Mental Health Collaboration Hub
Youth came to our ED 5/31 from a waiver placement that issued immediate suspension/termination. County has custody. Due to his age and some behavioral concerns, placement is difficult to locate. This is his 3rd time boarding in our ER in 3 years. They are currently searching for waiver placements crisis respite and CRS, and he is on the list for YSC, along with several other youth. He’s been on MITH wait list for years and remains on MCCP list.
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.
LAHC-M14-6887
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.
NFH8EB-M17-6884
Youth presented with difficulties regulating emotions which has resulted in unsafe behaviors, elopement, property damage. Youth has displayed significant difficulty managing anger in particular which has led to threats of harm to others and property damage at current placement. Youth was previously at another PRTF and had been receiving home services with DD waiver and sex specific therapy prior to residential treatment. Youth has a history of suicidal ideation but has not expressed any recently.
NFH8EB-F13-6881
Youth experiences emotional and behavioral dysregulation that impairs functioning across settings. Dysregulation looks like verbal aggression, suicidal comments or gestures, self-harm, eloping. Youth demonstrates poor impulse control and has low frustration tolerance. Youth experiences cognitive rigidity and has limited insight which often contributes to interpersonal conflict. Youth has participated in a 35 day assessment program and other residential treatment services. Youth was administratively discharged from her previous residential placement due to persistent dysregulation with limited progress.
PH-M15-6840
Recommending RTC/PRTF.
15 year old male who presented to PrairieCare Inpatient due to an increase in suicidal ideation with a plan to overdose.
Patient has a history of other inpatient hospitalizations, PHP, and CD RTC. QRTP funding was denied.
PH-F15-6783
Recommendation is for level 5 QRTP
15-year-old female presenting to inpatient as a step up from PrairieCare Residential after experiencing increased mood dysregulation and suicidal ideation. This is her 4th hospitalization with PrairieCare and has been hospitalized at two other facilities. Guardians are currently hoping for a QRTP closer to home and not out of state.
Continue with established outpatient providers following RTC:
– Individual Therapy
– Medication Management
– CTSS
– Primary Care Provider
MHF-M11-6830
Youth came into our ED on 5/10 after elopement from group home. Provider issued immediate suspension and termination. County has custody after TPR. Has CMH and Waiver CMs. Looking for waiver paid placement, shelters, group homes. No current RTC recommendation but OP therapist is working to update the DA to get that.
MHF-M18-6827
Came into our ED on 5/14 from his CRS home, they issued a suspension and termination notice. He had 3:1 staffing at the home. Needing a home for him. Referrals have been made to MCCP and MSOCS, has DD waiver and Case Manager. Guardian is his father.
MHF-M15-6824
Youth came into our ED 5/8. Has been to our ED many times in the past, coming in almost weekly. Dad frequently brings him in as he feels overwhelmed by kiddos needs. Pt has behavioral concerns of elopement and some aggression. Has intellectual disability though it seems IQ testing has not been completed since he was 5, is mostly non-verbal. CPS is petitioning for custody. DD waiver is being opened, and crisis respite options are being explored. Reported that he is a “2 county kid” with both Ramsey and Hennepin involvement. Has a referral in for stabilization center however its unknown how long that list is or if he will be accepted.
MHF-M8-6816
Youth came into our ED on 5/5 after seriously injuring another child. Parents are refusing to allow him to return. He is being screened via JST today to determine if County approves RTC level of care. On wait list for crisis stabilization but unsure how long that is or if he will be accepted. MNchoices is taking place on Friday for waiver.