Mental Health Collaboration Hub
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.
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-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.
PH-M16-6335
Recommending level 5 RTC
16-year-old male who presented to PrairieCare Inpatient Hospital as a step up from PHP. When home for the weekend, he had increased emotional and behavioral dysregulation with symptoms of psychosis and was brought to the ED by his mother.
He has a psychiatric history of disruptive mood dysregulation disorder, autism spectrum disorder with accompanying intellectual impairment, intellectual developmental disorder, mild, fetal alcohol syndrome, and ADHD.
This is his second psychiatric inpatient hospitalization; he was attending PHP prior to this hospitalization and has a history of psychiatric outpatient services.
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)
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, but has been denied by only secure setting in MN. Pt is newly 17. Any facility licensed by the DOC can’t be pursued due to commitment, and going out of state the commitment would not follow, so in state would be best.
AH-M6-6272
Behavioral dysregulation in the context of Familial Foster Home, and in care of respite provider. Breaking items in the home environment. Suicidal behaviors “wrapping items around his head”. CPS involved. Working towards residential placement.
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.