Psychiatric Diagnosis: Depression

Depression is a psychiatric diagnosis characterized by persistent feelings of sadness, hopelessness, and a loss of interest or pleasure in activities.

MHF-M17-6251

Youth came to our ED via police on 10/28. Was previously in our IP unit, discharged to Nexus Gerard where he eloped several times. Pt is on a MI/CD commitment. Has substance use struggles ongoing but it’s reported that previous placement thought the MH was the primary concern. Has been denied by many SUD programs- Wings, Anthony Louis, Fairview, Oshki Manidoo and Ember in Iowa. Ideally CM wants pt in a secure setting due to history elopement, but has been denied by only secure setting in MN. Pt is newly 17. Any facility licensed by the DOC can’t be pursued due to commitment, and going out of state the commitment would not follow, so in state would be best.

CH8SCH-M15-6248

Patient presented to the ER via law enforcement and EMS after running away from mom’s house and being found in an intentional house fire where patient and friend were hallucinating and lit the closet on fire to kill what they thought were rats. Patient ingested multiple substances in front of firefighters. Patient has significant history of substance use with multiple hospitalizations for overdoses and stays at treatment facilities. CD assessment completed. Recommending CD residential.

PH-F16-6225

Recommending RTC/PRTF.
16-year-old transgender male who presents to PrairieCare Inpatient Hospital due to increased SI and SIB. Patient has a history of several inpatient stays and a significant trauma history.

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.

PH-M15-6144

Recommedning PRTF/RTC
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

Discharge plan as of 9/29:
PRTF/Level 6 (referrals placed by CMHCM, Approved by AFMC for PRTF)
– Northwood (reviewing, waitlist 3-4 months)
– Nexus East Bethel (referral submitted, reviewing possible opening early Oct.)
– Grafton (referral submitted, under review, declined due to inability to support level of care)
– Leo Hoffman Center (CMHCM to resubmit referral, declined due to safety concerns and inability to provided 1:1 staffing, able to re-refer upon further stabilization)

QRTP/ Level 5:
– Return to Nexus Gerard (under review, declined to return. Discharge effective 9/12)
– Bar None Haven (referral submitted)

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.

MHF-F13-6075

Youth came to our ED on 9/4/25 from a group home after reportedly ingesting extra medications. It’s unclear how she got the medications, but her custodian does not want her returning to the home at this time. IP was initially recommended however she was declined from multiple IP units due to feeling there would be no benefit from IPMH and due to her acuity. She has since stabilized while waiting in the ED, and is now being recommended for discharge. This is this youth’s 7th time boarding in Fairview EDs. There is a tentative placement set up for the 22nd, looking for potential interim plans.

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