Recommending RTC/PRTF.
16-year-old transgender male who presents to PrairieCare Inpatient Hospital due to increased SI and SIB. Patient has a history of several inpatient stays and a significant trauma history.
Race/Ethnicity: White
MHF-M9-6137
Youth came to ED 9/22 from Foster Home after aggressive behavior and is unable to return there. Was recently in FV IP unit until 9/19. County has temp custody and is looking for other foster options, but he has been circulated on the list since end of July with no acceptance. Expedited MNchoices is reportedly being requested.
MCR-F14-5997
Comes from Von Wald 180 degrees after being there almost 5 days, due to her statements about “what would happen if someone died here,” and some fixation on the gas stove causing concern that she would tamper and cause harm to many. She is removed from family home and there are complex family dynamics. She is adopted and is the youngest of 6. Adoptive mom is in TCU level of care and cannot care for her, needing supervised visits, and dad is not able to have contact. CPS and MH workers involved. This week she was certified disabled and hopefully a CADI SW will be assigned soon!
NMH8R0MGH-F15-6156
Patient has a long history of suicidal ideation and self cutting behavior. She was released from Prarie Care 3 days ago with a recommendation from her psychiatrist there to be admitted to a residential living facility. She was released as a final attempt of living independently with outpatient care. patient reports cutting her thigh with a piece of glass and she told her mother she did not feel safe going to school , came to ED for help.
MHF-M13-6110
Pt came to FV ED from North Homes, after aggressive behaviors, and they are unable to take him back at this time, stating he needs a higher level of care. He has a history of aggression and often refuses medications. Grandparents are the current custodians and are unable to have him. A referral has been made to CABHH however their wait list is long. A DA is being completed by an OP provider 9/24 as there is not a current one. MNchoices is also being completed 9/24.
PH-M15-6144
Recommedning PRTF/RTC
15 year old male who presents to PrairieCare Inpatient Hospital due to suicide attempt with increased SI and SIB.
He has a history of several inpatient stays, has engaged in PHP, individual therapy, family therapy, and RTC at Gerard
Funding is in place for RTC with Polk County
Discharge plan as of 9/29:
PRTF/Level 6 (referrals placed by CMHCM, Approved by AFMC for PRTF)
– Northwood (reviewing, waitlist 3-4 months)
– Nexus East Bethel (referral submitted, reviewing possible opening early Oct.)
– Grafton (referral submitted, under review, declined due to inability to support level of care)
– Leo Hoffman Center (CMHCM to resubmit referral, declined due to safety concerns and inability to provided 1:1 staffing, able to re-refer upon further stabilization)
QRTP/ Level 5:
– Return to Nexus Gerard (under review, declined to return. Discharge effective 9/12)
– Bar None Haven (referral submitted)
PCMC-F17-6091
17-year-old female with a past medical history of depression, anxiety, history of child sexual abuse and homicidal ideation and a personal history of a traumatic brain injury in 2013 presents to the emergency department tonight, brought in by law enforcement after being called by her mother. Mom reports that she contacted them to bring her to the emergency department because she was told that she was not supposed to leave the house tonight, and unfortunately she did. When she got back, mom states that she tried to have a conversation with her and then she threatened to kill everyone in the house. She is not verbally responding to questions and is being asked to use non-verbal cues such as thumbs up/down or blinking to communicate during the interview, but still refuses to respond in any way. Her eyes are opened and she is turned a different direction, not engaging in conversation. Throughout the encounter, patient demonstrates limited responsiveness to questions and prompts. Provider attempts various methods to engage the patient, including offering time alone, asking about preferences for communication, and inquiring if there’s someone else patient would like to speak with.
PH-F15-6060
Recommending RTC/PRTF
15-year-old female presenting to PrairieCare Inpatient Hospital as a step up from Newport RTC due to an increase in intrusive SI. She will not be returning to Newport per parent request due to SA and elopement while in programming. She has a history of depression, anxiety, ADHD, and PTSD. This is her 4th psychiatric inpatient hospitalization. She has also engaged in PHP and outpatient psychiatric services.
Discharge Plan as of 9/9/25:
RTC:
– Bar None Haven
– Avanti
– Gerard
– North Homes
PRTF:
– Northwood
– East Bethel
PH-F15-6047
15-year-old female history of depression and anxiety PTSD. Significant sexual abuse by immediate family members. Admitted to hospital after argument with grandma, who is guardian. Patient then tried to strangle herself by placing a 20-foot cell phone cord around her neck. Perpetrator of sexual abuse is out of jail on bail and has cut of ankle monitor. Significant long standing sexual abuse, trauma, and drugs from abuse.
MFIUP-M6-6033
Mom transferred to rights to dad 2 years ago through a CHIPS petition. McLeod county CPS has been working voluntarily with the family for awhile (CPS worker Daisy Vinkemeier 320-300-8724). Dad had been doing well up until recently when he relapsed. Dad was admitted to the hospital yesterday at the same time as patient due to medical issues. Due to this, McLeod County has placed patient on a health and welfare hold 8/28 until the team can get to court to take temporary custody of the patient. At this time there are not any kinship options for the pt.