Kiddo came to us on 3/17 from residing with aunt who adopted her, and aunt is refusing to let her return. She has previously been in PRTF and has a felony assault charge that she was deemed incompetent for via a rule 20. Due to that most placement options have declined her. She has a CMH CM and the County team is exploring getting MNchoices expedited to look at waiver placement options.
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-M16-5515
Came to our ED on 4/10 only because the County had no where else to bring him. Mille Lacs County has custody. He just left the lino lakes juvenile detention center. Has been to many juvenile detention placements, but is no longer required to be there. Has some history of substance use, but most SUD treatments have denied him due to aggression. Has been sober for 2 months now as he was at JDC and now the hospital. County is exploring out of state MH treatment facilities, as well as in state MH group homes, shelters, evaluation programs. Working on getting a recommendation for PRTF through a psychologist who had seen him for civil commitment. Working on SMRT and MNchoices for waiver placement options.
PH-F15-5528
Recommending Level 5 RTC/QRTP
15-year-old female who presented to PrairieCare Inpatient Hospital due to a conflict with her mother leading to an increase in SI.
She was living in a group home for 2 years until approximately January 2025 when she returned home to her adoptive mother.
The JST through Faribault County occurred on 4/16/25. The county did not make a determination whether they support or deny QRTP for this youth at the conclusion of the meeting and discussed they would like to keep this determination open. The county is wanting to pursue shelter and corporate foster care for this youth.
This youth does have a scheduled admission to Nexus Gerard Academy RTC on 4/19/25 pending approval of county funding.
This youth was also accepted to Avanti Center for Girls RTC pending approval of county funding.
NMH8R0MGH-M25-5508
Presents to the ER with Guardian, passive suicidal ideation, feels misunderstood with regard to gender and cultural identity, adopted as a child. Adoptive parents not an option for living. Borderline Intellectual Functioning/Possible Fetal Alcohol Syndrome. Per DD Case Manager, they have tried At Home Living, no openings, Genesis homes has not openings and not able to put patient on a wait list. Patient needs a placement that can accommodate transgender, and she has had inappropriate contact with others in prior GH settings. VOA is assessing.
PH-F12-5504
Patient is a 12-year-old female, currently at PrairieCare Inpatient Hospital.
Recommendation is for level 6 PRTF.
Patient would be able to discharge to a lower level of care while awaiting admission to a PRTF, although she does not have a current placement through the county.
Patient has had a previous inpatient hospitalizations, through UMMC for 38 days waiting for a placement through the county and
PrairieCare Inpatient Hospital 02/02/2025-03/17/2025. Patient was admitted to PrairieCare Residential 03/17/2025-03/20/2025 although was stepped back up to inpatient due to safety concerns.
She has a known history significant for MDD, GAD, and PTSD.
Establish PRTF:
(eligibility form sent to AFMC on 3/26)
-Nexus East Bethel (referral sent & under review)
-Northwood (referral sent, pt’s mother revoked consent on 4/10 due to distance)
-Leo Hoffman (not viable option due to only male patients)
-Grafton (not viable option due to needing ASD, ID, or DD)
MHF-F13-5435
Youth came to our ED 3/24 after altercation at home with Mom. Mom is refusing to pick her up. Has briefly boarded with us twice in the recent past, discharged home both times with WARM and FRSS services. Has contracted CMH CM. Mom is wanting RTC or PRTF. Reportedly County is working on switching her to operated CM to potentially access the screening team and those services.
MHF-F14-4898
Pt came to us 11/18/24 after an altercation at her ongoing GH in which she physically aggressed against another youth. Its reported that youth plans to press charges. She is not allowed to return to that GH, but that provider is working to see if they can set up a new setting for this pt, both temporary and ongoing. Team also has another GH they are looking into for her. This kiddo boarded with us previously, prior to discharge to her last GH, 9/24-11/1 of last year. Dakota County currently has custody. She is also open to CMH and waiver.
MHF-F13-5313
This pt has boarded with us multiple times in the past. 2/13/24-3/27/24 and 2/14/25-2/21/25. Came to us again 2/27/25 after self harm in the shelter setting where she had discharged to on 2/21. Shelter is unable to take her back. County has custodianship currently and is searching for additional shelter and foster placements, as well as waiver placements. (Was in foster prior to 2/14/25) Previously had residential treatment, in 2024. Is open to CADI waiver.
MHF-M17-5398
This kiddo has boarded with us in the past. Was just with us 2/17/25 – 2/27/25 when he discharged to the Bridge shelter. Returned to us 3/17/25 after refusing to attend PHP for SUD and the shelter will not take him back. His parents are refusing to have him return home. He is a few weeks from being 18 and there is no plan to pursue guardianship of him at that time. He is not agreeable to any sort of SUD treatment. Has CMH and CADI waiver CM.
MHF-F13-5331
Kiddo was brought to our ED 3/4 by Mom. Had discharged from our ED hours prior, but returned after another altercation at home regarding pts phone. Mom is trying to get a DA from ongoing therapist, reports one was completed, to get CMH CM. Does not have any ongoing County CMs at this time. Our team tried to make parent-referral shelter referrals however Mom reports she is unwilling to agree to the terms of those programs, which include that Mom will need to pick up if pt becomes dysregulated. No waiver or CMH worker involved to approve any alternative placements at this time. CPS just opened today 3/5. Care Conference taking place 3/6 to gather further information.