Psychiatric Diagnosis: Autism Spectrum/PDD

Autism Spectrum/PDD encompasses a range of neurodevelopmental disorders characterized by difficulties in social interaction and communication, as well as restricted and repetitive behaviors. Autism is considered a spectrum because it can vary in severity and presentation.

MHF-M18-6827

Came into our ED on 5/14 from his CRS home, they issued a suspension and termination notice. He had 3:1 staffing at the home. Needing a home for him. Referrals have been made to MCCP and MSOCS, has DD waiver and Case Manager. Guardian is his father.

MHF-M15-6824

Youth came into our ED 5/8. Has been to our ED many times in the past, coming in almost weekly. Dad frequently brings him in as he feels overwhelmed by kiddos needs. Pt has behavioral concerns of elopement and some aggression. Has intellectual disability though it seems IQ testing has not been completed since he was 5, is mostly non-verbal. CPS is petitioning for custody. DD waiver is being opened, and crisis respite options are being explored. Reported that he is a “2 county kid” with both Ramsey and Hennepin involvement. Has a referral in for stabilization center however its unknown how long that list is or if he will be accepted.

MHF-M8-6816

Youth came into our ED on 5/5 after seriously injuring another child. Parents are refusing to allow him to return. He is being screened via JST today to determine if County approves RTC level of care. On wait list for crisis stabilization but unsure how long that is or if he will be accepted. MNchoices is taking place on Friday for waiver.

MHF-F16-6757

Youth came to our ED 4/24 from a foster home that is refusing to let her return. Reported she has recently boarded in multiple other hospitals. County is currently seeking group home placement, in both therapeutic group home settings and CRS and crisis respite settings via the waiver. The last DA done earlier this month has a recommendation for OP services which the team does not agree with so they are also seeking an assessment program to determine appropriate level of care, North Homes denied, waiting to hear on Gerards assessment program.

CH8SCH-M12-6473

Patient presented to the ER 1/21. Patient is familiar to us. Patient has a complex psychosocial history with prior CPS involvement and a chaotic home environment. Patient typically does well in the ER & hospital setting but struggles at home with severe aggression and behavioral dysregulation in relation to conflict with parents. Patient does not appear to comprehend the severity of his actions and feels like his actions are justified (which appears to be related to his level of functioning). Patient likely needs a crisis respite placement/group home placement, but his CADI waiver and insurance are on hold while transferring to Benton County.

Doing very well for the most part at CentraCare.

PH-M15-6144

Recommending PRTF/RTC/ CADI placement with supports
15 year old male who presents to PrairieCare Inpatient Hospital due to suicide attempt with increased SI and SIB.
He has a history of several inpatient stays, has engaged in PHP, individual therapy, family therapy, and RTC at Gerard
Funding is in place for RTC with Polk County, has waiver

MHF-M14-6607

Youth came to our ED this time on 2/21 after physical aggression at his GH where he injured staff. This is the 3rd time he has boarded with Fairview in the past month. The GH has taken him back previously however are reluctant this time and are considering an immediate suspension but may be willing to take him back one more time with additional supports. Trying to get started with Youth ACT for additional support, they are reviewing but have concerns related to DD and if they are a proper fit. County is also trying to pursue CABHH and PRTF simultaneously as they feel he needs a higher LOC but have not gotten acceptance. Was previously at Northwoods PRTF for 1.5 year. Looking for any additional supports that could be offered to this youth in the GH to make it successful. Currently has 3:1 staffing at the GH, psychiatry, therapy multiple times per week, has had MCCP behavioral analyst in the past and another referral is being made there, seeing if he may qualify for Youth ACT, and if not ACT looking to connect him to MIDB for psychiatry.

SMCF-M12-6505

Patient has had an increase in ED visits due to an increase in behavioral outbursts including aggression. Patient was transferred to an inpatient psychiatric facility, however, report they cannot meet his medical needs including his incontinence. He was transferred back to the ED. Parents continue to express safety concerns for patient and family members (mom, dad, and 9yr sister). Family report they cannot bring him home at this time. Patient has been denied for hospitalization. He continues to be physically and verbally aggressive towards hospital staff.

MHF-M14-6458

Youth came in to our ED 1/8 after altercation at his Group Home where he has 3:1 staff. Initial recommendation was IP but he was denied by several units. He stabilized while waiting in the ED and the recommendation changed to discharge. Struggling due to sensory needs and the environment of an ED. GH is likely going to take him back once they can figure out staffing and some modifications. Looking for potential ideas to further support this youth in the community. Referral being made for youth ACT team but unsure if he will be accepted due to DD diagnoses. Has DD waiver and CM.