cooperative in the ED.
C8SM8M-M10-3146
Patient presents to ED for behavior escalation from foster setting. Guardianship lies within county.
C8SM8M-F16-3153
Patient presents from former group home placement, unable to return. In need of placement, a county is guardian.
MHF-F0-3084
Patient presented from aunt’s home where she has been in foster placement, however aunt unwilling to allow to return home following an altercation about her cell phone. Unable to return to foster placement and CPS does not have immediate options for placement alternatives. Presents with aggression primarily toward family. HX of abuse.
MHF-M16-3091
Patient presented from Aspen House due to suicidal ideation and aggression. He has stabilized and is at baseline level of functioning. Patient unable to return to Aspen House and does not have an alternative placement he can go to. CPS looking into long term placement options. Presents with aggression and suicidal ideation, elopement.
PH-F13-2494
Primary Recommendation – RTC
-Nexus Gerard, accepted, admission 2/9 at 1000
Other RTC referrals:
-Avanti, declined
-North Homes, declined
-PrairieCare Residential, declined due to aggression
-Northwoods, referral made, declined for RTC
Out-of-State:
-Northwest Passages (Prairieview), county made referral, waitlist 2-4 months
-Lad Lake in Wisconsin, county made referral
-Youth Villages in Memphis; county made referral, reviewing
-Lava Heights in Utah; county made referral
-Falcon Ridge in Utah; county made referral
-Newport News in Virginia; county made referral
-Summit Oaks in South Dakota, county made referral, declined
-Provo Canyon in Utah; county made referral, declined
-Rogers, Hennepin County does not contract/won’t provide funding
Due to declines from QRTP, exploring PRTF options:
-Nexus East Bethel; referral made, not covered by insurance, potential to switch insurance, reviewing
-Northwoods; referral made, waitlist 2+ years
Bridge to RTC/PRTF; if warranted:
Establish CMHCM (Assigned to Kimberly Trembley through Hennepin County, 612-743-1549, waiting for QI approval for funding)
Establish PHP (SW to reschedule if/when appropriate)
Other Referrals Made:
Acadia Treatment Placement Specialists; referral made
Outpatient Recommendations:
Establish Individual Therapy
Establish Family Therapy
Continue PCP at Indian Health Board in Minneapolis
INSURED BY PRIME WEST MA
Presenting Problems: Experiencing school stressors, family dynamic changes, depression, mood lability, SI via ingestion.
MHF-M14-3054
Patient presenting from home due to dysregulation and aggressive behaviors towards family. Parents state they do not feel safe taking patient home until he is in RTC and refuse to discharge from the ED. Has case management, unclear where family is at in process of RTC referrals.
AH-F15-2953
Presented to the ED for suicidal ideation. Boarded in the ED and attempts were made to safety plan with family but family refused to take patient home. Pt has an extensive history of running away, threatening others, suicidal ideation and there have been concerns (not proven) about patient taking advantage of vulnerable peers and children. Patient was admitted to ANW in early 2023 for 68 days. RTC was recommended but patient was declined from programs in MN and nationwide. Family was resistant to taking patient home but eventually patient discharged home.