Mental Health Collaboration Hub
Patient presents for psychiatric evaluation in the setting of suicidal ideation and recurrent self-harm behaviors. Per nursing report, the patient has generally been calm but has repeatedly attempted to harm herself by scratching her arms. At times, her behaviors have escalated to lashing out at staff, requiring restraints to prevent further self-injury and maintain safety. Nursing reports that her parents have not been visiting because their presence appears to trigger increased emotional distress.
Race/Ethnicity: White
C8SM8SP-F12-7511
Child presented to Children’s ED to receive a mental health evaluation after becoming dysregulated in foster home. Child was recently separated from grandmother’s house and sister. Pt made suicidal comments because she “misses her family”.
AMHT-M13-7452
Client was referred to my program but we are unable to support his needs.
Has been to residential before for 6 months last year. Mom reported that when he got home he regressed back into old behviors including physical agression regularly; at times multiple times at day. He has also been to PHP before. He is currently at a respite home for the next 80 or so days. Mom reported insurance has been tricky and waitlists at programs willing to assess him have been long as well. History of eloping from school as well.
CH8SCH-M16-7447
Patient presented to the ER from group home after engaging in extreme aggression/property destruction. Group home moved to immediately terminate services. Patient has a recent history of boarding in ERs (5/29/26-6/29/26) and brief placements in group homes. Notably, patient was admitted to group home on 9/29 and presented to the ER within 12 hours due to extreme aggression and dysregulated behavior.
C8SM8SP-F17-7421
Child was brought to Children’s ED due to medical care concerns from group home. Group home reported they did not feel like they were well-equipped to attend to child’s medical needs; most recently she was choking or coughing when eating foods. Patient’s mother is currently undergoing her own medical care and is undergoing an amputation next week; mother will not be able to care for child while she is recovering. County worker is looking for respite placements and housing.
PH-F16-7411
Recommendation is for residential treatment. Patient presented to the hospital from the ED for acute safety concerns related to self-injurious behaviors and suicidality following an assault on patient by other residents in a shelter. Patient has a history of multiple inpatient hospitalizations and residential treatment.
C8SM8SP-M14-7394
Child presented to Children’s ED after becoming dysregulated at group home; he wanted to leave, became upset and began throwing staff’s badges across the room. GH called EMS and child was transported to ED-Saint Paul. He is no longer able to return to GH after this incident. Child has a long history of foster care since he was three years old.
C8SM8SP-F12-7384
Child came to the emergency department after getting into an altercation with grandmother at home. Child had gotten physical with grandmother due to phone usage. Child’s legal guardian is grandmother and does not have contact with bio parents. Child has a long history of trauma. Child’s aggression is only toward grandmother; they have also presented to the ED on 5/7, 6/29, 7/8, and 7/28 for similar situation (physically aggressive towards grandmother). Grandmother is refusing to discharge child back into her care.
CH8SCH-F15-6993
Patient is well known to our ER/Hospital. She previously boarded in the ER 3/12/25-5/9/25 when she was transitioned to the Adolescent inpatient unit and boarded until 10/2/25. Patient moved into a group home built for her.
Patient returned to our ER on 6/28/26 and the group home suspended services effective 6/29/26 due to the level of aggression patient has displayed and injuries to staff. Sherburne County and patient’s guardian (adoptive mom) are not appealing.
MHF-M15-7373
This youth came into our ER 9/13 from Grandparents home, who are custodians. He was just in our inpatient unit until 9/11. He came in for suicidal ideation and was cleared for discharge. It’s reported by his team that ongoing he uses suicidal threats to get out of unpreferred activities, and if that doesn’t result in what he wants, he escalates further. He had safety planned with our team for discharge, but when Grandma called him on 9/14 to discuss, he was making suicidal statements to avoid returning home and Grandma then refused to get him. Grandma tried to get him again 9/16 but when she showed up to the ED he escalated and threw an object at her and she left the ED. It’s reported he’s been struggling since the death of his great grandma early last month. Currently there is no recommendation for residential or higher level of care. He’s done PHP in the past and is currently set up with CTSS, DBT, Individual therapy, family therapy and psychiatry at home, but has been in the hospital a lot so hasn’t gotten a lot of these services, and uses suicidal statements to get out of participating in some of them. The County is not exploring any out of home placements at this time. Bereavement counseling and respite were discussed, but those can’t begin until he is discharged. He has endorsed that he enjoys the hospital setting and ambulance rides.