CH8SCH-M12-6473

Patient presented to the ER 1/21. Patient is familiar to us. Patient has a complex psychosocial history with prior CPS involvement and a chaotic home environment. Patient typically does well in the ER & hospital setting but struggles at home with severe aggression and behavioral dysregulation in relation to conflict with parents. Patient does not appear to comprehend the severity of his actions and feels like his actions are justified (which appears to be related to his level of functioning). Patient likely needs a crisis respite placement/group home placement, but his CADI waiver and insurance are on hold while transferring to Benton County.

Doing very well for the most part at CentraCare.

CH8SCH-M10-6691

Patient presented from foster care due to concerns of aggression and dysregulation in the context of trauma history and out of home placement. Unable to return to previous foster care. Being referred for residential treatment though needs a safe location while awaiting residential.

MHF-F12-6723

Youth came to our ED on 4/16. She was on the run from 4/11-4/15 and returned to adoptive parent 4/15 who brought her to the ED 4/16. SEY concerns while she was on the run. Adoptive parent does not want her returning home. Youth was only open with contracted CMH CM when arriving at the ED. County is working on transitioning her to operated CMH CM. DA was completed 4/22/26 and recommends QRTP/Group Home, need transfer to operated CMH and County JST approval before moving forward there. No waiver currently and no access to County paid shelters due to parent having custody. Have explored parent referred shelters, but so far they have denied. Once operated CM is assigned a referral can be made to Hennepin County YSC. Has history of physical aggression toward siblings, elopement behaviors and SEY concerns.

MHF-F17-6700

Youth came to our ED on 4/9 after being on the run for 3 weeks. Has a long history of elopement and some aggression as well. Is open with CPS, ACT team, and DD waiver, and there is a VPA for placement currently. County team is looking at all placement options- all waiver options, RTC, out of state. Has been denied many places already primarily due to the elopement behaviors.

CH8SCH-F13-6644

Patient presented to ER from residential treatment after assaulting staff. This was patient’s second day of residential treatment followed by lengthy back-to-back hospitalizations. Patient recently assaultive to staff and oppositional at times. Has required multiple PRN’s for dysregulation. Residential treatment facility therapeutically discharged her to the hospital.

MHF-F12-6621

Youth came to our ED 3/9/26 after an altercation at home. Mom is not willing to have her return at this time. Mom ultimately wants RTC however County JST has not approved that currently. County team has put intensive in home services in place (CIBS) and report they would like family to try that program completely as the less restrictive option before going to RTC. Youth only seems to have behaviors at home, do not see them at school, at respite, or in the hospital. County reports plan to treat behaviors where they are occurring for best success, but Mom continues to refuse to bring pt home.

MHF-M14-6607

Youth came to our ED this time on 2/21 after physical aggression at his GH where he injured staff. This is the 3rd time he has boarded with Fairview in the past month. The GH has taken him back previously however are reluctant this time and are considering an immediate suspension but may be willing to take him back one more time with additional supports. Trying to get started with Youth ACT for additional support, they are reviewing but have concerns related to DD and if they are a proper fit. County is also trying to pursue CABHH and PRTF simultaneously as they feel he needs a higher LOC but have not gotten acceptance. Was previously at Northwoods PRTF for 1.5 year. Looking for any additional supports that could be offered to this youth in the GH to make it successful. Currently has 3:1 staffing at the GH, psychiatry, therapy multiple times per week, has had MCCP behavioral analyst in the past and another referral is being made there, seeing if he may qualify for Youth ACT, and if not ACT looking to connect him to MIDB for psychiatry.

PH-M12-6583

Recommending PRTF/RTC
12 year old male who presents to PrairieCare Inpatient Hospital due to suicide attempt with increased SI and SIB.
He has a history of several inpatient stays, has engaged in PHP, individual therapy, and family therapy
Funding to be established with Anoka County

Discharge Plan as of 2/13:
Interim Plan:
– Establish PHP with PrairieCare MOB (IRF Submitted, intake scheduled for 2/19 at 0930)

Establish RTC/QRTP: ( county funding to be established, referrals submitted)
– Bar None Haven (under review, ACCEPTED 2/11 with estimated admission for mid march)
– Gerard (under review)
– Mille Lacs (under review, immediate openings, ACCEPTED 2/11)
– Northwoods (six to nine month waitlist)
– PrairieCare
– North Homes (under review)

Continue with established outpatient providers:
– Psychiatry with Andrea Somers, MSN, PNP, PMHNP-BC at Associated Clinic of Psychology
– CMHCM with Anoka County (guardian working to establish)
– Therapy With Katie Carras at Conscious Healing Counseling
– Primary Care with Dr. Surekha Pagidipala At Park Nicollet in Brookdale

CH8SCH-M12-6493

Patient presents to ER with mom for concern for suicidal ideation, fights at school, along with problematic sexual behaviors towards females. Mom is fearful of the safety of other children including 3-year-old daughter within the home. Patient does not have any active services.

MHF-M14-6458

Youth came in to our ED 1/8 after altercation at his Group Home where he has 3:1 staff. Initial recommendation was IP but he was denied by several units. He stabilized while waiting in the ED and the recommendation changed to discharge. Struggling due to sensory needs and the environment of an ED. GH is likely going to take him back once they can figure out staffing and some modifications. Looking for potential ideas to further support this youth in the community. Referral being made for youth ACT team but unsure if he will be accepted due to DD diagnoses. Has DD waiver and CM.