Came to ED on 5/09/24 via police after increase in suicidal ideation. Pt reports being bullied at her group home, was at Divine. Divine is not allowing pt to return. No physical aggression, continues to have suicidal ideation without attempts. County is working on Group Home placements- wait listed at North Crow, has explored shelters, foster cares- denied by those. Referral was made for MCCP crisis bed and working on hotel crisis respite referrals, as well as CRS homes.
Psychiatric Diagnosis: Trauma and Stressor Related Disorders
Trauma and Stressor Related Disorders are a group of psychiatric diagnoses that result from exposure to traumatic or stressful events, such as acute stress disorder and adjustment disorders.
PH-F14-3601
Update 4/25/25: Patient discharged from inpatient to Willow Trails Group Home on 4/25.
Update 4/24/24: Patient is medically ready for discharge from inpatient. Tentative admission to Willow Trails Group Home on 4/25.
Update 4/18/24: Patient is medically ready for discharge from inpatient. County is their guardian. County is working on finding foster care/group home placement. Patient has been denied at Village Ranch, is being reviewed at Port Place, Hunter’s Place, and Anoka County Juvenile Center.
Patient presented to the ED on 03/15/2024 after making suicidal statements while at school. Patient noted they have been being bullied, which contributed to the increased in suicidal ideation. Patient denied having a plan to complete suicide but was experiencing passive suicidal ideation and indicated that they would “probably do something with cutting.” The school contacted law enforcement and patient was transported to the ED for further mental health evaluation. Patient was unable to contrast for safety, resulting in them being transported via non-emergent transportation to PrairieCare for short-term stabilization.
Patient is under guardianship of Ottertail County at this time. Placement is being pursued by the county to either a Group Home or Foster Home.
Discharge Plan:
Continue care with existing outpatient providers:
-Individual therapy, PCP and Psychiatry at Behavioral Health in Badger, MN
Patient is medically ready for discharge and is awaiting placement in an appropriate group home/foster home, as identified by the county.
PH-F14-3695
Update 4/23/24: Patient discharged from inpatient on 4/23/24. Patient scheduled to begin PrairieCare PHP on 4/24/24 while continuing to pursue Group Home placement as recommended by the county.
Patient is a 14-year-old female presenting to inpatient on 03/19/2024 from the ED due to running away from shelter placement. Patient has a history of participating in PHP two times, DBT, ongoing outpatient mental health services, and being in shelter placement.
Discharge Plan:
RTC:
-North Homes (on the wait list)
CD-RTC: Referrals submitted/considered for the following facilities:
-Hazelden (Pt’s insurance not accepted in Minnesota)
-Rogers (Declined due to elopement risk)
-M Health Fairview (Declined due to elopement risk)
-Anthony Louis Center (referral sent 03/27/24)
Group Home Placement (as recommended by JST/county):
-Little Sands (Referral submitted by CM; declined d/t LON)
-Village Ranch (Referral submitted by CM; reviewing 4/10; pending additional review on 4/17)
-North Homes (Pt is on the waitlist for RTC; pt is not eligible for their group home due to age)
Existing Outpatient Providers:
CHMCH: Hennepin County
Psychiatry: Nystrom & Associates
PH-F14-3375
Update 4/12/24: Patient discharged from inpatient to home, while waiting for RTC admission.
Update 4/11/24: Patient scheduled to discharge from inpatient on 4/12/24, stepping down to outpatient supports, while waiting for RTC. Intake process is moving forward at North Homes RTC, with potential admission on 4/18 or 4/19.
Update 4/4/24: Patient has been accepted at North Homes RTC with a potential admission mid-April. Patient has now been assigned a CMHCM, waiting on screening for county funding.
Update 3/21/4: Pt is under review for acceptance at North Homes pending county funding, Waiting assigned CMHCM, parent is currently doing the intake process at the county to get a CMHCM for the Juvenile Screening.
Patient is a 14-year-old transgender male presenting at PrairieCare’s inpatient hospital. Patient presented to Sanford Bemidji Medical Center on 3/4 when parents brought them. That night while parents were away from home patient was aggressive toward sister. Family called crisis and were directed to bring to ED for evaluation. This is after a similar event last week where patient attempted to stab sister with a knife and father had to intervene.
PH-M16-3492
Patient admitted to North Homes Shelter on 4/5 while awaiting North Homes RTC admission!
Update 4/3/24: Pt admitting to North Homes Shelter 4/5 at 1100 until North Homes RTC admission- Thank you, Connie!!!!
Insurance:BCBS MN PMAP
Case Description: Patient presents to PrairieCare Inpatient Hospital from the ED. Prior to the ED, she was at Village Ranch RTC/group home. Patient is no longer able to return to Village Ranch as they are recommending a higher level of care that can provide more supports, she also is not able to return home at this time.
Recommendation is for level 5 QRTP.
Discharge Plan:
RTC:
-Avanti Center for Girls (Referral sent)
-Gerard (Referral sent)
-North Homes (Referral sent, tentative opening beginning of May, interim North Homes Shelter)
-Village Ranch (pt unable to return due to recommending more support/higher LOC)
-CMHCM with Crow Wing County
MHF-M9-2601
2/29/24: Still inpatient. Children’s Mental Health Case Mgr assigned this week.
Update 2/8/24: Still in inpatient. Denied from Northwoods, Gerard, PrairieCare due to aggression and age. Denied from group homes as well. Exploring 2 family member possibilities. Trying to get a Case manager assigned. Anoka non secure 45-day assessment program could include a psycho-sexual assessment (? age requirements?).
Patient presented to the ED by mother’s boyfriend due to concerns of sexual abuse. History of physical and sexual abuse and recently has been perpetrating on his younger siblings and having increased behavioral concerns and aggression. Placed on a welfare hold for placement, court ordered to out of home placement. Has been denied by 7 foster homes, no shelters accepting patients his age. CPS currently has custody.
MHF-F12-3097
Patient presented from Prairie Care PHP due to aggression and dysregulated behaviors. PHP unwilling to accept patient back, mother unwilling to take home at this time and cites need for RTC. No RTC referrals made currently. Patient needs support in short term placement while outpatient team supports long term plan and placement. Has been in the ED 4 other times. Back and forth from ED to home. No letter of rec. for residential at the moment. Working on it. There is a case mgr, working on a care conference currently.
ADYC-M14-1768
Update: 1/19/24 Pt. still looking for placement.
15-year-old male looking for a group home and residential program. Children’s Mental Health Case Manager has tried everything, and doors are being shut. Client has a physical aggression, verbal aggression, history of PTSD and sexual abuse. Client has experienced abuse from biological father who is in still in the home, and sexual assault that happened possibility of more than one with an older cousin sister. Client mother is giving up on hope on trying to help her child. Client is struggling at home, school, and community. Children’s Mental Health Case Manager has been trying everything to find a placement for him. He’s been going in and out of the ER like every two months now. Children’s Mental Health Case Manager still trying to offer support the way she can by being there every hospital stay, seeing client like twice a month, and having mom keep her on speed dial to talk to client.
Because of experiences, client is chemical dependent on marijuana, perks, and opioids.
MHF-F14-3259
Patient arrived from Divine Institue due to aggressive behaviors towards a peer, unable to return to facility. County working on shelter referrals and long term placement options.
MCR-M12-3200
Conduct disorder (childhood onset), Parent-child relationship problem, ADHD, Borderline intellectual functioning
Pt has outbursts and behaviors causing family in the home to feel unsafe, he has been utilizing a respite home but recently became dysregulated in this setting additionally and struggles with boundary and limit setting. Home environment appears to reflect chronic chaos.