Kiddo was brought into our ED on 1/9/25 by her County Case Manager. She was in residential treatment at Deveruex in FL for over a year, she then aggressed, and was charged with assault so was brought to a JDC for 21 days in FL. After that time was up, she was ordered back to MN and the County had no placement so she was brought to the ED. Ramsey County currently has custody. Their goal is a long term group home with 2:1 staffing, but are needing somewhere for pt to go in the interim. Our team tried to refer to Nexus YCT for placement assistance, but the County worker refused that service. She has been declined by Gerard and North Homes RTCs. She currently is eligible for waiver placements but a waiver worker won’t be assigned until placement is found. County is currently refusing hotel crisis as an option as well.
Psychiatric Diagnosis: PTSD
PTSD is a psychiatric diagnosis that results from exposure to a traumatic event or series of events. It is characterized by symptoms such as flashbacks, nightmares, and severe anxiety, often resulting in impaired daily functioning.
CH-F14-4594
Patient presented to the Emergency Trauma Center at St. Cloud Hosptial with aunt. Patient presented after being on run from NW Passages in Wisconsin. During times of elopement, patient is known to spend time at the home of a person known for drugs and trafficking. Patient has a county mental health case manager that is working to make referrals for appropriate levels of care. Patient has a history of aggression towards their aunt. Patient does not have any contact with biological father as he is incarcerated and limited contact with biological mother. Parental rights have not been terminated, but patient’s aunt has physical and legal custody. Patient is very vulnerable and has no insight into the unsafe nature of his behaviors.
MHF-F17-5090
Kiddo came to our ED from NW Passages in WI on 1/3. She can not return to NW Passages as she has told them she refuses to return there. She had made threats to peers and family while there and was showing increased aggression. She was only going to remain there until turning 18 this spring and then the team did not know where she was going to go next. Currently they are looking at shelters, PRTFs, and anywhere that may accept her. (We have not had a team meeting yet to get full details) There is an intake meeting with Nexus YCT today at 1pm to get their assistance with placement.
CH-F16-5073
Presented from Newport Academy on 1/7/25. Patient engaged in property destruction and made suicidal comments. Patient admitted to Newport in November. Patient was administratively discharged at the end of December. Patient has a history of running/eloping and is believed to have been trafficked to Ohio in October. Patient was tracked down by his cell phone and detained by law enforcement at a juvenile detention center in Cleveland. Patient returned to MN and was admitted to Newport. Not meeting criteria for acute inpatient psychiatric placement. Long-term placement in a secure/locked facility is recommended.
CH-F13-4941
Patient presents via law enforcement for increased aggression and outbursts, threatened to hurt self and staff with a knife, recently broke a staff members nose. Facility next door to group home is a day care and Pt threatened to slit the kids throats (has a history of aggression towards small children). She was seen by psychiatry who felt behaviors were chronic in nature and would not improve with inpatient hospitalization and return to group home was recommended. Each attempt and returning to her group home resulting in her assaulting staff and need for restraints and IM. Group home has since suspended services.
MLBOO-F16-5053
Runaway to Ohio. Retrieved by case management and HHS team with their Native American tribe. Escorted to Newport Academy. Transgender status – was allowed to be assigned to male cottage initially, but transferred to female cottage for not following boundaries in place for clients in cottage. After told of the move, patient eloped from campus. Later returned, but refuses to move to female cottage. Eloped again later the same day, with another client and found alcohol in dumpster and ingested this. Is stating they are going to do whatever they can to get kicked out. Needs higher level of care that Newport is able to provide. Needs secure place to prevent from running away again out of state or elsewhere.
PH-F12-5010
12 year old, history of trauma with subsequent depression and anxiety ADHD and anxiety. Multiple treatment interventions at PHP. Patient reports that depression has been worsening over the last several months and has becoming more difficult to manage. Patient reports ongoing suicidal ideation and difficulty thinking about anything in the future that would be of benefit. Patient reports ongoing mood disorder low mood low energy reports difficulty with school reports anxiety.
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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.
MHF-F16-5020
Kiddo arrived in ED on 12/22 after altercation at Passageways Shelter. Has boarded with us many times previously, including 3 in the past month: 11/29-12/5, 12/14-12/18, and now 12/22. Also previously boarded with us 4/26 to 5/29. Was recently at Aspen and Passageways shelters, neither which she can return to. Long history of elopement. County has interim custody. Team was working toward RTC but has also historically been denied by these programs.
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.