Came after being found in the street by a passerby who administered Narcan. Was incoherent, EMS brought her in to HCMC ED. Long history of trauma. Sexually abused in preschool by her father, who is incarcerated currently. Has been vulnerable to sexual exploitation. Her engagement with anyone in the community is a pathway to a friendship. Dakota County financial responsibility. Working with DaK. case mgr. Had an incident at school (interaction with the principal and had some sort of physical contact with him, charged with assault), so now has a probation officer. No aggression noted at hospital. Wonderful family support. Had been living with aunt. Will just walk out and engage with strangers who do not have her best interest in mind. When DA is complete will be looking for placement for her. community placement. Has been at CRTC and VOA. Working on getting all the info to understand her full picture. DRug screen was negative. Unsure if chemical abuse is dependent? She will use substances if someone offers it to her, socially.
Race/Ethnicity: Black or African American
HCMCH-M17-2402
attempted strangulation with the dog leash. HX of MDD, PTSD, ADHD & anxiety.
HCMCH-M17-2398
First episode psychosis. Admission to HCMC 12/26/22. Exception made to accept a minor patient to HCMC Adult Psych Unit 1/6/23 – 1/16/23 in effort to get patient out of restraints, medication regimen and agreement to return to Peds Unit. Returned to Peds Unit 1/16/23 and remains here. Efforts to transfer to Adolesent Acute Pysch unsuccessful due to no capacity and/or patient declined. Update: 1/24/23. Continues to be medically cleared, awaiting placement. Awaiting Hennepin County MH Casemanager to be assigned. Consider referral to PRTS, concern for long waitlists. Concern if we continue to board patient on Peds Floor where he is not getting the mental health care he needs, he is at risk for decompensation. Patient has a Continuance Agreement through District Court Probate/Mental Health Division for six months from 1/17/23. grandmother is open to having him return home with a structured program during the day.
MHF-F15-687
Patient is presenting to the ED for the following concerns: substance use, intoxication, anxiety. Patient was at WINGS treatment center for substance abuse/mental health from 10/17/23-10/28/23, before eloping. Patient was living on the streets, and staying with friends, before going to her aunt’s house. Patient was then picked up by her guardian/grandmother and brought to the ED.
Patient has a history of elopement and substance abuse.
Patient attended Prairie Care’s PHP program in June 2022, but was discharged due to behavioral problems.
Patient was in FV inpatient unit from 3/10/23-3/16/23 when she eloped while being transported to FV residential treatment program.
Patient was readmitted to the inpatient unit on 3/17/23 where she remained until admission to FV residential treatment could be arranged.
Patient was discharged from treatment due to behaviors and ran away from home, when she was found and brought back to FV ED on 4/24. where she remained until eloping on 5/28.
Patient has been accepted to Oshki Manidoo treatment center, and will admit once a bed opens up.
AH-F13-2355
Emotional dysregulation, high emotional reactivity in the home. Transgender. Housing insecure – soon to be evicted. Been in hospital 3 times this year. Recommend residential treatment. Meeting with mom today 12/22/22. Qualified person process can take up to 30 days.
C8SM8M-F11-2346
History of trauma, sexually exploited youth, aggression, ODD, multiple placements, adjustment disorder. Had an Intake with FV PHP program, was accepted, but nowhere to place her to do the program. Meeting today with county to discuss the case. Looking at intensive therapy services, shelters.
Patient been accepted to Fairview’s PHP, pt has a foster mom who is only willing to take pt home after completing PHP, county seeking residential. 3/23 update: transferring 3/24 @ 10:15 am to DIVINE.
C8SM8M-M9-2342
ADHD, adjustment disorder, anxiety, Developmental delay, ODD, aggression, sexualized behavior. FAmily was living in shelter. Disregulated episode- tried to strangle self, to ED for assessment. Initially rec for inpt, then decided he did’nt need inpt. Family leaving shelter soon, so not able to take him back at this time. Mom says addicted to porn. Became disregulated once but otherwise has been stable, no SI. Henn county won’t get involved- saying it’s not abandonment, doesn’t have a county case mgr. Some services thru Dakota county. Level 4 school setting. Looking into other shelters. Family thinks he needs tx. Referrals to nexus, Prairie Care, Henn County Peace offering made. Gap in services. 7/21 was at Prairie Care. Mom open to foster home, he doesn’t necessarily need residential. Mom isn’t visiting bec she is scared he will be sent home with her.
Previously attended IP MH at PC in July 2021, no current acute SI, safety concerns in hospital, pt and his family are homeless, got kicked out of shelter due to aggression, pt currently does not have any county supports. Patient’s family moved from St. Cloud. Due to pt’s age, history of aggression, and sexualized behavior (watching porn, taking photos of privates, exposing himself to siblings) mom has been unable to find a shelter that will accept them. referral for services was put in with Hennepin county. DC’d to home with mom.
C8SM8SP-F16-2330
Asked to leave shelter as she was being aggressive toward staff. Has history of being sex trafficked. Parents have open voluntary CPS involvement but maintain guardianship.
AH-F15-2303
PTSD, Disinhibited Social Engagement Disorder, Conduct Disorder, ADHD, ODD. Just got approval from HC for funding. Case mgr will start making calls. Doest present well on paper. Challenging behaviors – gets escalated and disreg. with peers. Is able to walk away. Threatens to hurt people but hasn’t yet. Remorseful about behavior. Learning about her dx. Fun kid, gets along with certain peers. Doesn’t work well with peers who have made statements about race. Ready to benefit from res. tx. and work with people 1 on 1. A lot of early childhood disruptions. Not sure why removed from bio mom – per aunt and gramma, she didn’t know how to be a parent. Aunt and gramma say that she has tried to kill them, threatens people, hard to know what’s what and what is recent behavior.
AH-F17-2268
Substance use, running away, pregnant. Mother is involved but the child has been on the run for a year, so limited contact. Stuggles with substance use and impulsivity.