Psychiatric Diagnosis: Depression

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

PH-F15-5000

Previously diagnosed with depression, anxiety, PTSD . Numerous admissions to psychiatric hospitals and Emergency Departments because of suicidal ideation, suicide attempts and self-injury. History of CPS, county mental health case managers and crisis services. Plan to jump off a bridge. Self injury has included cutting, scratching, burning and head banging.

MFIUP-M13-4967

History of present problem: pt endorsed SI and having thoughts/plan to slit his wrists with a knife, which he has access to at his dad’s house, and endorsed self harm via cutting in recent past. Pt reports feeling isolated due to lack of consistent phone connection.

**Aggression is verbal and throwing objects (no contact)
**MnCHOICES Assessment referral made
**Psychiatry scheduled at BHSI – Brooklyn Center

MHF-F15-4948

Came to us 12/9 after altercation at home with sister. Was recently inpatient for 9 days until 12/5. Parents are refusing to pick pt up. County has offered to set up CTSS services for family immediately and family refuses to work with the current Case Manager. No one is currently recommending out of home placement. Parents are wanting RTC. Has CADI waiver and contracted CM. We are continuing to work with the family and team to get her home.

MHF-F16-4907

Came to our ED on 11/28 following and altercation at home with Grandma who is custodian, that led her to eloping 11/27 and then was picked up by police. Grandma is refusing to let her return. CPS is getting involved as family situation is complicated and not ideal. Previously boarded in our ED 4/24-5/29. Has previously been denied by most residential programs. Needing an updated DA- which County and our team are trying to work on, but due to previous residential denials are not confident this will help with placement. Has CMH worker.

CH-F16-4861

The patient is a 16 year-old female that presented to the ED on 11/11/24 from PHP via EMS after attempting to stab herself in the arm with a pen. This is the same concern which has led patient to having multiple ETC visits and this being her 4th psychiatric hospitalization, all since October 2023 (attempted PHP x2 though was brought to the ER due to stabbing herself with a pen in the arm). Patient was placed on a county emergency protective hold with CHIPS now in place. Patient and parents open to residential treatment.

MHF-F15-4901

Came to our ED on 11/25 after altercation at home with Aunt, who is current custodian. Aunt has refused to take her back home and is refusing any involvement in her care currently. CPS is getting involved. Has CMH worker as well. Nexus YCT has been involved ongoing and is trying to work on referrals for residential, but needs ROIs first. Has interview with residential provider who previously accepted today 12/3.

SL8SHOD-F15-4879

Pt has has multiple psychiatric hospitalizations, is aggressive often, and very unpredictable in her behaviors. She was in an ED for about a month, and was placed at Northwoods residential treatment. She was engaging in self harm. and making threats to jump out of a window. Pt assaulted police who came to remove her from the facility for psychiatric care. Northwoods does not feel that they can keep her or the other patients safe there, so they are not willing to accept her back.

MHF-F16-4834

Kiddo came to us on 11/7 from East Bethel PRTF. East Bethel has discharged reporting they are unable to meet his needs based on his ongoing SI and behaviors. They are completing a referral to CABHH. Has a long history of SI. There is currently no County involvement. Aunt is working on setting up CMH services, but County has reported they don’t have any placement options. Our team will be requesting County look at approval for out of state options once they are open due to limited options in MN for this level of care.

PH-F17-4728

Patient is needing an out-of-home, secure, placement, due to ongoing, chronic, safety concerns, that are unable to be managed at home. Patient is recommended to attend Residential Treatment or enter into a supportive living environment.

Patient has a significant psychiatric history including:

Psychiatric hospitalizations
-Mayo Clinic Generose 08/2019
-PrairieCare 10/29-11/11/2022
-PrairieCare 08/30-9/7/2023
-Mayo Clinic Generose 09/2023
-PrairieCare 11/8-11/20/2023
-Mayo Clinic Generose 12/2023
-Mayo Clinic Generose 04/2024
-PrairieCare 06/25-7/11/2024
-PrairieCare 07/25-8/14/2024

Residential Treatment:
-North Homes for a 35-day evaluation
-Gerard 08/2020-06/2021
-Gerard 12/2022-06/2023

Day Treatment:
-Fernbrook Family Center

Partial Hospitalization:
-Mayo Clinic November 2021, June 2022; Prairie St. John’s February 2022 and July 2022
-PrairieCare Rochester 11/16-12/21/2022
-PrairieCare Rochester 09/11-9/15/2023
-PrairieCare Rochester 09/19-10/11/2023

History of self-harm by cutting (recently daily), with one prior reported suicide attempt (by overdose, 6/2024), who re-presents to PrairieCare inpatient due to safety concerns related to self-harm by cutting, with increasing suicidal ideation and intention, with an inability to contract for safety, in the context of stressors related to school re-starting.

CH-F14-4759

Patient presented to the ER following an intentional overdose to end her life and had just started PHP the week of admission. She had an additional overdose of the same medications in March 2023 and has had reported several other suicide attempts. Patient is on probation for assaulting her mother and has a history of running away, physical & verbal aggression, sexual misconduct (sending nude photos of herself to adult males for money), alcohol/chemical use, school difficulties, and parent/child conflict.