Recommendation is for level 6 RTC/PRTF – patient is currently inpatient.
16-year-old Female from RTC level 5. Patient admitted to inpatient after struggling with self-regulation shortly after arriving to RTC. Patient has had several other inpatient hospitalizations and has admitted to RTC twice, discharging both times to inpatient. In alignment with CMHCM, seeking RTC level of care. At this time pt is under temporary guardianship of the county. Referrals have been sent to Nexus East Bethel, Bar None Haven, and PrairieCare.
Patient insured by Medicaid.
Pt has the following outpatient supports:
County guardian/CPS worker
CMHCM
Guardian ad Litem
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.
MHF-F13-4407
Patient came to ED on 7/19 from Nexus East Bethel PRTF after swallowing a foreign object. Was in our inpatient unit from 7/15-7/19 and discharged for only hours before returning. Reports that repeat behavior was pt seeking to be removed from program. Nexus PRTF is not accepting pt back at this time and Mom is unable to have pt return home. Sending referral to Nexus YCT to assist with placement.
MHF-M12-4418
Came to us 7/22 via EMT after aggression and property destruction at hotel crisis respite, provider wont take pt back. Previously boarding in our ED 4/5 to 4/25, with somewhat frequent ED visits between. Has previously been to VOA Bar None. Hennepin County has custody and our team was struggling with reaching the CPS worker yesterday/this morning- going to continue reaching out for further plan/details.
MHF-F12-4412
Patient came to our ED on 7/22 after an altercation with mother and mother is refusing to pick pt up. Was previously in ED on 7/12 for same reason. Was reportedly discharged from Nexus East Bethel 7/12. Has been denied by Northwoods, Gerard. Was somewhat successful in the past with day treatment, CM is exploring day treatment options.
MHF-M15-4172
Pt came to ED from North Homes, after increase in physical/verbal aggression and 30 day notice was given and lapsed without another placement found. Was boarding in our ED in Nov 2023 prior to admit to North Homes. Planning to connect with parent/County about re-involving Nexus YCT. Some sexual inappropriate behavior making him difficult to place.
PH-M13-3281
Recommendation is for level 6 PRTF – seeking interim plan for Respite, Shelter Plus, etc.; patient is currently inpatient.
13 year old female from ED. Pt was at school and was angry and ran from the school. Patient has history numerous psychiatric hospitalizations as well as ten months of treatment at Gerard residential treatment. In alignment with CMHCM, seeking PRTF level of care. At this time parents do not feel they can have the child return home. County looking at respite care, so far unsuccessful. On waitlist (2+ years) at Northwoods, Grafton referral sent, Nexus East Bethel pending acceptance/wiatlist)
Pt insured by Medicaid (had a commercial plan UBH that ended on 3/1/24).
Pt has the following outpatient supports:
Psychiatry
PCP
CMHCM
CTSS
Day tx (not yet started)
PH-M15-4148
Recommendation is for level 5 residential treatment.
Patient arrived at inpatient from ED due to an increase in suicidal ideation with plan. Patient’s legal guardian is Goodhue County. He currently lives with a foster family. This is his 5th psychiatric inpatient hospitalization. He has done PC PHP 3 times, receives outpatient mental health services, and did CIBS program.
Discharge Plan:
RTC: (will need county funding)
-Gerard (Referral sent)
-North Homes (Referral sent)
-Nexus Mille Lacs (Referral sent)
Referred for Trauma informed therapy and CTSS.
Continue with established outpatient providers:
CMHCM: Fernbrook Family Center
PCP/Medication Management: Allina Health
Guardian Ad Litem: Goodhue County
County Guardian: Goodhue County
PH-F17-4082
Recommendation is for CD residential treatment. Patient is currently inpatient.
17 year old female admitted from the ED. Pt was having increased panic attacks and engaging in self-injurious behaviors by hitting themselves. Patient has been having suicidal ideations. Patient has been using marijuana as a coping strategy. Patient has a history of numerous psychiatric hospitalizations. At this time mother feels the patient can not return home as the family has been staying at a motel.
Pt insured by BCBS PMAP and Medicaid.
Pt has the following outpatient supports:
Individual therapy
Psychiatry/medication management
Primary care
MHF-M9-4282
Came to Grand Itasca ED 7/8 after altercation at home where he damaged his room. Has also made threats to family members and gotten in altercations with siblings. Was also in ED 7/5 and 7/3 for altercations taking place at home/in the community. Has history of being abused. Just had a CMH CM assigned a few weeks ago. Hospital has made referral for MNchoices. CMH is looking at placements, options are limited due to age.
CH-F12-4277
Patient presents to the ER from PRTF twice in the same day after boarding for an extended period of time due to aggression towards staff. She has since been discharged from the PRTF as they felt a higher level of care was indicated. She is currently doing well here with intermittent verbal escalations though does struggle with peer relationships. She does express visual and auditory hallucinations though these do appear to be related to trauma.