Youth came to our ED on 6/20 from Aspen House where he is not able to return after getting into a fight with a peer. He previously boarder with our team a year ago. Went to VOA Bar None, and CABHH since then, and has a potential spot at Northwoods PRTF for July- do not have a set admit date. Looking for shelter or other setting for an interim plan to get him out of the ED. Has had MNchoices in the past but do not believe it is current, due to frequent switch of placements, none being waiver.
Psychiatric Diagnosis: Anxiety
Anxiety disorders are a group of psychiatric diagnoses that involve excessive and persistent worry or fear. These disorders can significantly impact daily life and well-being.
MHF-M14-5751
Youth came to our ED on 6/13 straight from a Missouri RTC that he was discharged from due to aggressive behavior. Came to us as there was no other place for him to go. Has CMH and they are reporting they are not seeking another placement at this time and recommend pt return to adoptive Mom, or we contact CPS. Mom also requested we contact CPS so she can get further assistance and potentially out of home placement. No waiver at this time.
MHF-F15-5707
Youth came to our ED on 5/24/25 after physical altercation at Red River Valley placement, and they refuse to let her return. Has history of physical aggression and a rule 20. Has boarded with us multiple times prior- 12/5/23-12/29/23, 2/13/25-2/27/25, and 3/6/25-3/12/25. Looking both in and out of state for placements that might take her.
PH-F17-5685
17-year-old female with historic diagnoses of ADHD, depression, anxiety, PTSD, OCD, borderline who presented to address suicidal and homicidal ideation. Patient has two prior hospitalizations with PrairieCare and completed Partial Hospitalization Programming. Patient has outpatient therapy, medication management, and children’s mental health case management.
PH-M13-5662
Youth (he/Him) came to hospital after significant self harm at home. Self harming at school. Suicide attempts recently. Ongoing self harm at the hospital. Struggles making friends, feels isolated at school. Resides with Dad, dad is guardiann.
MHF-F17-5573
Youth came to our ED 4/17 from group home, who are not allowing her to return. Stearns County has custody currently and there is a CPS worker as well as ICWA advocate. No waiver currently. Had a SUD assessment that recommends residential treatment and she was agreeable to that, however no acceptance at programs yet and wait lists for those also. CPS is exploring shelter and kinship options. Was denied by Red Lake shelter and Ain Duh Yung.
HCMCH-F13-5634
13-year-old female with a history of autism spectrum disorder, oppositional defiant disorder (ODD), attention-deficit/hyperactivity disorder (ADHD), major depressive disorder (MDD), and traumatic brain injury (TBI).
On 4/23/25 according to EMS, the patient had an argument with her mother around 5:00 PM today and subsequently left the home abruptly.
This is her second time boarding in APS; she was admitted two weeks ago and remained for two weeks while in-home services were being arranged. She was discharged but returned due to elopement and aggressive behavior toward her mother.
During her previous admission, she was referred to CABHH but placed on the waiting list. She has also been referred to Beacon for respite care and has been on the waiting list at Grafton for over a year.
MHF-F14-5621
Youth came into our ED on 5/6 from the Bridge for Youth shelter. Shelter refusing to take her back. She has boarded with us before for a short time last June. Currently has CADI and CMH, both through contracted agencies. Unable to access County screening team due to contracted CM, so MH GH and residential are not options currently. MCCP referral is in, also have referral to CABHHS and Grafton- awaiting approval from Arkansas Foundation and for acceptance at the program.
PH-F12-5504
Patient is a 12-year-old female, currently at PrairieCare Inpatient Hospital.
Recommendation is for level 6 PRTF.
Patient would be able to discharge to a lower level of care while awaiting admission to a PRTF, although she does not have a current placement through the county.
Patient has had a previous inpatient hospitalizations, through UMMC for 38 days waiting for a placement through the county and
PrairieCare Inpatient Hospital 02/02/2025-03/17/2025. Patient was admitted to PrairieCare Residential 03/17/2025-03/20/2025 although was stepped back up to inpatient due to safety concerns.
She has a known history significant for MDD, GAD, and PTSD.
SEE UPDATES BELOW
Establish PRTF:
(eligibility form sent to AFMC on 3/26)
-Nexus East Bethel (referral sent & under review)
-Northwood (referral sent, pt’s mother revoked consent on 4/10 due to distance)
-Leo Hoffman (not viable option due to only male patients)
-Grafton (not viable option due to needing ASD, ID, or DD)
MHF-F13-5583
Pt came to our ED on 4/20 from home, where she is unable to return at this time. CPS is looking for foster care placement. Open to DD waiver and crisis respite is also being sought, MCCP referral has been made. Do not believe pt has had out of home placement before. Had DA 3/31 and outpatient therapy was the recommendation.