Mental Health Collaboration Hub
Has been with us since January. Arrived from Prairie care from Mayo Clinic before that for verbalized increase in SI and engaging in SIB. History of abandonment from bio mother and apparent abuse and substance use in the household per history. History of temporary foster care. Difficulty with boundaries and impulsive behaviors. Often losing his temper, being easily annoyed and irritable, arguing with adults of authority, and not complying with rules/structure. Current and historical property destruction and elopement. Behavioral instances at school, threatening gestures and actions. History of vaping nicotine “if I have it I will use it” mentality. Witnessed DV, history of homelessness, and physical abuse.
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.
MHF-M11-7208
Youth came to the ED 8/16 after altercation at home. Mom is refusing to allow him to return. County is seeking shelter options for immediate plan, limited options with his age. No current DA for treatment recommendation and limited resources from the County. Parent had submitted MNchoices application last December but previous CM never submitted it, has been re-submitted now and requesting expedition due to mistake on CM part. There are no kin/family placement options currently.
CH8SCH-M12-7212
Patient presented to the ER from residential facility in Wisconsin. He was discharged unsuccessfully from their program due to behaviors and acuity and transported here. Wrap around case manager is looking for placement. Patient’s mother does not feel able to have him home due to his behaviors, property destruction and eloping.
MFIUP-F14-7201
Pt has hx of several suicide attempts, chronic SI, impulsivity, substance use, and PTSD with dissociative symptoms. Pt has a long history of IPMH and two residential stays at Heartland Girls Ranch. She recently was at a dual treatment center but was discharged following a suicide attempt. We were initially looking for dual RTC, but we have expanded our search to find placement as pt continues to struggle with prolonged hospitalization.
NMH8R0MGH-M9-7198
history of mental health disorders (ADHD, aggressive behavior) who is brought in by EMS from home in restraints with significant psychomotor agitation. He harmed animals in the home. He is self-harming; he harmed family. He tried to stab himself with various items in the house. Per medic, he ran away from home last night and was brought back home by police. For the rest of the night into today, he has been significantly agitated at home. He has been hitting his head in the wall, biting and himself and hitting various body parts on walls at home. He also reportedly threw his stepmom’s dog into the wall a couple of times. He had spit at multiple EMS providers and police on scene and then kicked a police officer as well. Parents, who arrive shortly after his arrival here in the emergency department, say that he has been more agitated recently and his self-harm is a new behavior problem for him. He did get his morning and afternoon medications. He was taken off of Abilify 2 weeks ago, and unfortunately that has not changed or altered his behavior. He was also started on Lamictal, without improvement.
C8SM8SP-F11-7131
Child presented to Children’s with group home staff after pt had continuous behavioral escalations at the group home. Pt was unable to play with balloons with peers and got upset, leading to dysregulations and ran away from group home. Pt was found by police and became physically aggressive towards others. Pt assaulted staff, assaulted sheriff deputies and broke windshields with rocks. She is unable to return to group home.
MHF-M15-7120
Youth came into our ED on 7/20. Came straight from another hospital. Has previously been in hotel crisis respite however due to history of property destruction was not allowed to return to the hotel location and provider has not been able to identify another hotel that pt can go to. Is on waiver and team is working toward a single site home, however waiting for DHS to give provider their UMPI# before they can take pt, unclear how long that could be. Parents are refusing to take youth home in the interim.
CH8SCH-F12-7116
Patient presented with Benadryl overdose requiring ICU stabilization. Unable to return home at this time as she requires residential SUD treatment. Struggling with obtaining facility call backs and finding locations that accept her age and insurance.
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. Appears lower functioning or potentially with ASD in which we will be completing psych testing.
C8SM8SP-F15-7087
Child presented to Children’s ED due to increased suicidal ideation. Dakota County has had guardianship prior to him presenting to ED. Child was residing at a group home and reported to staff about increase thought of self-harm. Staff at group home called EMS and child was brought to Children’s ED for mental health evaluation. They did not meet inpatient criteria and have been recommended to discharge. The group home denied their return due to unsafe behaviors, such as tying clothing around their neck when dysregulated. Extensive trauma history from bio parents.