Mental Health Collaboration Hub
A 9-year-old male brought to the ER by his father. He has history of anger management which turns into aggression. The patient states that when he gets angry he just wants to hit things. Today he was hitting his mother in the face and back and also threatening to hit his little sister. He hit the wall creating holes. Threatened to burn himself with the radiator heater. He has been seen multiple times for the same issues. He was seen and Mayo Clinic behavioral health facility in October 2025. Family is working with the case worker named __________ The father states that the psychiatrist has referred him to behavioral health facility in Duluth and they are waiting for him to be excepted in placed in that facility through commitment. Parents are voluntarily allowing him to go to a facility tonight. They do not feel that their family and other siblings are safe at home with him.
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.
CH8SCH-M10-6397
Patient presented to ER the same day he was discharged from 2 month inpatient hospitalization for aggression/safety concerns. Was threatening harm to self and others in the home. Was accepted for admission to Mille Lacs Academy with admission date unknown. Currently stable and no indication to remain in the hospital though family does not feel safe with him in the home. Looking for interim placement while awaiting admission to Mille Lacs.
MHF-F13-6418
Youth came to our ED on 12/24 from the YSC, after being there for a week, boarding in our ED prior to that from 12/2-12/16. YSC has not yet finalized their decision about acceptance back to their program, County leadership is meeting with their team again today, but they have concerns about them returning. Has a crisis home via Wingspan that they can return to in mid Feb once they have established 3:1 staffing, but they can not get staffing set up until then. CABHH referral is being made however that will be a long time out. Pt has been to Grafton in the past, no current recommendation for community treatment placement, our team is not recommending acute IPMH. Has intellectual disability as well.
CH8SCH-M13-6400
Patient presented for overdose following rule enforcement at home. This is patient’s 5th inpatient hospitalization for suicide attempts/ideation. Suicidality appears to be in context to limit enforcement and a desire “to get back at mom.” Appears manipulative in nature. He attends most programming and has not displayed any emotional or behavioral dysregulation since admission.
PH-F17-6394
Recommendation for PRTF.
17-year-old Trans Male patient who presented to PrairieCare following a mental health crisis assessment due to auditory and visual hallucinations, self-harming behaviors , refusal of medications, and refusal to eat. Patient was recently administratively discharged from RTC.
PH-M16-6335
Recommending level 5 RTC
16-year-old male who presented to PrairieCare Inpatient Hospital as a step up from PHP. When home for the weekend, he had increased emotional and behavioral dysregulation with symptoms of psychosis and was brought to the ED by his mother.
He has a psychiatric history of disruptive mood dysregulation disorder, autism spectrum disorder with accompanying intellectual impairment, intellectual developmental disorder, mild, fetal alcohol syndrome, and ADHD.
This is his second psychiatric inpatient hospitalization; he was attending PHP prior to this hospitalization and has a history of psychiatric outpatient services.
MHF-F13-6278
Youth came into our ED 10/31 after an altercation in the car with Mom, on the way from being discharged from RTC after 6 months there. Mom reports she can not take her home. County would prefer higher level of care than RTC however she has been denied by Grafton, so only 1 potential option remains and referral was made. MNchoices is being completed today 11/5. Exploring all options currently. Has recent sexual exploitation history.
AH-M6-6272
Behavioral dysregulation in the context of Familial Foster Home, and in care of respite provider. Breaking items in the home environment. Suicidal behaviors “wrapping items around his head”. CPS involved. Working towards residential placement.
CH8SCH-M12-6116
Presented to ETC after overdose on medication. Recent hospitalization at PrairieCare and overdosed after returning home. Has had 4 inpatient hospitalizations over the last year. Participated in partial hospitalization program after inpatient stay in March. Recommending residential hospitalization due to multiple inpatient hospital stays in the last year.
AH-F15-6102
The Guardian/Dakota Cty are planning for residential treatment for pt and she is indeed currently court ordered to remain hospitalized until this is located. She does not need inpatient level of care but here is no safe discharge location. History of sex trafficking and was recently picked up with a known trafficker. It was verbally reported that pt had a DA in July that recommended a level 6 placement and that CM was working on a facility in Arizona. Will ask for confirmation and documentation as hear from CM and request list of referrals, assist as able.