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.
Race/Ethnicity: Black or African American
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.
AH-F15-2261
discharged from residential due to noncompliance with programming and elopement.
AH-M17-298
UPDATE: 11-15-23 still inpatient at United.
UPDATE 8.24.23 – still at United Hospital.
SUD, aggression, low IQ. Working on MI and D commitment. (Mentally ill and dangerous)
HCMCH-M17-2004
Update: Accepted by PrairieCare but waiting on funding. looking for respite while waiting.
A 17 year old, African American, assigned male at birth. He identifies with “both” genders (boy and girl) equally. Alternates between male and female persona. Medically stable and boarding on Pediatrics while awaiting placement disposition. History of being bullied.
Approaching his cluster of symptoms from the lens of comorbid autism spectrum disorder and mild intellectual developmental disorder is likely to lead to better treatment adherence and response to intervention.
Given his intellectual concerns and history of emotional dysregulation, the patient would benefit from residential treatment. Such a treatment facility should have access to mental health resources, independent living skills training, and regular recreational and social-emotional supports.
MHF-M16-2066
Patient presents to the ED for the following concerns: physical aggression, verbal agitation. Patient is court-ordered not to go home. He has a probation officer due to theft charges and assaulting his father in the spring. Patient was in a group home from May, until approximately three weeks ago, after making allegations of physical abuse by group home staff. Patient has been at The Bridge for Youth Shelter for three weeks. Patient became mad and started throwing things, became rough with others, and was unable to calm down. Patient has a potential group home placement, but it isn’t available until 11/14/23.
MHF-F11-2021
Patient is presenting to the ED for the following concerns: verbal agitation, physical aggression. Patient was discharged from residential treatment last week. Patient was supposed to discharge to a group home, but her CADI waiver had expired, and she was discharged home without services. Patient became upset after a stressful day, and began arguing with her brother and mother. Patient “destroyed her room”, attempted to kick out her window, and ran a piece of glass under her nails. Patient’s mother called the police.
Patient has a history of ADHD, depression, anxiety, and aggressive behaviors. She had 5 admissions to inpatient psychiatry, with the most recent one on 9/28/22.
HCMCH-F16-1812
A 16-year-old female with a history of mood disorder, borderline personality disorder, PTSD who presented to ED with suicidal ideation, threatening behaviors towards her family, and altered mental status. She also struggles with low frustration tolerance, severe emotional dysregulation, and a lack of coping skills. She is currently awaiting inpatient placement.
AH-F16-1908
Brought to ED after altercation with mom (family adopted patient after years of fostering). Patient went after mom with a knife, patient reports conflicting stories about incident and what she remembers happened. Had been in residential over a year ago. Was recently suspended from school for 10 days after getting into a fight with another student. Unclear if there have been any other incidents of this nature with mom or family, however, mom is not feeling safe if patient were to return home. CPS is involved, Nexus is now involved, but no placement options on horizon at this time.
MCR-F15-1882
a history of diagnoses of PTSD, Conduct Disorder, Alcohol and Cannabis Use disorders, and unspecified mood disorder. Her social and developmental history is notable for recurrent physical abuse by mother and mother’s romatic partners leading to termination of parental rights 6/21/22, alleged sexual assault, first JDC placement at age 12, and recurrent residential placements through juvenile justice over the last few years. Comes after a violent episode at a foster home; she is unable to return.