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.
Race/Ethnicity: Black or African American
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.
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.