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-F16-6930

Youth came to our ED 6/5 from Mom’s home. Previously resided with Dad, moved to Mom’s 3 weeks ago, neither are willing to allow pt to return to their home. Youth has CADI waiver. Not currently open with CMH as they need youth to agree to those services. County is willing to look for short term crisis respite with a plan to return to parents after, but not willing to explore CRS. No LOC recommendation for treatment placement at this time.

MHF-M14-6924

Youth came into the ED 6/3 from home, and father is refusing to allow him to return. Is open to CADI, has CMH through Fraser, and CPS worker currently. Has private insurance primary and MA secondary. Dad is currently refusing crisis respite and wants RTC but reports he has been told by providers that pt needs to complete IPMH before getting RTC, and has been denied by most MN placements. DA currently recommends level 5. Team is working on referral to Leo Hoffman today.

MHF-M16-6918

Youth came into the ED on 5/29 from adoptive parents home. They are not allowing him to return home. Has CMH and DD waiver CMs and the County has said they will not approve CRS placement as the family has not followed through on the less restrictive alternative services first. (Is on wait list for ABA, positive supports, and family has not followed up on in home crisis respite.) County is looking at temp out of home crisis respite options, but none with youth openings currently. County Placement Screening team is meeting tomorrow, 6/11, to determine if they will approve any additional out of home placement options.

MHF-M10-6915

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.

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