ADHD – Mental Health Collaboration Hub

CH8SCH-F14-6487

Patient presented from local residential facility after getting into an argument with staff where she tied rubber bands around her neck in an attempt to end her life resulting in staff needing to remove the bands and discoloration of her face. She was able to hide and sneak in additional items to self harm with into the ER and inpatient unit where she again placed something around her neck. Residential unable to accept her for return as they feel they are not able to keep her safe and that she needs a higher level of care.

CH8SCH-M12-6473

Patient presented to the ER 1/21. Patient is familiar to us. Patient has a complex psychosocial history with prior CPS involvement and a chaotic home environment. Patient typically does well in the ER & hospital setting but struggles at home with severe aggression and behavioral dysregulation in relation to conflict with parents. Patient does not appear to comprehend the severity of his actions and feels like his actions are justified (which appears to be related to his level of functioning). Patient likely needs a crisis respite placement/group home placement, but his CADI waiver and insurance are on hold while transferring to Benton County.

PH-F12-6449

Recommending PRTF
12 year old trans male who presents to PrairieCare Inpatient Hospital due to suicide attempt with increased SI, SIB, elopement, and aggression.
He has a history of several inpatient stays, has engaged in PHP, individual therapy, family therapy, and RTC at PrairieCare
Funding is in place for RTC with Hennepin County

Discharge Plan:
PRTF/RTC:
– PrairieCare Residential (administratively discharged due to acuity)
– Bar None Haven (under review)
– Nexus East Bethel ( under review)
– Grafton (referral submitted by PCR, Accepted )

Continue with established outpatient providers:
– Primary Care with Mhealth Fairview
– Psychiatry with Roman Becicka, MD at U of M
– CMHCM with Nakami Tongrit-Green at Hennepin County

PCMC-M9-6439

A 9-year-old male brought to the ER by his father. He has history of anger management which turns into aggression. The patient states that when he gets angry he just wants to hit things. Today he was hitting his mother in the face and back and also threatening to hit his little sister. He hit the wall creating holes. Threatened to burn himself with the radiator heater. He has been seen multiple times for the same issues. He was seen and Mayo Clinic behavioral health facility in October 2025. Family is working with the case worker named __________ The father states that the psychiatrist has referred him to behavioral health facility in Duluth and they are waiting for him to be excepted in placed in that facility through commitment. Parents are voluntarily allowing him to go to a facility tonight. They do not feel that their family and other siblings are safe at home with him.

CH8SCH-M10-6397

Patient presented to ER the same day he was discharged from 2 month inpatient hospitalization for aggression/safety concerns. Was threatening harm to self and others in the home. Was accepted for admission to Mille Lacs Academy with admission date unknown. Currently stable and no indication to remain in the hospital though family does not feel safe with him in the home. Looking for interim placement while awaiting admission to Mille Lacs.

CH8SCH-F16-6368

Patient was at Heartland Girls Ranch and reports that she tried to run from the facility, scratching her arm and hitting her head on the wall. Patient reported suicidal ideations with a plan. County is guardian of patient due to past abuse. County feels like patient needs PRTF level of care. On the waitlist at CABHH.

MHF-F14-6421

Youth came into our ED on 12/28 after altercation at hotel crisis respite. Was in this setting for approx 5 months, and prior to that was boarding in our ED from 5/28-7/3. Hotel crisis will not take her back. She has 4 different felony charges pending, awaiting a rule 20 assessment. Most placements including non secure corrections settings will not accept due to aggression. Team is working toward a single site CRS home, but that is a few weeks from being completed, waiting on provider’s waiver enrollment with DHS and finalized staffing. Last DA done a few weeks ago recommended GH with supports, and scored a level 5, however not pursuing treatment placement as all MN options have denied and pt was in RTC in Florida for 2 years previously.

MHF-F13-6418

Youth came to our ED on 12/24 from the YSC, after being there for a week, boarding in our ED prior to that from 12/2-12/16. YSC has not yet finalized their decision about acceptance back to their program, County leadership is meeting with their team again today, but they have concerns about them returning. Has a crisis home via Wingspan that they can return to in mid Feb once they have established 3:1 staffing, but they can not get staffing set up until then. CABHH referral is being made however that will be a long time out. Pt has been to Grafton in the past, no current recommendation for community treatment placement, our team is not recommending acute IPMH. Has intellectual disability as well.

MHF-F13-6356

Youth came into our ER on 12/2 after an episode of aggression at the Crisis Home. The crisis home will be willing to take them back in the future, but not until the other individual in the home has moved out, which won’t be taking place until end of January, They also want to have increased staffing and put rights restrictions into place. It will be almost 2 months before that can happen. Looking for an interim plan for them. Pt is open to waiver, has mild intellectual disability. Also has CMH, but treatment placements are not being explored as pt has been to those in the past (Northwood, Chelida, and Grafton) and more recently treatment placements have all denied them, so primarily looking at waiver paid placements.