CH8SCH-M12-6116

Presented to ETC after overdose on medication. Recent hospitalization at PrairieCare and overdosed after returning home. Has had 4 inpatient hospitalizations over the last year. Participated in partial hospitalization program after inpatient stay in March. Recommending residential hospitalization due to multiple inpatient hospital stays in the last year.

PH-M12-6065

Recommending RTC. Will need county funding.
12-year-old male presenting to PrairieCare Inpatient Hospital due to an altercation with his mother after not wanting to go to school. Following this altercation, his mother found a suicide note. He is a history of depression, anxiety, PTSD, mood/dysregulation resulting in intrusive SI. This is his 2nd psychiatric inpatient hospitalization. He has engaged in PHP and outpatient psychiatric services.

Discharge Plan as of 9/9/25:
– PrairieCare
– North Homes
– Gerard

MHF-F14-6107

Kiddo came to our ED on 9/13, brought in by adoptive mother along with sibling. After some time, mother agreed to pick up sibling, but continues to refuse to pick up this youth. Youth has SEY history and adoptive mother is concerned about her “running the streets.” She continues to refuse to pick up. No known MH diagnoses at this time. There are no safety concerns with behaviors and no aggression. CPS has placed a hold and court is taking place 9/25. CPS is looking for shelter and foster care placement. Brittney’s Place and Bridge for Youth have been referred to, but have not had appropriate bed available for her.

AH-F15-6102

The Guardian/Dakota Cty are planning for residential treatment for pt and she is indeed currently court ordered to remain hospitalized until this is located. She does not need inpatient level of care but here is no safe discharge location. History of sex trafficking and was recently picked up with a known trafficker. It was verbally reported that pt had a DA in July that recommended a level 6 placement and that CM was working on a facility in Arizona. Will ask for confirmation and documentation as hear from CM and request list of referrals, assist as able.

AH-F16-6099

Guardian reports that they are not allowing pt to return to her prior setting, which was living with a friend and her mom; history of recent placement at Brittney’s place. They have referred her to an open Crisis bed via MCCP as well as several other placements with no real option in sight.

PH-F17-6057

Recommending RTC/PRTF
17-year-old female who presents to PrairieCare Inpatient Hospital due to suicide attempt with increased SI and SIB.
This is her 2nd psychiatric hospitalization. She has engaged in PHP and outpatient psychiatric services.
For RTC – she will need funding through Ramsey County.

Discharge Plans as of 9/9/25:
RTC:
-Avanti (referral sent)
-Gerard (referral sent)
-PrairieCare Residential (accepted, on wait list)
-North Homes (not pursuing due to distance per guardians wishes)

PRTF:
-Nexus East Bethel (referral sent)
-Northwood (not pursuing due to distance per guardians wishes)

CH8SCH-F16-6006

Was in metro area with adoptive parents. Placed at Youth Shelter in St. Cloud. Came to hospital. Shelter d/c’d her and refused to pick her up. Ramsey probation and SW already involved. Adoptive parents want to relinquish any rights to patient as aggression is focused on mom.

PH-F11-5970

Recommending Level 5 QRTP.
11 year old female. Presented to PrairieCare Inpatient Hospital due to increased family conflict and SI. She has had attended PHP numerous times. Most recently she was at PrairieCare PHP and stepped up to inpatient due to an increase in safety concerns. The family and outpatient team were already pursuing level 5 QRTP although were running into funding barriers. She does have a current CMHCM with Anoka County. This youth will need funding from the county to support QRTP admission.

Referrals:
-Avanti Center for Girls
-Gerard Academy
-North Homes
-PrairieCare Residential

PH-F10-5904

Pt is a 10 year-old female with historic diagnoses of anxiety, depression, ODD, specified neurodevelopmental disorder who presents today to address running away from home. Upon interview pt was observed to be easily distracted and appears to be guarded. Pt was resistant to the interview stating, “I don’t want to answer any questions.” After roughly 5 minutes pt refused the interview process leaving the room and forcefully pushing the door close with writer still in the room. Writer could hear pt yelling and laughing from the hallway “she’s locked in there” and “I locked her in there”.

Mother reports pt has been running away from home and putting herself in dangerous situation. Mother reports pt was sexually assaulted during one of her runaways. Mother reports pt’s motive for running away this time was to get on an airplane. Mother stated due to pt’s behaviors, pt has been hospitalized 3 times within one and a half weeks. Mother reports pt’s mental health is worsening. Mother reports pt struggles with authority figures and being held accountable. Mother states they use to have structure and routine in the home and is trying to incorporate it into the home again but when pt is held accountable, pt will threaten mother and think mother is “being mean.”