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-F17-6987

Youth came into the ED 6/26 after being discharged from the shelter program they were in. Reportedly were boarding in a different hospital last week. Currently accepted at RTC but admit isn’t until 7/10. Needing an interim plan. County has permanent guardianship. Has been denied by most shelter programs. Does have waiver funding but no waiver CM yet.

MHF-F16-6930

Youth came to our ED 6/5 from Mom’s home. Previously resided with Dad, moved to Mom’s 3 weeks ago, neither are willing to allow pt to return to their home. Youth has CADI waiver. Not currently open with CMH as they need youth to agree to those services. County is willing to look for short term crisis respite with a plan to return to parents after, but not willing to explore CRS. No LOC recommendation for treatment placement at this time.

PH-M16-6937

16-year-old male with a history of depression, anxiety, ADHD, PTSD, and significant early childhood trauma, presenting to the Brooklyn Park Inpatient program following a serious suicide attempt by strangulation. He has a history of multiple prior psychiatric hospitalizations and suicide attempts, with a recent period of stability after adoption into a supportive home. However, recent stressors and discontinuation of psychiatric medications have led to a recurrence of depressive symptoms, trauma-related nightmares, and some trauma related visual hallucinations.

LAHC-M14-6887

Has been with us since January. Arrived from Prairie care from Mayo Clinic before that for verbalized increase in SI and engaging in SIB. History of abandonment from bio mother and apparent abuse and substance use in the household per history. History of temporary foster care. Difficulty with boundaries and impulsive behaviors. Often losing his temper, being easily annoyed and irritable, arguing with adults of authority, and not complying with rules/structure. Current and historical property destruction and elopement. Behavioral instances at school, threatening gestures and actions. History of vaping nicotine “if I have it I will use it” mentality. Witnessed DV, history of homelessness, and physical abuse.

PH-M15-6840

Recommending RTC/PRTF.
15 year old male who presented to PrairieCare Inpatient due to an increase in suicidal ideation with a plan to overdose.
Patient has a history of other inpatient hospitalizations, PHP, and CD RTC. QRTP funding was denied.

PH-F15-6783

Recommendation is for level 5 QRTP
15-year-old female presenting to inpatient as a step up from PrairieCare Residential after experiencing increased mood dysregulation and suicidal ideation. This is her 4th hospitalization with PrairieCare and has been hospitalized at two other facilities. Guardians are currently hoping for a QRTP closer to home and not out of state.

Continue with established outpatient providers following RTC:
– Individual Therapy
– Medication Management
– CTSS
– Primary Care Provider

MHF-F17-6780

Youth came into our ED 5/5. This is her 3rd time boarding with us in 3 weeks. She discharged to Dignity House and Aspen House the last times and is needing placement again as she can’t return to either. (Eloped from Dignity and got into an altercation at Aspen. ) Looking for waiver or treatment placement, but has been denied from many options.

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.

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

PH-M13-6717

Recommending PRTF.
13-year-old male who presented to Inpatient from ED after aggression towards adoptive parents and suicidal ideation with intention to act. This is his 2nd psychiatric inpatient hospitalization, and he has been engaged in outpatient care.

Discharge Plan as of 04/22/2026:
Grafton (Declined due to inclusion criteria)
Leo Hoffman Center (Accepted with approx waitlist 2 months)
Nexus East Bethel (Reviewing)
Northwood Children’s (Does not accept pt’s insurance, 2-year waitlist)

In the interim:
Establish PHP: PrairieCare PHP at Mankato (Guardian prefers continuing with ABA Day Program instead)

Continue with established outpatient providers:
CMHCM: Blue Earth County
Psychiatry: Mankato Clinic
IT: Surdey Family Services
Day Program/ABA Therapy: Northway Academy, Children’s Autism Services-Mankato
OT: Mankato Clinic Pediatric Therapy Services