History of trauma, sexual exploitation, concurring with MH and substance use. Co-managed by psychology and addiction medicine in the hospital. Community PCP has been established who can also monitor suboxone. Patient in need of short-term placement. Has been referred to Heartland Girl’s Ranch.


Substance use history, family signed out from treatment program and has been on the run for the past 6 months after mom signed her out of facility in Brainerd. History of abuse from grandfather whom she was staying with. Leech Lake custody. Drinking since age 9. MH primary dx.


FASD, PTSD. Has lived in group homes. LSS home until last summer when there were allegations against staff and drank bleach for self-harm. Series of Shelter placements, ext. ER placements. Admit to Prairie care 2 mos ago, End of Dec. came to ANW ED. Rec group home funded by DD waiver. 18 in March. Leech Lake will be going for guardianship when she turns 18. Had done well in group home setting, but recently had a younger roommate that transferred, and became very upset after that.


Came from foster care. Needs foster care to he can go to to Juvenile detention.


History of suicide attempts and self-harm, verbal and physical agression, DD, FAS, ADHD, identifies as non-binary