PH-M10-6068

Recommending RTC. Limited options available due to his age.
10-year-old male presenting to PrairieCare Inpatient Hospital as a step of from PrairieCare PHP after anger leading to physical aggression towards others and increased SI. This is his 5th psychiatric inpatient hospitalization. He has engaged in PHP three times as well as outpatient psychiatric services.

Discharge Plans as of 9/9/25:
-Gerard
-Rogers Behavioral Health
-Northwood (on wait list, currently 9/12 months)

MCR-F14-5997

Comes from Von Wald 180 degrees after being there almost 5 days, due to her statements about “what would happen if someone died here,” and some fixation on the gas stove causing concern that she would tamper and cause harm to many. She is removed from family home and there are complex family dynamics. She is adopted and is the youngest of 6. Adoptive mom is in TCU level of care and cannot care for her, needing supervised visits, and dad is not able to have contact. CPS and MH workers involved. This week she was certified disabled and hopefully a CADI SW will be assigned soon!

NMH8R0MGH-F15-6156

Patient has a long history of suicidal ideation and self cutting behavior. She was released from Prarie Care 3 days ago with a recommendation from her psychiatrist there to be admitted to a residential living facility. She was released as a final attempt of living independently with outpatient care. patient reports cutting her thigh with a piece of glass and she told her mother she did not feel safe going to school , came to ED for help.

CH8SCH-M12-6116

Presented to ETC after overdose on medication. Recent hospitalization at PrairieCare and overdosed after returning home. Has had 4 inpatient hospitalizations over the last year. Participated in partial hospitalization program after inpatient stay in March. Recommending residential hospitalization due to multiple inpatient hospital stays in the last year.

PH-M12-6065

Recommending RTC. Will need county funding.
12-year-old male presenting to PrairieCare Inpatient Hospital due to an altercation with his mother after not wanting to go to school. Following this altercation, his mother found a suicide note. He is a history of depression, anxiety, PTSD, mood/dysregulation resulting in intrusive SI. This is his 2nd psychiatric inpatient hospitalization. He has engaged in PHP and outpatient psychiatric services.

Discharge Plan as of 9/9/25:
– PrairieCare
– North Homes
– Gerard

PCMC-F17-6091

17-year-old female with a past medical history of depression, anxiety, history of child sexual abuse and homicidal ideation and a personal history of a traumatic brain injury in 2013 presents to the emergency department tonight, brought in by law enforcement after being called by her mother. Mom reports that she contacted them to bring her to the emergency department because she was told that she was not supposed to leave the house tonight, and unfortunately she did. When she got back, mom states that she tried to have a conversation with her and then she threatened to kill everyone in the house. She is not verbally responding to questions and is being asked to use non-verbal cues such as thumbs up/down or blinking to communicate during the interview, but still refuses to respond in any way. Her eyes are opened and she is turned a different direction, not engaging in conversation. Throughout the encounter, patient demonstrates limited responsiveness to questions and prompts. Provider attempts various methods to engage the patient, including offering time alone, asking about preferences for communication, and inquiring if there’s someone else patient would like to speak with.

PH-F15-6060

Recommending RTC/PRTF
15-year-old female presenting to PrairieCare Inpatient Hospital as a step up from Newport RTC due to an increase in intrusive SI. She will not be returning to Newport per parent request due to SA and elopement while in programming. She has a history of depression, anxiety, ADHD, and PTSD. This is her 4th psychiatric inpatient hospitalization. She has also engaged in PHP and outpatient psychiatric services.

Discharge Plan as of 9/9/25:
RTC:
– Bar None Haven
– Avanti
– Gerard
– North Homes

PRTF:
– Northwood
– East Bethel

PH-F17-6057

Recommending RTC/PRTF
17-year-old female who presents to PrairieCare Inpatient Hospital due to suicide attempt with increased SI and SIB.
This is her 2nd psychiatric hospitalization. She has engaged in PHP and outpatient psychiatric services.
For RTC – she will need funding through Ramsey County.

Discharge Plans as of 9/9/25:
RTC:
-Avanti (referral sent)
-Gerard (referral sent)
-PrairieCare Residential (accepted, on wait list)
-North Homes (not pursuing due to distance per guardians wishes)

PRTF:
-Nexus East Bethel (referral sent)
-Northwood (not pursuing due to distance per guardians wishes)

PH-F15-6047

15-year-old female history of depression and anxiety PTSD. Significant sexual abuse by immediate family members. Admitted to hospital after argument with grandma, who is guardian. Patient then tried to strangle herself by placing a 20-foot cell phone cord around her neck. Perpetrator of sexual abuse is out of jail on bail and has cut of ankle monitor. Significant long standing sexual abuse, trauma, and drugs from abuse.

MHF-F16-6019

Came to ED 8/29 when adoptive parents called 911 after pt posted a video to social media claiming her adoptive father was abusing her. Parents are refusing to let youth return home as they are scared of further false accusations. They are requesting CPS get involved and take custody of youth, as they no longer want to have it. Has some history of SIB in the past. Waiting for CPS to determine next steps.