Psychiatric Diagnosis: Depression

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

MFIUP-F13-6344

Pt has a hx of MDD, GAD, PTSD, RAD, insomnia and unspecified disruptive, impulse control and conduct disorder. Pt has previous inpt MH admission from 12/18-1/23/25 at UMMC. Per review of the record pt has recently been at Bar None and Divine group home. Pt has hx of foster care placement and has been under legal custody of Hennepin county. Pt has a hx of abuse and neglect. Mother has mental health concerns and CHIPS order indicated hx of civil commitment. Pt was in her father’s care and removed due to concerns for abuse. Maternal uncle died by suicide. Pt had multiple recent ED visits. Pt has been with her grandfather for a few days after running from her last placement and being found on the streets.

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.

SBMC-F15-6326

Patient presented to the ED after ingesting a button battery. Surgical intervention was needed to remove the battery. Safety plan competed to allow patient to return home with father. While at school the next day, she hid in the bathroom and broke open a calculator to swallow 2 AA batteries. Hospital admission needed until batteries passed the next day. Acute inpatient MH options explored with no accepting facilities. Remains admitted awaiting residential placement at this time. Father does not feel he can keep her safe at home due to the increased risk of swallowing objects.

AH-M14-6314

Currently in custody of St. Louis County. Ongoing CPS case management. Due to presenting incident that involved patient threatening SI and possibly threatening other family members in the home, current foster placement unwilling to have patient return.

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)

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.

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-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