Kiddo was just boarding with us 1/30/25 – 2/18/25, and returned to our ED 3/9/25 after aggression in the hotel crisis setting and they are not allowing him to return. Has also boarded on our IP unit for extensive time in the end of 2024. There was a GH set up originally for 3/14 however they are having staffing shortages and so admit date was pushed back to an unknown time. CM is continuing to look for additional placement options.
County: Rice
MHF-M14-5199
Kiddo was previously boarding on our IPMH unit from 10/30/24-12/11/24, then discharged to hotel crisis respite. He came to the ED multiple times end of January for behavior at the hotel crisis placement. Upon driving home from ED on 2/1, pt became aggressive in the car and was brought back to the ED again. The provider now indicated that he is unable to return to their crisis program. He has been accepted at Chelida in WI, however its reportedly a long wait list, and they may not be able to admit him until this summer. He is also on the wait list for CABHHS but it’s reported they would not have a bed for him for several months. Needing an interim crisis placement while awaiting placement at Chelida. Referral is being made for Nexus YCT to assist with placement coordination. He is suspected to have autism however the full assessment has not been completed for diagnosis. Has previously denied at Grafton, Leo Hoffman, Mille Lacs/Gerard.
MHF-M13-4922
Pt is adopted, Pts parents signed a voluntary out of home agreement with Rice County, Pt has not been home in approximately 3yrs. Numerous failed placements due to aggression. There has been zero movement in regard to placement options. Patient is very aggressive and has been so on the psychiatric unit. Pt presents with all the symptoms of RAD
MCR-M14-3272
Comes from shelter placement (Von Wald) due to aggression. Has probation with court on 3/14/24. Voluntarily placed with Rice County by family due to safety concerns. The CASII score is 6 with strong recommendation for wilderness residential programming, as he has been through a few ‘traditional’ residential programs, so he has some buy-in for wilderness type residential. Looking for shelter vs group home as waiting for residential programming. Parents hesitant to look at out-of-state programs.
AH-F13-2307
RAD. Aggression at home. Parents unable to accommodate needs at home so resident remains in ED. Hasn’t needed hospital since mid feb but parents unable to take her home. Accepted 3/15 to Community Living Options.
AH-F11-2284
SI, SIB, high risk behaviors (running away, substance use), foster family found burn marks on her sheets. Has been in 7 foster homes over last 2 years. CPS/foster family found notes referencing suicide in her room, SIB. ETOH use, THC use, deceitful, dishonesty. School staff and therapist was shocked, presents as a well-adjusted child. As in school. Struggles to connect with people. Makes poor choices with her sister. Likes to burn candles and leaves them, does she forget or is it intentional. Burn marks on sheets, lighter in room. Admitted because of SIB/SI notes. Struggling to find a foster family – from small area so other foster families hesitant to take her in. Question as to if residential treatment is appropriate? At this point, foster care or shelter care is rec. Was formerly at a partial program at Prairie Care.