NFH8EB-M15-6871

Youth came into Nexus with substance use concerns. He has not struggled with any urges to use since he was admitted. Brian struggles with noticing risky situations. He often talks about taking care of his mom who struggles with substance use (Meth) and her own mental health. Brian is fixated on going home to mom, but CPS is involved and Brian is not able to go home at this time.

NFH8EB-F16-6845

Youth presents with a history of self-harm, including head tapping, picking, cutting, scratching, inserting objects under her skin which sometimes requires emergency medical care. Youth has a significant history of eloping, often coupled with the intention to self-harm or engage in other unsafe behaviors.

PH-M15-6840

Recommending RTC/PRTF.
15 year old male who presented to PrairieCare Inpatient due to an increase in suicidal ideation with a plan to overdose.
Patient has a history of other inpatient hospitalizations, PHP, and CD RTC. QRTP funding was denied.

MHF-F19-6833

Came into our ED on 4/27 from group home. Home issued immediate suspension and termination. Looking for waiver crisis or CRS option. Has been denied by all IRTS programs- County CM has made over 200 inquires for placement in the past year. Continues to be denied by many placements. Has been in our ED for almost a month and we have not seen any major behavioral concerns, besides some verbal escalations that have been redirectable.

MHF-M11-6830

Youth came into our ED on 5/10 after elopement from group home. Provider issued immediate suspension and termination. County has custody after TPR. Has CMH and Waiver CMs. Looking for waiver paid placement, shelters, group homes. No current RTC recommendation but OP therapist is working to update the DA to get that.

MHF-M18-6827

Came into our ED on 5/14 from his CRS home, they issued a suspension and termination notice. He had 3:1 staffing at the home. Needing a home for him. Referrals have been made to MCCP and MSOCS, has DD waiver and Case Manager. Guardian is his father.

EH-M16-6799

Adopted adolescent that came from group home prior to presenting to the Emergency Department on 4/27/2026 with Law Enforcement due to increased aggression and agitation at group home. 4/26/26 had aggressive behavior at his group home physically assaulting two staff members. One staff sprained a wrist and the other staff required facial surgery following the incident. Earlier in the day he had made threats to stab teachers and staff at school. He reported he meant to strike is housemates but struck the staff instead. A few years ago patient had a previous episode of physical aggression toward caregivers and was hospitalized at that time.

MHF-F11-6771

Youth came to our ED in a smaller town on 4/27/26. Was in a pre-adoptive home who is refusing to allow her to return, was at RTC prior to that. Struggling to identify placement options due to age, IQ, and history of behaviors. County is currently exploring all options for her- PRTF, QRTP, Group Homes, DD waiver placements- Crisis and CRS, shelters, and fosters.

MHF-F18-6762

Pt came to us 4/23. Was residing with adoptive parent who is refusing to let her return. Pt turned 18 days before coming to us and is currently her own guardian, hearing for guardianship 4/30, will be a professional guardian agency. Adoptive Mom got custody in July 2025, waited 8 months for the MNchoices, done in Feb, and has since been waiting over 2 months for SMRT in order to get waiver. DD Case Manager (non-waiver) was just assigned 2 weeks ago. We were able to expedite SMRT due to being in the hospital and she is now certified as of 4/30, so moving forward with waiver. Looking for waiver placement, immediate and long term for this individual, perhaps a transition age program. Pt is vulnerable so typically shelters would not be an option. Still in High School currently.

MHF-F16-6757

Youth came to our ED 4/24 from a foster home that is refusing to let her return. Reported she has recently boarded in multiple other hospitals. County is currently seeking group home placement, in both therapeutic group home settings and CRS and crisis respite settings via the waiver. The last DA done earlier this month has a recommendation for OP services which the team does not agree with so they are also seeking an assessment program to determine appropriate level of care, North Homes denied, waiting to hear on Gerards assessment program.