Mental Health Collaboration Hub
Patient presented to Children’s ED after being discharged from Prairie Care IPMH. After returning home, patient became upset with mother because he did not want to go to Hyvee to pick up medication. Pt became distressed, attempting to hurt mother with a butter knife and kicked mother. Mother called 911 and does not want patient to return home at this time.
Psychiatric Diagnosis: Disruptive Mood Dysregulation Disorder (DMDD)
DMDD is a psychiatric diagnosis that applies to children and adolescents who exhibit severe temper outbursts and persistent irritability. It is often associated with difficulties in regulating emotions.
NMH8R0MGH-F14-7544
Patient presents for psychiatric evaluation in the setting of suicidal ideation and recurrent self-harm behaviors. Per nursing report, the patient has generally been calm but has repeatedly attempted to harm herself by scratching her arms. At times, her behaviors have escalated to lashing out at staff, requiring restraints to prevent further self-injury and maintain safety. Nursing reports that her parents have not been visiting because their presence appears to trigger increased emotional distress.
C8SM8SP-M17-7527
Patient was residing at a group home when he became upset and verbally threatened peers due to a statement they made. Per staff, they were unable to deescalate and he began to punch walls and pushed staff. He is no longer able to return to this specific group home.
C8SM8SP-M12-7425
Child presented to Children’s ED due to altercation at group home. Child was requested by mother (guardian) to be brought to ED for MHCA. Child was no longer allowed to return to group home due to the altercation. Pt has a long history of presenting to the ED due to behaviors and is recommended to discharge home. Mother does not feel safe with pt discharging home in her care.
MCR-F16-7399
16 year old female who has multiple in state and out of state residential placements, and currently on the waitlist for CABS. Family is unable to meet her needs, and she is boarding in the ED. She is in need of residential placement until she is accepted to CABS.
CH8SCH-F15-6993
Patient is well known to our ER/Hospital. She previously boarded in the ER 3/12/25-5/9/25 when she was transitioned to the Adolescent inpatient unit and boarded until 10/2/25. Patient moved into a group home built for her.
Patient returned to our ER on 6/28/26 and the group home suspended services effective 6/29/26 due to the level of aggression patient has displayed and injuries to staff. Sherburne County and patient’s guardian (adoptive mom) are not appealing.
MHF-M14-4646
Kiddo came into ED on 9/24 from school for aggressive behavior, was in foster care who is not willing to take pt back. Under custody of the County. Has history of both residential txt (Northwoods 2x) and juvenile detention centers, and has a rule 20. Referral has been made to Prairie Lakes, waiting for response.
CH8SCH-M9-7291
Patient presents from home via law enforcement. Aggression towards parents, elopes from parents, runs into traffic. Was recently discharged from PHP with recommendation for higher level of care (PRTF)
MFIUP-F15-7229
Admitted due to suicidal and homicidal ideation. Patient struggles with explosive outbursts when she does not get her way. Patient has a hx of calling CPS frequently alleging abuse against mom. Diabetes was managed with an insulin pump until recently, when the pump was removed for inpatient admission and she was transitioned to insulin injections. She reports that the pump was helpful in regulating her diabetes. She reports daily suicidal ideation, describing it as a persistent struggle, with plans to smother or strangle herself. She also experiences homicidal ideations, particularly directed toward her mother and sister.
CH8SCH-M12-7212
Patient presented to the ER from residential facility in Wisconsin. He was discharged unsuccessfully from their program due to behaviors and acuity and transported here. Wrap around case manager is looking for placement. Patient’s mother does not feel able to have him home due to his behaviors, property destruction and eloping.