ASD, impulse control issues, DD, trauma history, pica, SIB, hits self, headbangs, nonverbal, putting foreign objects in body, smears feces, no family involvement, ward of Stearns County. No family involvement. Communicates w laptop, pictures. OT doing sensory work. Referral across MN, WI, ND, SD. Tennessee declines. Very difficult to place. 2 staff in day and 1 at night. Stearns trying to work on a home in their county. Came from her family care at age 4, to group home until 7, then another group home. She has struggled at her most recent group home. Lots of hands-on care. Willing to re-refer her to Grafton – was declined in July.


Patient presents to ED via EMS for aggressive behaviors and agitation at her foster home. Patient has diagnosis of MDD, GAD, and Intellectual Delay. Foster caregivers report that the patient has had increased agitation over the past 4-5 days, is throwing things, crying most of the day, trying to run away from the setting multiple times a day, is uncooperative, destroying property, hitting caregivers in the face and stomach, and is now trying to self-harm by dumping a dresser over on herself. Patient does have contact with her birth mother but there are apparently issues with that, and foster care believes that birth mother is influencing the patient to act out so mom can get custody returned to her.


Patient presented to the ED from CRTC due to increased aggressive behaviors in the facility towards staff and was unable to return to the facility. Patient not safe to return home due to behaviors and case manager is pursuing residential treatment.