Patient is presenting to the ED for the following concerns: physical aggression, and suicidal ideation. Patient was brought in by EMS after the police were called due to patient becoming physically aggressive towards her 4 year old cousin. Patient said that that her older cousin started to film her when she was becoming physcially aggressive. Per patient, she called 911 on her cousin. Patient then became aggressive towards police, and EMS was called. Patient was placed in restraints and given medication. Patient reported that she made suicidal statements during the incident, but that she did not mean them. She tends to say she wants to kill herself when she’s mad. Patient reports that she has never attempted to hurt herself, and has no intention on doing so. Patient has been off of her medications since June due to her insurance no longer covering them. Patient has been staying with her cousin, while her mom is on vacation. Patient’s cousin is refusing to let her return due to her aggressive behavior.
Patient has had several therapists in the past, and has been to day treatment.
County: Ramsey
C8SM8SP-M10-1459
Pt is a 10 yo male presenting due to increased aggressive and impulsive behaviors at home. Pt was attempting to light fires in the home prompting mom to call EMS. Mom has other small children in the home and feels as though she is not equipped to care for him. Pt has trauma history and has had inpatient mental health stays in the past. County recently approved funding for PRTF. Looking for a shelter in the meantime. Has sexual concerns so that needs to be considered with shelter placement. Extensive sexual and physical abuse history. Mom unable to take him back at this time, other children in the home. Has not has any sexualized behaviors while at the hospital. Nexus Mille Lacs is able to take someone with potential sexualized behaviors – and is interested in this child. Connecting offline.
MHF-F13-251
History of Autism Spectrum Disorder, prenatal exposure to alcohol, cocaine, and heroin. Pt is cognitively delayed and has limited verbal skills. Recently attempted group home, assaulted staff after 1 day; guardian took patient home. Pt presented to ED after assaulting guardian in the home and guardian does not feel safe with patient returning to home, is planning to relinquish custody. In ED, patient is disrobing, throwing feces, assaulting staff, in seclusion. Behavior is chronic and has been seen at similar level historically. Prescribed Zyprexa, Abilify, Clonidine, Thorazine, Atarax, Trazadone.
4/7/23-4/13-23 – Discharged to home.
5/13/23-5/19/23 – Discharged to home.
5/23/23-5/26/23 – Discharged to home.
5/27/23-6/7/23 – Discharged to home.
MHF-F16-1094
Patient is presenting to the ED via EMS for suicidal statements and self-harm. Patient returned to her group home from school, and entered the bathroom to self-harm with a paperclip. Patient was told the group home would have to remove some of her possessions, so patient left the home. Patient threatened staff, and threatened to jump off of a bridge. Patient has been inpatient for mental health, at least six times, and has had many ED encounters (6 times in the past month) for similar symptom presentation in the past.