Mental Health Collaboration Hub
Child presented to Children’s ED after becoming dysregulated at group home; he wanted to leave, became upset and began throwing staff’s badges across the room. GH called EMS and child was transported to ED-Saint Paul. He is no longer able to return to GH after this incident. Child has a long history of foster care since he was three years old.
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.
C8SM8SP-F12-7384
Child came to the emergency department after getting into an altercation with grandmother at home. Child had gotten physical with grandmother due to phone usage. Child’s legal guardian is grandmother and does not have contact with bio parents. Child has a long history of trauma. Child’s aggression is only toward grandmother; they have also presented to the ED on 5/7, 6/29, 7/8, and 7/28 for similar situation (physically aggressive towards grandmother). Grandmother is refusing to discharge child back into her care.
CH8SCH-F14-7113
Patient presented to ER following discharge from residential due to aggression to staff and eloping. No other placement locations as she is not able to return to previous foster placement. Patient with poor boundaries, impulsivity, and instigates other peers to engage in negative behavior. Behaviors worsen in an attempt for connection seeking and to obtain friendships with peers. Patient has been on a 1:1 or close observation through the entirety of her stay as she will engage in negative behaviors to seek connection including self harm, opposition, and defiance.
MHF-M15-7373
This youth came into our ER 9/13 from Grandparents home, who are custodians. He was just in our inpatient unit until 9/11. He came in for suicidal ideation and was cleared for discharge. It’s reported by his team that ongoing he uses suicidal threats to get out of unpreferred activities, and if that doesn’t result in what he wants, he escalates further. He had safety planned with our team for discharge, but when Grandma called him on 9/14 to discuss, he was making suicidal statements to avoid returning home and Grandma then refused to get him. Grandma tried to get him again 9/16 but when she showed up to the ED he escalated and threw an object at her and she left the ED. It’s reported he’s been struggling since the death of his great grandma early last month. Currently there is no recommendation for residential or higher level of care. He’s done PHP in the past and is currently set up with CTSS, DBT, Individual therapy, family therapy and psychiatry at home, but has been in the hospital a lot so hasn’t gotten a lot of these services, and uses suicidal statements to get out of participating in some of them. The County is not exploring any out of home placements at this time. Bereavement counseling and respite were discussed, but those can’t begin until he is discharged. He has endorsed that he enjoys the hospital setting and ambulance rides.
MHF-M14-4646
Kiddo came into ED on 9/24 from school for aggressive behavior, was in foster care who is not willing to take pt back. Under custody of the County. Has history of both residential txt (Northwoods 2x) and juvenile detention centers, and has a rule 20. Referral has been made to Prairie Lakes, waiting for response.
MHF-F16-5020
Kiddo arrived in ED on 12/22 after altercation at Passageways Shelter. Has boarded with us many times previously, including 3 in the past month: 11/29-12/5, 12/14-12/18, and now 12/22. Also previously boarded with us 4/26 to 5/29. Was recently at Aspen and Passageways shelters, neither which she can return to. Long history of elopement. County has interim custody. Team was working toward RTC but has also historically been denied by these programs.
MHF-F15-7277
Youth came to our ED 8/27. This is her 3rd time boarding in our ER this month. She lives with Mom at home, however Mom does not want her to return. CMH is involved and offered Mom increased in home crisis services and she declined those. CMH is working on RTC. There is tentative acceptance at a program however its currently approx 3 weeks out- no admit date set yet. Mom has reported there is no family that pt can go with in the interim. Had a MNchoices last week, working on expediting SMRT.
C8SM8SP-M12-7257
Child presented to the emergency department after getting physically aggressive with sister at home. Was brought via EMS to receive mental health evaluation. Pt was recommended discharge home after MHCA. Mother refused to discharge with child to return home.
MHF-F13-7240
This youth presented to the hospital after eloping from her foster residence. She had been on the run for over a month and was brought in by EMS after attempting to enter a youth shelter. She was admitted to the hospital for medical needs and determined to be appropriate for discharge. The foster residence is unable to take her back at this time due to needed home repairs and working on increasing staffing from 1:1 to 2:1.
MFIUP-M9-7237
Admitted to hospital due to suicidal ideation, auditory & visual hallucinations. Pt presented after a suicide attempt via intentional overdose on her prescription methylphenidate.
Predisposing factors: chronic mental illness, extensive family history mental illness; early exposure to domestic violence, childhood trauma, seizure disorder. Precipitating factors/Stressors: family dynamic. Perpetuating factors: history of CPS involvement, chronic mental illness, family dynamic/stressors.