Psychiatric Diagnosis: Substance Abuse

Substance Abuse refers to problematic patterns of using and abusing drugs or alcohol, leading to negative consequences in a person’s life. It is a psychiatric diagnosis that may involve addiction or substance use disorders.

CH8SCH-M15-6248

Patient presented to the ER via law enforcement and EMS after running away from mom’s house and being found in an intentional house fire where patient and friend were hallucinating and lit the closet on fire to kill what they thought were rats. Patient ingested multiple substances in front of firefighters. Patient has significant history of substance use with multiple hospitalizations for overdoses and stays at treatment facilities. CD assessment completed. Recommending CD residential.

MHF-M17-6251

Youth came to our ED via police on 10/28. Was previously in our IP unit, discharged to Nexus Gerard where he eloped several times. Pt is on a MI/CD commitment. Has substance use struggles ongoing but it’s reported that previous placement thought the MH was the primary concern. Has been denied by many SUD programs- Wings, Anthony Louis, Fairview, Oshki Manidoo and Ember in Iowa. Ideally CM wants pt in a secure setting due to history elopement. Referral has been made for VOA- Bar None Haven. Pt is newly 17.

MHF-F17-5573

Youth came to our ED 4/17 from group home, who are not allowing her to return. Stearns County has custody currently and there is a CPS worker as well as ICWA advocate. No waiver currently. Had a SUD assessment that recommends residential treatment and she was agreeable to that, however no acceptance at programs yet and wait lists for those also. CPS is exploring shelter and kinship options. Was denied by Red Lake shelter and Ain Duh Yung.

NMH8R0MGH-F17-5257

Patient presented to the ER with PD following being on run for one week from a trial home visit with biological parents, was in shelter prior to that. Drug of choice is meth. Initially presented with psychotic symptoms that have since cleared, which has resulted in patient being cleared by psychiatry.

MFIUP-F14-5242

Presented to ED for verbal agitation, physical aggression, significant behavior chance, suicidal ideation. Patient has also been engaging in SIB. Aggression has been ongoing for over a year and has intensified. Aggression comes on suddenly/does not seem to be predictable. Mom feels she has no control. Has an IEP for low IQ and learning difficulties. Refuses medications. Strained relationships with mother, father, and older siblings. Patient reports not having many close friends. Has engaged in lots of community and outpatient treatment options including individual therapy, family therapy, case management, school counseling, child protection, primary care, psychiatric medication management, day treatment. Has been hospitalized before at PrairieCare.

PH-F14-5049

Psychiatric history of PTSD, schizophrenia, and bipolar diagnoses. Patient has two prior inpatient psychiatric hospitalizations (Aug 2024 and Sept 2024). Patient presented to PrairieCare through ED, following and manic-like behaviors, delusions, and aggression during intake with Anthony Louis Center.

Initial treatment recommendation was to discharge patient to Anthony Louis Center, however current clinical indication is for longer term mental health care support.

HCMCH-F17-4643

A 17-year-old female presented to the emergency department with altered mental status due to drug intoxication. Hennepin County currently holds temporary custody of her. She had been reported missing since July. Given her condition and the circumstances surrounding her case, there is a strong suspicion of human trafficking.