Patient sent to Cambridge medical center ED due to aggression and numerous ED visits from Bar None. Bar None discharging the patient.
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-F12-5010
12 year old, history of trauma with subsequent depression and anxiety ADHD and anxiety. Multiple treatment interventions at PHP. Patient reports that depression has been worsening over the last several months and has becoming more difficult to manage. Patient reports ongoing suicidal ideation and difficulty thinking about anything in the future that would be of benefit. Patient reports ongoing mood disorder low mood low energy reports difficulty with school reports anxiety.
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PH-F15-5000
Previously diagnosed with depression, anxiety, PTSD . Numerous admissions to psychiatric hospitals and Emergency Departments because of suicidal ideation, suicide attempts and self-injury. History of CPS, county mental health case managers and crisis services. Plan to jump off a bridge. Self injury has included cutting, scratching, burning and head banging.
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.
MFIUP-M13-4967
History of present problem: pt endorsed SI and having thoughts/plan to slit his wrists with a knife, which he has access to at his dad’s house, and endorsed self harm via cutting in recent past. Pt reports feeling isolated due to lack of consistent phone connection.
**Aggression is verbal and throwing objects (no contact)
**MnCHOICES Assessment referral made
**Psychiatry scheduled at BHSI – Brooklyn Center
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-F16-4907
Came to our ED on 11/28 following and altercation at home with Grandma who is custodian, that led her to eloping 11/27 and then was picked up by police. Grandma is refusing to let her return. CPS is getting involved as family situation is complicated and not ideal. Previously boarded in our ED 4/24-5/29. Has previously been denied by most residential programs. Needing an updated DA- which County and our team are trying to work on, but due to previous residential denials are not confident this will help with placement. Has CMH worker.
CH-F16-4861
The patient is a 16 year-old female that presented to the ED on 11/11/24 from PHP via EMS after attempting to stab herself in the arm with a pen. This is the same concern which has led patient to having multiple ETC visits and this being her 4th psychiatric hospitalization, all since October 2023 (attempted PHP x2 though was brought to the ER due to stabbing herself with a pen in the arm). Patient was placed on a county emergency protective hold with CHIPS now in place. Patient and parents open to residential treatment.
MHF-F15-4901
Came to our ED on 11/25 after altercation at home with Aunt, who is current custodian. Aunt has refused to take her back home and is refusing any involvement in her care currently. CPS is getting involved. Has CMH worker as well. Nexus YCT has been involved ongoing and is trying to work on referrals for residential, but needs ROIs first. Has interview with residential provider who previously accepted today 12/3.
MHF-F14-4898
Pt came to us 11/18/24 after an altercation at her ongoing GH in which she physically aggressed against another youth. Its reported that youth plans to press charges. She is not allowed to return to that GH, but that provider is working to see if they can set up a new setting for this pt, both temporary and ongoing. Team also has another GH they are looking into for her. This kiddo boarded with us previously, prior to discharge to her last GH, 9/24-11/1 of last year. Dakota County currently has custody. She is also open to CMH and waiver.