Mental Health Collaboration Hub
Youth came into our ER on 12/2 after an episode of aggression at the Crisis Home. The crisis home will be willing to take them back in the future, but not until the other individual in the home has moved out, which won’t be taking place until end of January, They also want to have increased staffing and put rights restrictions into place. It will be almost 2 months before that can happen. Looking for an interim plan for them. Pt is open to waiver, has mild intellectual disability. Also has CMH, but treatment placements are not being explored as pt has been to those in the past (Northwood, Chelida, and Grafton) and more recently treatment placements have all denied them, so primarily looking at waiver paid placements.
Psychiatric Diagnosis: Reactive Attachment Disorder (RAD)
RAD is a psychiatric diagnosis involving severe difficulties in forming emotional bonds with caregivers, often seen in children who have experienced neglect or trauma.
MFIUP-F13-6344
Pt has a hx of MDD, GAD, PTSD, RAD, insomnia and unspecified disruptive, impulse control and conduct disorder. Pt has previous inpt MH admission from 12/18-1/23/25 at UMMC. Per review of the record pt has recently been at Bar None and Divine group home. Pt has hx of foster care placement and has been under legal custody of Hennepin county. Pt has a hx of abuse and neglect. Mother has mental health concerns and CHIPS order indicated hx of civil commitment. Pt was in her father’s care and removed due to concerns for abuse. Maternal uncle died by suicide. Pt had multiple recent ED visits. Pt has been with her grandfather for a few days after running from her last placement and being found on the streets.
PH-M10-6068
Recommending RTC. Limited options available due to his age.
10-year-old male presenting to PrairieCare Inpatient Hospital as a step of from PrairieCare PHP after anger leading to physical aggression towards others and increased SI. This is his 5th psychiatric inpatient hospitalization. He has engaged in PHP three times as well as outpatient psychiatric services.
Discharge Plans as of 9/9/25:
-Gerard
-Rogers Behavioral Health
-Northwood (on wait list, currently 9/12 months)
MCR-F14-5997
Comes from Von Wald 180 degrees after being there almost 5 days, due to her statements about “what would happen if someone died here,” and some fixation on the gas stove causing concern that she would tamper and cause harm to many. She is removed from family home and there are complex family dynamics. She is adopted and is the youngest of 6. Adoptive mom is in TCU level of care and cannot care for her, needing supervised visits, and dad is not able to have contact. CPS and MH workers involved. This week she was certified disabled and hopefully a CADI SW will be assigned soon!
AH-F16-6099
Guardian reports that they are not allowing pt to return to her prior setting, which was living with a friend and her mom; history of recent placement at Brittney’s place. They have referred her to an open Crisis bed via MCCP as well as several other placements with no real option in sight.
MFIUP-M6-6033
Mom transferred to rights to dad 2 years ago through a CHIPS petition. McLeod county CPS has been working voluntarily with the family for awhile (CPS worker Daisy Vinkemeier 320-300-8724). Dad had been doing well up until recently when he relapsed. Dad was admitted to the hospital yesterday at the same time as patient due to medical issues. Due to this, McLeod County has placed patient on a health and welfare hold 8/28 until the team can get to court to take temporary custody of the patient. At this time there are not any kinship options for the pt.
MCR-F16-5994
She had been residing at Von Wald 180 Degrees since May. Big escalation on 8/19 and brought to ED. Unable to return to Von Wald; parents are guardians but unwilling to have her in their home (possibly homeless?) and want to terminate their parent rights. Mom is difficult to get in touch with and wants all communication through her attorney.
ARCAJC-F14-5870
14 year old female with a history of hospitalization and services such as Prairie St john and Children and Adolescent Behavioral Health Hospital in Willmar, MN from December 2024-March 2025. Assaultive towards her caregiver (grandmother) when in her care. Appears she would benefit from a mental health vs correctional program. On lengthy wait list for PRTF.
AH-F15-5741
Was residing at Meridian crisis home; filed notice of service termination. County has guardianship and has no other alternative housing. Will need updated DA with recommendations for level of care beyond mental health group home.
PH-F12-5504
Patient is a 12-year-old female, currently at PrairieCare Inpatient Hospital.
Recommendation is for level 6 PRTF.
Patient would be able to discharge to a lower level of care while awaiting admission to a PRTF, although she does not have a current placement through the county.
Patient has had a previous inpatient hospitalizations, through UMMC for 38 days waiting for a placement through the county and
PrairieCare Inpatient Hospital 02/02/2025-03/17/2025. Patient was admitted to PrairieCare Residential 03/17/2025-03/20/2025 although was stepped back up to inpatient due to safety concerns.
She has a known history significant for MDD, GAD, and PTSD.
SEE UPDATES BELOW
Establish PRTF:
(eligibility form sent to AFMC on 3/26)
-Nexus East Bethel (referral sent & under review)
-Northwood (referral sent, pt’s mother revoked consent on 4/10 due to distance)
-Leo Hoffman (not viable option due to only male patients)
-Grafton (not viable option due to needing ASD, ID, or DD)