Race/Ethnicity: American Indian or Alaska Native

PH-F15-7244

Recommendation is now for group home
Patient presented to PrairieCare Inpatient Hospital after suicide attempt by hanging on two consecutive days while at Avanti Center for Girls Residential. She has been at 3 different residential treatments (North Homes, Bar None Haven, and Avanti). This is her 4th psychiatric inpatient hospitalization.

Discharge Plan:
Establish QRTP/PRTF:
-Avanti (discharged d/t suicide attempts and elopement concerns)
-PrairieCare Residential (declined d/t suicide attempts and elopement concerns at Avanti)
-Grafton (referral sent)

Outpatient Providers:
Red Lake Ombimindwaa Gidinawemaaganinaadog (OMBI) Program: Outpatient therapy
Sagent Behavioral Health: Medication Management/ Psychiatry Services

C8SM8SP-F12-7511

Child presented to Children’s ED to receive a mental health evaluation after becoming dysregulated in foster home. Child was recently separated from grandmother’s house and sister. Pt made suicidal comments because she “misses her family”.

RCCP-F6-7478

6yo girl presents with extensive trauma history of sexual abuse has led to obsessive-compulsive behaviors related to sexualized behaviors including constant thinking about how to touch herself and others and trying to follow through with those thoughts. She has a long documented history of inserting items into her vagina and anus, resulting in pain, leakage, incontinence, and sores on her genitals/fingers/mouth.

C8SM8SP-F6-7433

Child presented to Children’s ED with county worker (guardian) to seek placement. Child was originally living in South Dakota with a foster family and has moved to Minnesota to find placement. Child has a history of sexual abuse and displays sexual behavior. She is not appropriate for a mainstream classroom.

MHF-F15-7110

Youth came to our ED 7/16 after running from a youth shelter. The shelter will not allow her to return. Has a history of substance abuse, has been to at least 3 SUD residential treatment programs, including a cultural specific program in CA and discharged from all of them. No other SUD residential programs will accept her. History of elopement. Looking for placement to get her out of the ER. Currently no waiver, and has not been through County screening for MH RTC. Last SUD/comprehensive assessment 4/28 recommended residential and last DA 4/2 also recommended residential.

MHF-F17-6987

Youth came into the ED 6/26 after being discharged from the shelter program they were in. Reportedly were boarding in a different hospital last week. Currently accepted at RTC but admit isn’t until 7/10. Needing an interim plan. County has permanent guardianship. Has been denied by most shelter programs. Does have waiver funding but no waiver CM yet.

CH8SCH-F13-6895

Presented from local youth shelter. Unable to return to the shelter. Patient is in custody of Leech Lake Band of Ojibwe due to child welfare case that is currently open. No family available to care for the patient. Looking for any/all placements.

PH-F15-6783

Recommendation is for level 5 QRTP
15-year-old female presenting to inpatient as a step up from PrairieCare Residential after experiencing increased mood dysregulation and suicidal ideation. This is her 4th hospitalization with PrairieCare and has been hospitalized at two other facilities. Guardians are currently hoping for a QRTP closer to home and not out of state.

Continue with established outpatient providers following RTC:
– Individual Therapy
– Medication Management
– CTSS
– Primary Care Provider

MHF-F13-6222

Youth came into our ED on 10/8 after altercation at placement and she can not return there. County is working on getting an updated DA completed while here for recommended care. Has CADI waiver open currently. Guardian is through Mille Lacs Band. This is her 8th time boarding in our ED. Referrals have been made to CABHH, MORA and some group homes.