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-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.

PH-F14-6340

Recommendation is RTC/PRTF
14-year-old female who admitted to PrairieCare Inpatient Hospital due to increase in suicidal ideation. She has a history of depression, anxiety, PTSD, Autism, and multiple suicide attempts. This is her third psychiatric inpatient hospitalization, has engaged in day treatment, PHP, and outpatient psychiatric services.

CH8SCH-M10-6113

Presented from partial hospitalization program (Clara’s House) for worsening aggression and self-harm. Has had in-home skills worker and outpatient providers. Was referred to Clara’s House for worsening non suicidal self-injurious behaviors. Recommended residential treatment due to attempting all lower levels of care.

MHF-M13-6110

Pt came to FV ED from North Homes, after aggressive behaviors, and they are unable to take him back at this time, stating he needs a higher level of care. He has a history of aggression and often refuses medications. Grandparents are the current custodians and are unable to have him. A referral has been made to CABHH however their wait list is long. A DA is being completed by an OP provider 9/24 as there is not a current one. MNchoices is also being completed 9/24.

MCR-F16-5994

She had been residing at Von Wald 180 Degrees since May. Big escalation on 8/19 and brought to ED. Unable to return to Von Wald; parents are guardians but unwilling to have her in their home (possibly homeless?) and want to terminate their parent rights. Mom is difficult to get in touch with and wants all communication through her attorney.

CH8SCH-F16-6006

Was in metro area with adoptive parents. Placed at Youth Shelter in St. Cloud. Came to hospital. Shelter d/c’d her and refused to pick her up. Ramsey probation and SW already involved. Adoptive parents want to relinquish any rights to patient as aggression is focused on mom.

MHF-F17-5914

Came to our ED from her CRS home, who issued a temp suspension and are not allowing her back at this time. On DD waiver with DD CM. No other CM involvement currently. Has IQ of 60. Last DA completed in March recommended PHP. On list for crisis respite.

MHF-M10-5723

Youth came to our ED 5/28 from home after an escalation. Mom unable to take him back currently. Dakota County CPS has a custody hearing today, 6/4/25. If given custody, they will be working on foster/shelter placement and kinship. All have been explored in the past for this kiddo, but previously denied due to behaviors. Kiddo has trauma history and does very well in school, only behavioral at home. Unsure if there is a current DA- team is looking into it. Its reported by CPS that they tried to get CMH CM for kiddo 4 months ago but that was denied. No waiver currently.

MHF-F15-5707

Youth came to our ED on 5/24/25 after physical altercation at Red River Valley placement, and they refuse to let her return. Has history of physical aggression and a rule 20. Has boarded with us multiple times prior- 12/5/23-12/29/23, 2/13/25-2/27/25, and 3/6/25-3/12/25. Looking both in and out of state for placements that might take her.