Patient and family moved to Minnesota about a year ago. She has been to acute inpatient MH 3 times since as well as 1.5 months of residential treatment and most recently spent 4 months in juvenile detention center. Court ordered to return home and await a long term placement option. She had been home for 3 days when LE was contacted due to her behavior of kicking the family dog and not obeying the directions of her parents. She has a long standing history of homicidal ideation towards her parents and siblings. She also has self harm history of hitting her head against the wall.
Psychiatric Diagnosis: Adjustment Disorder
Adjustment Disorder is a psychiatric diagnosis given to individuals who experience emotional or behavioral symptoms in response to a specific stressor or life change. These symptoms can disrupt daily life but are not as severe or long-lasting as those of other disorders.
SL8SHOD-F15-4879
Pt has has multiple psychiatric hospitalizations, is aggressive often, and very unpredictable in her behaviors. She was in an ED for about a month, and was placed at Northwoods residential treatment. She was engaging in self harm. and making threats to jump out of a window. Pt assaulted police who came to remove her from the facility for psychiatric care. Northwoods does not feel that they can keep her or the other patients safe there, so they are not willing to accept her back.
RMC-M15-4330
On 7/8/24, patient was told he would be spending time with his mother, to which patient had a negative response, causing patient to assault his father and run away. Police located patient at a local middle school just before patient ran across a highway and had to be sedated by EMS due to safety concerns.
Pt has dx that include: reactive attachment d.o., disruptive mood dysregulation disorder, PANDAS (Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections), ADHD, ODD, OCD, pervasive social communication d.o., with low non-verbal skills, high verbal skills, low memory skills, and average IQ.
CH-M11-4380
Patient endorses homicidal ideation towards his sibling. Increasing behaviors at home. PHP (Clara’s House) attempted and will be discharged with recommendation of high level of care (residential). Patient has significant trauma after extensive physical abuse from biological mother and likely operates at a much younger age. Patient was removed from his mother’s custody by Ramsey County CPS in May 2024. Aunt is foster care provider.
C8SM8M-F9-4255
Patient presents from former foster placement and is unable to return. History of frequent relocations and caregiver changes.
CH-M17-4047
Pt brought in because they locked themself in their room and wouldn’t come out. Police involvement encouraged patient to come in to see a therapist. Dad refused to take patient home fearing that patient would become aggressive. Patient has historically been violent in times of parents taking away electronics. CPS report made. CPS did not feel patient should be forced to go home with dad because patient was threatening dad while in the ER that they were going to notify police that dad and roommate forced them to take marijuana edibles. Referral made to 180 degree shelter, who declined.
NMH8R0MGH-F14-3413
Presents from home after altercation with mother and sister. Family does not feel safe with patient returning home.
MHF-F14-3188
Patient presented to the ED after self-presenting to a police station reporting herself as a run away. Ran away from shelter for about one week and reports staying with friends. County is guardian and looking at shelter or kinship placement options.
MHF-F0-3084
Patient presented from aunt’s home where she has been in foster placement, however aunt unwilling to allow to return home following an altercation about her cell phone. Unable to return to foster placement and CPS does not have immediate options for placement alternatives. Presents with aggression primarily toward family. HX of abuse.
MHF-F14-2469
Patient is presenting to the ED for the following concerns: suicidal ideation, depression. Patient reports he tried to kill himself last night by stabbing himself with a dull pencil. Patient reports suicidal and homicidal thoughts that have increased in last two weeks. He has been at North Homes for three months. He was discharged to North Homes after a hospital stay at UMMC in September for SI. At North Homes, the patient escalated and told staff he was suicidal. He took the batteries out of a remote and tried to swallow them. He also tried to stab self with dull pencil. He became combative and needed to be restrained and then kicked staff in chest and tried to kick another staff. Patient then stated he would find each clients personal info and then take pictures of other clients after he killed them and send to parents. Patient told staff he would kill other clients and himself.
Patient reports long history of MH including PTSD, MDD and GAD. Patient has been hospitalized 2 x in past 6 months. Patient reports history of trauma. Patient states he has history of SIB.