ADHD – Page 7 – Mental Health Collaboration Hub

MHF-M13-4917

Youth came to our ED 11/30 after an altercation in the car with adoptive parents and suicidal threats. Has been to Northwoods PRTF for year and Leo Hoffman PRTF for 6 months, which were not successful. Had been in the community for a couple of months before coming back to ED. Team is exploring possibility of return to Northwoods. Previously had a waiver through Morrison County but current dispute between Counties about where Case Management for that waiver will be- Hennepin County is digging into this, and plan to explore waiver placements once sorted.

PH-F12-5010

12 year old, history of trauma with subsequent depression and anxiety ADHD and anxiety. Multiple treatment interventions at PHP. Patient reports that depression has been worsening over the last several months and has becoming more difficult to manage. Patient reports ongoing suicidal ideation and difficulty thinking about anything in the future that would be of benefit. Patient reports ongoing mood disorder low mood low energy reports difficulty with school reports anxiety.
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MHF-F16-5020

Kiddo arrived in ED on 12/22 after altercation at Passageways Shelter. Has boarded with us many times previously, including 3 in the past month: 11/29-12/5, 12/14-12/18, and now 12/22. Also previously boarded with us 4/26 to 5/29. Was recently at Aspen and Passageways shelters, neither which she can return to. Long history of elopement. County has interim custody. Team was working toward RTC but has also historically been denied by these programs.

MHF-M10-4649

Kiddo came to the ED 9/19 after aggression at his group home. Boarded at our hospital summer of 2023 for a few months. Team does not want him to return to his group home and is seeking crisis respite while they work on finding a new group home. Has DD waiver.

CH-M16-4938

Patient presented to the ER via EMS on 12/4/24 after an intentional overdose of chlorpheniramine maleate 4 mg / dextromethorphan hydrobromide 30 mg pills in an attempt to get high. He required PICU admission for anticholinergic toxicity and treatment with Precedex related to agitation and history of aggression with anticholinergic toxicity. He has had multiple ER visits for substance use. He was previously admitted here for inpatient psychiatric hospitalization from 11/7-11/15 and was discharged with plans to attend outpatient SUD treatment in Wisconsin. as he was not willing to participate in residential treatment. This is at least his 6th intentional overdose in attempts to get high and his 5th hospital admission requiring PICU admission. He is currently under the emergency guardianship of Mille Lacs County related to a CHIPS petition as he has been abandoned by his mom who moved to Wisconsin. He is also currently on probation with Mille Lacs County. He has not previously been successful with past SUD treatment or inpatient psychiatric hospitalizations. Has very poor insight and follow through- though is able to express his desire for sobriety.

MHF-F16-4907

Came to our ED on 11/28 following and altercation at home with Grandma who is custodian, that led her to eloping 11/27 and then was picked up by police. Grandma is refusing to let her return. CPS is getting involved as family situation is complicated and not ideal. Previously boarded in our ED 4/24-5/29. Has previously been denied by most residential programs. Needing an updated DA- which County and our team are trying to work on, but due to previous residential denials are not confident this will help with placement. Has CMH worker.

GC8S-M10-4890

Patient was at school when he began having hallucinations, pulled his hood over his face, then ran into a concrete wall. He was admitted to Gillette for medical management of his bleed needing surgery to repair. Initially he was calm and not demonstrating behaviors then once he was fully off all sedation, he began showing his behaviors. He verbalized thinking everything is poison so he wouldn’t eat or drink, hearing and seeing things that are not there, extremely anxious and afraid. He needed physical holding for safety this am due to behaviors that put him at risk for his safety and others in the room. Patient has a history of this behavior prior to this incident. Strong family history of schizophrenia, this is currently in question for patient. Have connected with Children’s, Abbott and Prairie Care for possibly inpatient psych placement and med management.

MHF-M14-4646

Kiddo came into ED on 9/24 from school for aggressive behavior, was in foster care who is not willing to take pt back. Under custody of the County. Has history of both residential txt (Northwoods 2x) and juvenile detention centers, and has a rule 20. Referral has been made to Prairie Lakes, waiting for response.

NMH8R0MGH-M13-4848

Patient was placed in residential treatment for one year in 2022-2023 from the ER. Grandmother/legal guardian does not feel safe with patient in her home as he has been physically aggressive with her, she is declining to pick him up from the ER and wants out of home placement. Per Grandma, he was successful in the home following residential treatment, however, this year his aggression has become worse. Community case manager has been unsuccessful in securing placement.

HCMCED-M11-4844

On 11/14/24 the patient’s foster parents brought him to HCMC APS after he was discharged from Children’s Hospital St Paul because of his aggressive behavior. When in APS the patient began hitting his foster mom and becoming increasingly agitated. Security had to assist in transporting the patient to an emergency department bed, where he was then put into restraints for his and others safety. He was given sedative medications, IM.
The patient has been in foster care since he was 7 years old. He was physically and emotionally abused by his biological mother. He has been hospitalized at Fariview inpatient pediatric psych for a year, where he was then transferred to a residential treatment center. He has been with his current foster parents since August 7th, 2024.