Patient is presenting to the ED for the following concerns: physical aggression, abuse or neglect, worsening psychosocial stress. Patient has been with his foster family for a week. He has been displaying sexualized behaviors, aggressive behaviors like throwing furniture, hitting, trying to light paper towels on fire on the stove top, sharing that he wants to die and self-injure. Patient was in a previous foster home and prior to that he was with his Grandma. Per foster mom, there was “interfamily torture” and the kids were sexually abused. Patient demonstrates inappropriate sexualized behaviors
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.
MHF-F17-1669
Patient is presenting to the ED for the following concerns: physical aggression, and suicidal ideation. Patient was brought in by EMS after the police were called due to patient becoming physically aggressive towards her 4 year old cousin. Patient said that that her older cousin started to film her when she was becoming physcially aggressive. Per patient, she called 911 on her cousin. Patient then became aggressive towards police, and EMS was called. Patient was placed in restraints and given medication. Patient reported that she made suicidal statements during the incident, but that she did not mean them. She tends to say she wants to kill herself when she’s mad. Patient reports that she has never attempted to hurt herself, and has no intention on doing so. Patient has been off of her medications since June due to her insurance no longer covering them. Patient has been staying with her cousin, while her mom is on vacation. Patient’s cousin is refusing to let her return due to her aggressive behavior.
Patient has had several therapists in the past, and has been to day treatment.
MHF-F14-1493
UPDATE: as of 8/24/23 she has been accepted to a residential facility in Georgia, and the family is waiting for some pieces from their insurance company. Transportation is ready to go once insurance is approved – hopefully end of this week or early next.
Pt is presented to the ED via EMS for the following concerns: verbal agitation, physical aggression, significant behavioral change, and anxiety. Pt has been in a residential treatment center for approximately 5 weeks, and had been in a “crisis state” all day, on day of admission. Pt was requiring frequent restraints, supervision and redirection for up to 8 hours. She was non-compliant with treatment activities, frequently trying to run away from program activities, and into the street. Pt kept searching for sharp objects to self-harm, and assaulted staff when they tried to take objects from her.
These are chronic behaviors for pt. Pt is currently in a 3rd residential treatment program (secure), with a hx of one prior group home placement. Pt has a hx of several mental health hospitalizations, with most recent in October 2022. Patient has a hx of refusing medications.
Residential facility stating that pt has been discharged, however there is no discharge paperwork available. From North Dakota. No case mgr or services in place. Her parents were able to get her into the residential treatment center she was at. Able to DC but nowhere to go at this point.
C8SM8M-M11-881
Patient is an 11-year-old male presenting to Children’s Emergency Department due to increasing behavioral escalations at home. Patient has a history of trauma. Patient has not had stable housing and has been in several different placements within this last year.
Patient does not meet inpatient mental health criteria due to no ongoing or current suicidal ideation, thoughts of self-harm, or thoughts to harm others and was recommended to discharge home to his foster home with his grandmother.
AH-F15-1322
came to ED with suicidal and homicidal threats after an upsetting conversation with former foster provider – currently denies HI/SI to staff, unable to be placed with former foster provider, difficulty at group home – arguments with staff and other residents and they have said she is unable to return, CPS worker is guardian and looking for placement,
Nexus -FACTS
– youth has been accepted at Nexus FACTS for assistance with Placement Coordination Services.
HCMCH-M14-1300
14y/o male from JDC. He is currently under the custody of JDC. He attempted to hang himself from the basketball hoop. He did not lose consciousness. He continues to endorse SI.