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.

PH-F15-7329

Recommendation is for QRTP.
Patient presented to Inpatient from the ED after disclosing suicidal thoughts to her outpatient therapist with a plan to overdose on her prescription medication she had been saving. This is her 2nd psychiatric hospitalization in 2026.

Discharge Plan as of 9/9/26:
-North Homes: Referral sent, guardian declined to pursue further
-Gerard: Referral sent, guardian declined to pursue further
-Newport: Patient declined for admission due to continued endorsement of SI/SIB and recent self-harm
-PrairieCare: Admission was available on 8/31, guardian declined in favor of pursuing Avanti
-Avanti: Accepted, awaiting admission timeline

MHF-F15-4948

Came to us 12/9 after altercation at home with sister. Was recently inpatient for 9 days until 12/5. Parents are refusing to pick pt up. County has offered to set up CTSS services for family immediately and family refuses to work with the current Case Manager. No one is currently recommending out of home placement. Parents are wanting RTC. Has CADI waiver and contracted CM. We are continuing to work with the family and team to get her home.

MHF-F16-4834

Kiddo came to us on 11/7 from East Bethel PRTF. East Bethel has discharged reporting they are unable to meet his needs based on his ongoing SI and behaviors. They are completing a referral to CABHH. Has a long history of SI. There is currently no County involvement. Aunt is working on setting up CMH services, but County has reported they don’t have any placement options. Our team will be requesting County look at approval for out of state options once they are open due to limited options in MN for this level of care.

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.

PH-F15-7244

Recommendation is QRTP or PRTF.
Patient presented to PrairieCare Inpatient Hospital after suicide attempt by hanging on two consecutive days while at Avanti Center for Girls Residential. She has been at 3 different residential treatments (North Homes, Bar None Haven, and Avanti). This is her 4th psychiatric inpatient hospitalization.

Discharge Plan:
Establish QRTP/PRTF:
-Avanti (discharged d/t suicide attempts and elopement concerns)
-PrairieCare Residential (declined d/t suicide attempts and elopement concerns at Avanti)
-Grafton (referral sent)

Outpatient Providers:
Red Lake Ombimindwaa Gidinawemaaganinaadog (OMBI) Program: Outpatient therapy
Sagent Behavioral Health: Medication Management/ Psychiatry Services

MHF-F15-7277

Youth came to our ED 8/27. This is her 3rd time boarding in our ER this month. She lives with Mom at home, however Mom does not want her to return. CMH is involved and offered Mom increased in home crisis services and she declined those. CMH is working on RTC. There is tentative acceptance at a program however its currently approx 3 weeks out- no admit date set yet. Mom has reported there is no family that pt can go with in the interim. Had a MNchoices last week, working on expediting SMRT.

PH-F16-7247

Recommending outpatient wraparound services.
16-year-old female who presented to PrairieCare after being brought to the emergency department from their group home after an increase in suicidal ideation after intervening twice with a peer’s suicide attempt in the group home.
Patient has a history of 5+ inpatient hospitalizations, group home and PRTF placement.
Children’s mental health case manager is pursuing RTC and group homes as an alternative to home. Referrals were sent to:
– Northwoods (PT has been on waitlist, anticipated timeline at least 1 year as of 07/29)
– Community Living Options
– Little Sands
– Nexus Gerard RTC
– Avanti
– PORT
– Acadia Healthcare
– South East Regional Crisis Center (SERCC)
– Boys Town RTC in Nebraska
– North Homes RTC
– Village Ranch

MFIUP-F15-7229

Admitted due to suicidal and homicidal ideation. Patient struggles with explosive outbursts when she does not get her way. Patient has a hx of calling CPS frequently alleging abuse against mom. Diabetes was managed with an insulin pump until recently, when the pump was removed for inpatient admission and she was transitioned to insulin injections. She reports that the pump was helpful in regulating her diabetes. She reports daily suicidal ideation, describing it as a persistent struggle, with plans to smother or strangle herself. She also experiences homicidal ideations, particularly directed toward her mother and sister.

C8SM8SP-F11-7131

Child presented to Children’s with group home staff after pt had continuous behavioral escalations at the group home. Pt was unable to play with balloons with peers and got upset, leading to dysregulations and ran away from group home. Pt was found by police and became physically aggressive towards others. Pt assaulted staff, assaulted sheriff deputies and broke windshields with rocks. She is unable to return to group home.

CH8SCH-F12-7116

Patient presented with Benadryl overdose requiring ICU stabilization. Unable to return home at this time as she requires residential SUD treatment. Struggling with obtaining facility call backs and finding locations that accept her age and insurance.