Youth came to our ED on 6/13 straight from a Missouri RTC that he was discharged from due to aggressive behavior. Came to us as there was no other place for him to go. Has CMH and they are reporting they are not seeking another placement at this time and recommend pt return to adoptive Mom, or we contact CPS. Mom also requested we contact CPS so she can get further assistance and potentially out of home placement. No waiver at this time.
Race/Ethnicity: Black or African American
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.
MHF-F13-5731
This youth has boarded with us 4x prior. She was most recently boarding with us last week 5/28 and a day later physically aggressed on 4 of our ED nurses and was brought to JDC. She was discharged from JDC due to a previous rule 20, brought to another ED who discharged her immediately and returned to us again, only due to lack of placement. County is working on renewing her MNchoices, searching for waiver placement, out of state and is seeing if management would approve a hotel crisis respite.
MHF-M10-5723
Youth came to our ED 5/28 from home after an escalation. Mom unable to take him back currently. Dakota County CPS has a custody hearing today, 6/4/25. If given custody, they will be working on foster/shelter placement and kinship. All have been explored in the past for this kiddo, but previously denied due to behaviors. Kiddo has trauma history and does very well in school, only behavioral at home. Unsure if there is a current DA- team is looking into it. Its reported by CPS that they tried to get CMH CM for kiddo 4 months ago but that was denied. No waiver currently.
MHF-F15-5707
Youth came to our ED on 5/24/25 after physical altercation at Red River Valley placement, and they refuse to let her return. Has history of physical aggression and a rule 20. Has boarded with us multiple times prior- 12/5/23-12/29/23, 2/13/25-2/27/25, and 3/6/25-3/12/25. Looking both in and out of state for placements that might take her.
MCR-M9-5609
He has been in foster care since he was removed from home in 10/2022 due to physical abuse. He was in foster care with a family and was relatively stable until the past few months, when the foster father died and since then there has been an increase in behaviors. He is unable to return to that foster home. He has very low cognitive functioning, reported to be around a 3 year old, and he was attending school only a few hours per day. He was on a lot of medications and psychiatry has optimized them during his time here.
MHF-F11-5677
Youth came to our ED 5/18 after physical altercation at home with adoptive mom and family. Has been expelled from school due to aggression also. Adoptive Mom reports no therapy or mental health services, besides medication management, in last 5 years, and has never had out of home placement. Referral was made for a DA and for CMH CM. Parent referred shelters that accept pt age declined. CPS is inquiring about other family to care for pt. Currently no County CMs that can authorize OOHP.
MHF-F13-5650
Youth came into our ED on 5/12 after child/parent conflict at home with adoptive parents. Parents are not wanting her to return home. Kiddo has boarded with us before, 3/4/25-3/14/25. Just opened to CADI, and has CMH CM. Last DA was level 3 CASII, OP therapist is reportedly working on updating the DA.
PH-F15-5562
Patient is a 15-year-old female, currently at PrairieCare Inpatient Hospital.
Recommendation is for level 6 PRTF.
Patient has had five previous inpatient hospitalizations through Abbott Northwestern and PrairieCare since April of 2022. Patient has had two admissions to PrairieCare partial hospitalization programming, and one admission to Anthony Louis Center RTC.
Establish PRTF:
-Nexus East Bethel (CMHCM sent referral, PC also sent a referral, declined for admission 04/16 due to believing PT needs a higher level of care- CABHH)
-Northwoods (Not a viable option due to insurance and 2 year waitlist)
-Grafton (Not a viable option due to patient not meeting admission criteria)
-Leo Hoffmann Center (Not a viable option due to patient not meeting admission criteria- only accept biological males)
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)