Mental Health Collaboration Hub
Patient presented to Children’s ED after attempting to jump off 3rd floor balcony at home. Patient has been IPMH in the past and was originally recommended IPMH at this ED visit. However, after pt was not being accepted to IPMH units in metro, psychiatry was requested. Psych reported pt was near baseline behavior and mood, recommended to discharge home. Mother and father did not feel safe having pt return to either of their homes.
County: Ramsey
C8SM8SP-M13-7639
Patient presented to Children’s ED most recently after leaving JDC. This patient is frequently in the ED for placement and elopes from ED often, and returns, sometimes within a few hours. County worker is attempting to reunification with patient’s mother after months of mother unwilling to have patient return home.
MNChoice Assessment recently completed.
RCCP-M13-7590
He is new-to-country, arriving in June from The Gambia. He is English-speaking.
He has a record in the past month of trying to wander around – likely a cultural habit of wandering around the community, saying hi to people, just kinda hanging out. He wanders and then often returns within a few hours.
Current dx: Adjustment Disorder due to transitions related to moving to the US and living with mom.
Mid-October, he tried to force another male youth to perform oral sex on him. 5th Deg CSC charges pending. He has a pending Rule 20 competency eval & full psych eval.
He was in a CADI home where we contract for a crisis bed (no current waiver). Over the weekend, he punched 2 peers and was discharged.
Current VPA to allow placement authority to Ramsey County.
Goal is to return him to The Gambia.
Placement History
9/13-9/15: hospital
9/15-9/18: foster home, disrupted placement
9/18-10/4: various hospitals
10/4-10/10: foster home, attempted to force another youth to perform oral sex on him
10/10-10/13: JDC
10/14-10/18: CADI crisis home
10/18-today (10/22): various hospitals
C8SM8SP-M17-7527
Patient was residing at a group home when he became upset and verbally threatened peers due to a statement they made. Per staff, they were unable to deescalate and he began to punch walls and pushed staff. He is no longer able to return to this specific group home.
RCCP-M12-7481
Per DA, youth presents with oppositional behaviors: “verbal and physical aggression, making threats toward others, making sexual statements toward others, eloping, undressing himself in front of others.” CP became involved due to him hitting his sister with a baseball bat. He has had episodes of aggression toward family members and toward staff. Additionally, he was most recently homeschooled and did online school for a few years prior to that.
RCCP-F6-7478
6yo girl presents with extensive trauma history of sexual abuse has led to obsessive-compulsive behaviors related to sexualized behaviors including constant thinking about how to touch herself and others and trying to follow through with those thoughts. She has a long documented history of inserting items into her vagina and anus, resulting in pain, leakage, incontinence, and sores on her genitals/fingers/mouth.
C8SM8SP-F6-7433
Child presented to Children’s ED with county worker (guardian) to seek placement. Child was originally living in South Dakota with a foster family and has moved to Minnesota to find placement. Child has a history of sexual abuse and displays sexual behavior. She is not appropriate for a mainstream classroom.
C8SM8SP-M12-7425
Child presented to Children’s ED due to altercation at group home. Child was requested by mother (guardian) to be brought to ED for MHCA. Child was no longer allowed to return to group home due to the altercation. Pt has a long history of presenting to the ED due to behaviors and is recommended to discharge home. Mother does not feel safe with pt discharging home in her care.
MHF-M15-7120
Youth came into our ED on 7/20. Came straight from another hospital. Has previously been in hotel crisis respite however due to history of property destruction was not allowed to return to the hotel location and provider has not been able to identify another hotel that pt can go to. Is on waiver and team is working toward a single site home, however waiting for DHS to give provider their UMPI# before they can take pt, unclear how long that could be. Parents are refusing to take youth home in the interim.
MHF-M15-6824
Youth came into our ED 5/8. Has been to our ED many times in the past, coming in almost weekly. Dad frequently brings him in as he feels overwhelmed by kiddos needs. Pt has behavioral concerns of elopement and some aggression. Has intellectual disability though it seems IQ testing has not been completed since he was 5, is mostly non-verbal. CPS is petitioning for custody. DD waiver is being opened, and crisis respite options are being explored. Reported that he is a “2 county kid” with both Ramsey and Hennepin involvement. Has a referral in for stabilization center however its unknown how long that list is or if he will be accepted.