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.

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)

AH-F15-6102

The Guardian/Dakota Cty are planning for residential treatment for pt and she is indeed currently court ordered to remain hospitalized until this is located. She does not need inpatient level of care but here is no safe discharge location. History of sex trafficking and was recently picked up with a known trafficker. It was verbally reported that pt had a DA in July that recommended a level 6 placement and that CM was working on a facility in Arizona. Will ask for confirmation and documentation as hear from CM and request list of referrals, assist as able.

MHF-F13-6075

Youth came to our ED on 9/4/25 from a group home after reportedly ingesting extra medications. It’s unclear how she got the medications, but her custodian does not want her returning to the home at this time. IP was initially recommended however she was declined from multiple IP units due to feeling there would be no benefit from IPMH and due to her acuity. She has since stabilized while waiting in the ED, and is now being recommended for discharge. This is this youth’s 7th time boarding in Fairview EDs. There is a tentative placement set up for the 22nd, looking for potential interim plans.

PH-F15-6060

Recommending RTC/PRTF
15-year-old female presenting to PrairieCare Inpatient Hospital as a step up from Newport RTC due to an increase in intrusive SI. She will not be returning to Newport per parent request due to SA and elopement while in programming. She has a history of depression, anxiety, ADHD, and PTSD. This is her 4th psychiatric inpatient hospitalization. She has also engaged in PHP and outpatient psychiatric services.

Discharge Plan as of 9/9/25:
RTC:
– Bar None Haven
– Avanti
– Gerard
– North Homes

PRTF:
– Northwood
– East Bethel

MCR-F16-5994

She had been residing at Von Wald 180 Degrees since May. Big escalation on 8/19 and brought to ED. Unable to return to Von Wald; parents are guardians but unwilling to have her in their home (possibly homeless?) and want to terminate their parent rights. Mom is difficult to get in touch with and wants all communication through her attorney.

CH8SCH-F16-6006

Was in metro area with adoptive parents. Placed at Youth Shelter in St. Cloud. Came to hospital. Shelter d/c’d her and refused to pick her up. Ramsey probation and SW already involved. Adoptive parents want to relinquish any rights to patient as aggression is focused on mom.

PH-F11-5970

Recommending Level 5 QRTP.
11 year old female. Presented to PrairieCare Inpatient Hospital due to increased family conflict and SI. She has had attended PHP numerous times. Most recently she was at PrairieCare PHP and stepped up to inpatient due to an increase in safety concerns. The family and outpatient team were already pursuing level 5 QRTP although were running into funding barriers. She does have a current CMHCM with Anoka County. This youth will need funding from the county to support QRTP admission.

Referrals:
-Avanti Center for Girls
-Gerard Academy
-North Homes
-PrairieCare Residential

PH-F12-5898

Recommending Level 5 QRTP
12 year old transgender male. Presented to PrairieCare Inpatient Hospital due to mood and behavioral dysregulation. He has had multiple inpatient hospitalizaitons.

MHF-F13-5959

Youth came into our ED on 8/9, discharged from her crisis home. Previously boarded at FV in both the ED and then our IPMH unit from 3/17/25-5/5/25, and has boarded on our IPMH unit before that as well. Crisis home has terminated pt from their home. Has been denied by many PRTF and RTC facilities due to behaviors/aggression, in and out of state. Has waiver but County reports that her needs are too high for most waiver placement options.

MHF-F17-5917

Youth came to us 7/29 from out of state placement in Utah, came to ED as there was no other place for him to go. Has boarded with FV at least 3 other times. Looking for any placement that may accept him. Has been to multiple placements in the past. Getting an updated DA completed today, by Hennepin County Mental Health Center.