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.
Race/Ethnicity: White
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.
PH-F11-5970
Recommending Level 5 QRTP.
11 year old female. Presented to PrairieCare Inpatient Hospital due to increased family conflict and SI. She has had attended PHP numerous times. Most recently she was at PrairieCare PHP and stepped up to inpatient due to an increase in safety concerns. The family and outpatient team were already pursuing level 5 QRTP although were running into funding barriers. She does have a current CMHCM with Anoka County. This youth will need funding from the county to support QRTP admission.
Referrals:
-Avanti Center for Girls
-Gerard Academy
-North Homes
-PrairieCare Residential
PH-F12-5898
Recommending Level 5 QRTP
12 year old transgender male. Presented to PrairieCare Inpatient Hospital due to mood and behavioral dysregulation. He has had multiple inpatient hospitalizaitons.
CH8SCH-M14-5911
Patient presented from home where he lives with his mother. Patient was in residential treatment and group home from June 2022 until February 2025.
Patient has had several ER visits for aggressive behavior towards mother since returning home in February. Patient’s behaviors at home target his mother. He has engaged in eloping from home, stealing from neighbors in the apartment complex. Patient’s mother is struggling with her own mental health as a result of patient’s behaviors and does not feel safe with patient returning home.
PH-F15-5890
Presented to ED after a verbal altercation with mother and expressed a suicidal plan to walk into traffic. History of cutting, scratching, elopement behaviors.
ARCAJC-F14-5870
14 year old female with a history of hospitalization and services such as Prairie St john and Children and Adolescent Behavioral Health Hospital in Willmar, MN from December 2024-March 2025. Assaultive towards her caregiver (grandmother) when in her care. Appears she would benefit from a mental health vs correctional program. On lengthy wait list for PRTF.
MHF-M12-5757
Youth came to our ED on 6/20 from Aspen House where he is not able to return after getting into a fight with a peer. He previously boarder with our team a year ago. Went to VOA Bar None, and CABHH since then, and has a potential spot at Northwoods PRTF for July- do not have a set admit date. Looking for shelter or other setting for an interim plan to get him out of the ED. Has had MNchoices in the past but do not believe it is current, due to frequent switch of placements, none being waiver.
Mental Health Collaboration Hub