MCR-F12-5376

Adopted at age 8 from private agency (so ineligible for MA). Comes in with Homicidal ideation and threats to kill sister and burn down house. Family not willing to bring her home for safety. Have tried many services but terminated them about 2 years ago and now are trying to re-engage. No approval for placement at this time.

MHF-M15-5368

Kiddo came into ED on 3/11 after an altercation at home with parent over electronics. Parents are refusing to pick up. Mom has been working on CMH worker however current staff assigned explained they can not do anything currently as they have not met with parents yet and don’t have any paperwork signed, planned to meet next week Wednesday. Unclear if out of home placement would be supported even after that meeting. Mom is not agreeable to parent referred shelters as she wants longer term placement/residential.

MHF-F13-5365

Kiddo was just boarding with us 1/9/25 – 2/19/25, prior to that was in residential in FL for almost 2 years. Discharged to treatment GH 2/19 and had been doing fairly well there. Was supposed to start school yesterday and refused. GH staff gave her the option of going to school or back to the hospital and she chose the hospital so was brought back to our ED. Staff are saying that pt cant return without being willing to go to school. Pt reports that the school scares her because it has locked doors and they do holds.

MHF-M14-5362

Kiddo was just boarding with us 1/30/25 – 2/18/25, and returned to our ED 3/9/25 after aggression in the hotel crisis setting and they are not allowing him to return. Has also boarded on our IP unit for extensive time in the end of 2024. There was a GH set up originally for 3/14 however they are having staffing shortages and so admit date was pushed back to an unknown time. CM is continuing to look for additional placement options.

PH-M16-5290

Patient is a 16 yo male with history of DMDD, ADHD, GAD, and MDD. Patient has a history of at least 8 inpatient hospitalizations in the past seven years and has also participated in multiple outpatient programs. Stressors include family conflict, housing insecurity, and school.

MHF-F17-5334

Kiddo came to our ED 3/4 from Aspen House, where she has been discharged from after an altercation there involving verbal and physical aggression. She has boarded with us multiple times in the past, 2/21/25-2/25/25, 1/3/25-1/10/25, and 1/19/24 – 2/2/24. She is just a few weeks from turning 18. PRTFs were being explored, but so far denied. Just had MNchoices yesterday 3/4 to re-start waiver, looking into waiver CRS placement. Previously was at NW Passages. Has had Nexus YCT involvement ongoing, since our team made the referral in January.

MHF-F13-5331

Kiddo was brought to our ED 3/4 by Mom. Had discharged from our ED hours prior, but returned after another altercation at home regarding pts phone. Mom is trying to get a DA from ongoing therapist, reports one was completed, to get CMH CM. Does not have any ongoing County CMs at this time. Our team tried to make parent-referral shelter referrals however Mom reports she is unwilling to agree to the terms of those programs, which include that Mom will need to pick up if pt becomes dysregulated. No waiver or CMH worker involved to approve any alternative placements at this time. CPS just opened today 3/5. Care Conference taking place 3/6 to gather further information.

CH-F13-5302

Patient presents from PRTF where she had been for 1 year and was discharged due to worsening behavioral concerns of aggression and self harm. Unable to return home and PRTF is unwilling to take back. Patient had several recent medication adjustments without improvement.

MHF-M17-5279

Pt came into our ED 2/13/25 from parent’s home after conflict there. Parents are refusing to let him return home at this time. Parents report a lot of substance use history, primarily marijuana. Has an IQ of 66 and has reportedly been denied by SUD programs due to this. Also is turning 18 in approx 2 months. Just opened to CADI waiver. Team is exploring waiver placements, long and short term, YSN shelters, seeing if IRTS might consider due to almost being 18, and exploring SUD programs that may accept IQ.

MHF-F15-5270

Kiddo came to our ED on 2/11 from Rebound after altercation. Rebound initially stated they would not take pt back then, but we have not received confirmation if they are terminating. She had been there for 2 weeks, and prior to that was in JDC. Court determined she was incompetent for charges that led to JDC. County has temp custodianship but Mom still remains involved ongoing and makes decisions/signs. No waiver currently.