Patient is a 12-year-old female, currently at PrairieCare Inpatient Hospital.
Recommendation is for level 5 QRTP. Patient’s mother is requesting PrairieCare Residential – patient has been accepted. Waiting for JST through county to obtain necessary funding.
Patient would be able to discharge to a lower level of care while awaiting admission to a QRTP, although she does not have a current placement through the county.
Patient was recently at inpatient through UMMC for 38 days waiting for a placement through the county.
She was admitted to PrairieCare Inpatient Hospital on 2/2/25 due to an increase in suicidal thoughts. She has a known history significant for MDD, GAD, and PTSD.
Arrives from 180 degrees / von wald shelter after eloping. Kicked out of family home in October 2024, was homeless and found shelter at Ain Dah Yung for a time until psychiatrically hospitalized. Has been at 180 degrees since 12/26/24-2/28/25.
Patient presented to the ER with PD following being on run for one week from a trial home visit with biological parents, was in shelter prior to that. Drug of choice is meth. Initially presented with psychotic symptoms that have since cleared, which has resulted in patient being cleared by psychiatry.
17 yo female with hx of dep, anx, PTSD, eating d/o, mood lability, and personality concerns who lives with her dad and siblings in Menahga. She is in the 12th grade and reports having a 504 plan. She has a hx of around 10 inpatient hospitalizations and 3 stays in RTC. Stressors include family conflict, social stressors, and school. Family hx of MICD concerns. Patient has been struggling with worsening symptoms and safety concerns including SI with multiple plans (cut, OD, hanging, crash, etc) and SIB. She has been admitted for acute stabilization.
Pt came into our ED 2/13/25 from parent’s home after conflict there. Parents are refusing to let him return home at this time. Parents report a lot of substance use history, primarily marijuana. Has an IQ of 66 and has reportedly been denied by SUD programs due to this. Also is turning 18 in approx 2 months. Just opened to CADI waiver. Team is exploring waiver placements, long and short term, YSN shelters, seeing if IRTS might consider due to almost being 18, and exploring SUD programs that may accept IQ.
Patient is currently inpatient and are unable to move further with discharge planning due to not having a County of Financial Responsibility. Stearns County and Wadena County have both been consulted and neither have accepted responsibility at this time.
Discharge Plan:
Establish PRTF; referral made to Nexus East Bethel, INTAKE SCHEDULED 3/3/25
Establish Level 6 Program; referral made to Bar None Haven
Establish County Support/Funding; assigned for CMHCM at VOA
Continue with established outpatient providers:
-PCP: Lakewood Health System
-MM: Lakewood Health System
-Therapy: Lakewood Health System
15 y.o. female with history of childhood sexual abuse and more recent sexual exploitation in 2023 with concern for victim of sex trafficking. Presents with suicidal ideation, self-harm behaviors including substance abuse. During this admission drug screen positive for fentanyl and methamphetamine. Patient transferred from HCMC to Sacred Hearth Inpatient Behavioral Health Unit 8/23/23; long term recommendation is residential care. Substance use and placing self in high risk social situations occurs in the context of her trauma history.
Presented to ED for verbal agitation, physical aggression, significant behavior chance, suicidal ideation. Patient has also been engaging in SIB. Aggression has been ongoing for over a year and has intensified. Aggression comes on suddenly/does not seem to be predictable. Mom feels she has no control. Has an IEP for low IQ and learning difficulties. Refuses medications. Strained relationships with mother, father, and older siblings. Patient reports not having many close friends. Has engaged in lots of community and outpatient treatment options including individual therapy, family therapy, case management, school counseling, child protection, primary care, psychiatric medication management, day treatment. Has been hospitalized before at PrairieCare.
Kiddo was previously boarding on our IPMH unit from 10/30/24-12/11/24, then discharged to hotel crisis respite. He came to the ED multiple times end of January for behavior at the hotel crisis placement. Upon driving home from ED on 2/1, pt became aggressive in the car and was brought back to the ED again. The provider now indicated that he is unable to return to their crisis program. He has been accepted at Chelida in WI, however its reportedly a long wait list, and they may not be able to admit him until this summer. He is also on the wait list for CABHHS but it’s reported they would not have a bed for him for several months. Needing an interim crisis placement while awaiting placement at Chelida. Referral is being made for Nexus YCT to assist with placement coordination. He is suspected to have autism however the full assessment has not been completed for diagnosis. Has previously denied at Grafton, Leo Hoffman, Mille Lacs/Gerard.
Patient presented to the ER after an unprovoked stabbing of a sibling in the middle of the night requiring emergency surgery and then proceeded outside in the cold without weather appropriate clothing. Patient has chronic aggressive behaviors towards caretakers and other children.
