White – Page 2 – Mental Health Collaboration Hub

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)

SMCF-F17-6289

Pt was brought to the Sanford ED for concerns for “erratic behavior.” Long history of residential services, outpatient case management, Juvenile Detention in North Dakota and in Minnesota. Patient has been running away, increase in drug use. Mom is concerned about patient being trafficked. Reports have been made. No active probation at this time. Patient could benefit from an inpatient psychiatric hospitalization for stabilization. Concern facilities will take her with history of chemical dependency and aggression. Additional concern for a plan for patient upon discharge.

HCMCH-F13-6284

Due to poly trauma patient has had lengthy hospitalization with multiple orthopedic injuries. Her psychiatric needs surpass inpatient physical medicine and rehab needs.
In need of psychiatric crisis respite facility with 24/7 supervision and/or psychiatric residential placement. Has not yet been screened through Anoka County QRTF screening team.

MHF-F13-6278

Youth came into our ED 10/31 after an altercation in the car with Mom, on the way from being discharged from RTC after 6 months there. Mom reports she can not take her home. County would prefer higher level of care than RTC however she has been denied by Grafton, so only 1 potential option remains and referral was made. MNchoices is being completed today 11/5. Exploring all options currently. Has recent sexual exploitation history.

PH-F16-6225

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.

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.