Mental Health Collaboration Hub
Patient presented to the ER via law enforcement and EMS after running away from mom’s house and being found in an intentional house fire where patient and friend were hallucinating and lit the closet on fire to kill what they thought were rats. Patient ingested multiple substances in front of firefighters. Patient has significant history of substance use with multiple hospitalizations for overdoses and stays at treatment facilities. CD assessment completed. Recommending CD residential.
Psychiatric Diagnosis: ADHD
ADHD is a psychiatric diagnosis characterized by persistent patterns of inattention, hyperactivity, and impulsivity that can significantly affect a person’s daily functioning, especially in academic and occupational settings.
CH8SCH-M12-6254
Patient was brought into the ER by law enforcement as patient was pouring lighter fluid in the interior of a property that his family was recently evicted from. Family was recently evicted and relocated to a friend’s home.
MHF-M17-6251
Youth came to our ED via police on 10/28. Was previously in our IP unit, discharged to Nexus Gerard where he eloped several times. Pt is on a MI/CD commitment. Has substance use struggles ongoing but it’s reported that previous placement thought the MH was the primary concern. Has been denied by many SUD programs- Wings, Anthony Louis, Fairview, Oshki Manidoo and Ember in Iowa. Ideally CM wants pt in a secure setting due to history elopement. Referral has been made for VOA- Bar None Haven. Pt is newly 17.
PH-M10-6068
Recommending RTC. Limited options available due to his age.
10-year-old male presenting to PrairieCare Inpatient Hospital as a step of from PrairieCare PHP after anger leading to physical aggression towards others and increased SI. This is his 5th psychiatric inpatient hospitalization. He has engaged in PHP three times as well as outpatient psychiatric services.
Discharge Plans as of 9/9/25:
-Gerard
-Rogers Behavioral Health
-Northwood (on wait list, currently 9/12 months)
MHF-M9-6137
Youth came to ED 9/22 from Foster Home after aggressive behavior and is unable to return there. Was recently in FV IP unit until 9/19. County has temp custody and is looking for other foster options, but he has been circulated on the list since end of July with no acceptance. Expedited MNchoices is reportedly being requested.
MHF-F8-6164
Youth came to our ED on 10/1/25 via police from foster home after elopement. Has been to our ED 5x in the past 2 weeks, all for elopement. County has custody. Has been to RTC in the past and team does not feel that would be beneficial at this time. Looking for another foster care or waiver group home placements. Struggling with placement options due to age.
CH8SCH-M12-6116
Presented to ETC after overdose on medication. Recent hospitalization at PrairieCare and overdosed after returning home. Has had 4 inpatient hospitalizations over the last year. Participated in partial hospitalization program after inpatient stay in March. Recommending residential hospitalization due to multiple inpatient hospital stays in the last year.
CH8SCH-M10-6113
Presented from partial hospitalization program (Clara’s House) for worsening aggression and self-harm. Has had in-home skills worker and outpatient providers. Was referred to Clara’s House for worsening non suicidal self-injurious behaviors. Recommended residential treatment due to attempting all lower levels of care.
MHF-M13-6110
Pt came to FV ED from North Homes, after aggressive behaviors, and they are unable to take him back at this time, stating he needs a higher level of care. He has a history of aggression and often refuses medications. Grandparents are the current custodians and are unable to have him. A referral has been made to CABHH however their wait list is long. A DA is being completed by an OP provider 9/24 as there is not a current one. MNchoices is also being completed 9/24.
PH-M15-6144
Recommedning PRTF/RTC
15 year old male who presents to PrairieCare Inpatient Hospital due to suicide attempt with increased SI and SIB.
He has a history of several inpatient stays, has engaged in PHP, individual therapy, family therapy, and RTC at Gerard
Funding is in place for RTC with Polk County
Discharge plan as of 9/29:
PRTF/Level 6 (referrals placed by CMHCM, Approved by AFMC for PRTF)
– Northwood (reviewing, waitlist 3-4 months)
– Nexus East Bethel (referral submitted, reviewing possible opening early Oct.)
– Grafton (referral submitted, under review, declined due to inability to support level of care)
– Leo Hoffman Center (CMHCM to resubmit referral, declined due to safety concerns and inability to provided 1:1 staffing, able to re-refer upon further stabilization)
QRTP/ Level 5:
– Return to Nexus Gerard (under review, declined to return. Discharge effective 9/12)
– Bar None Haven (referral submitted)
