Recommended Service: CD Residential

Chemical dependency (CD) residential treatment provides therapeutic living and provide treatment services to assist and support a person’s efforts to recover from a substance use disorder. Programs assess a client’s needs, develop planned interventions and provide services to address a client’s needs, coordinate services with other providers, and reassess the client on a regular basis.

CH8SCH-F12-7116

Patient presented with Benadryl overdose requiring ICU stabilization. Unable to return home at this time as she requires residential SUD treatment. Struggling with obtaining facility call backs and finding locations that accept her age and insurance.

MHF-F15-7110

Youth came to our ED 7/16 after running from a youth shelter. The shelter will not allow her to return. Has a history of substance abuse, has been to at least 3 SUD residential treatment programs, including a cultural specific program in CA and discharged from all of them. No other SUD residential programs will accept her. History of elopement. Looking for placement to get her out of the ER. Currently no waiver, and has not been through County screening for MH RTC. Last SUD/comprehensive assessment 4/28 recommended residential and last DA 4/2 also recommended residential.

MHF-M16-6455

Youth came into our ED on 1/13/26 and was determined to be ready for discharge. Came from Grandparents who are refusing to take him home until he gets SUD treatment. He is unagreeable to SUD treatment at this time, willing to do OP. County is not funding shelter due to not having custody. Parent referred shelter referrals have been made however custodians refused the Bridge who were looking at accepting him. Has been to Lakeside Academy and Wings SUD treatment in the past and eloped from both. No waiver currently. FV Maplewood declined primarily due to pt being unagreeable to treatment, but also due to concerns of elopement and Grandparents being willing to get him from the ED. Has been declined by many other RTCs as well. Referral pending with Anthony Louis.

MHF-M17-6251

Youth came to our ED via police on 10/28. Was previously in our IP unit, discharged to Nexus Gerard where he eloped several times. Pt is on a MI/CD commitment. Has substance use struggles ongoing but it’s reported that previous placement thought the MH was the primary concern. Has been denied by many SUD programs- Wings, Anthony Louis, Fairview, Oshki Manidoo and Ember in Iowa. Ideally CM wants pt in a secure setting due to history elopement, but has been denied by only secure setting in MN. Pt is newly 17. Any facility licensed by the DOC can’t be pursued due to commitment, and going out of state the commitment would not follow, so in state would be best.

CH-M16-4938

Patient presented to the ER via EMS on 12/4/24 after an intentional overdose of chlorpheniramine maleate 4 mg / dextromethorphan hydrobromide 30 mg pills in an attempt to get high. He required PICU admission for anticholinergic toxicity and treatment with Precedex related to agitation and history of aggression with anticholinergic toxicity. He has had multiple ER visits for substance use. He was previously admitted here for inpatient psychiatric hospitalization from 11/7-11/15 and was discharged with plans to attend outpatient SUD treatment in Wisconsin. as he was not willing to participate in residential treatment. This is at least his 6th intentional overdose in attempts to get high and his 5th hospital admission requiring PICU admission. He is currently under the emergency guardianship of Mille Lacs County related to a CHIPS petition as he has been abandoned by his mom who moved to Wisconsin. He is also currently on probation with Mille Lacs County. He has not previously been successful with past SUD treatment or inpatient psychiatric hospitalizations. Has very poor insight and follow through- though is able to express his desire for sobriety.

HCMCH-F17-4643

A 17-year-old female presented to the emergency department with altered mental status due to drug intoxication. Hennepin County currently holds temporary custody of her. She had been reported missing since July. Given her condition and the circumstances surrounding her case, there is a strong suspicion of human trafficking.

PH-F17-4082

Recommendation is for CD residential treatment. Patient is currently inpatient.

17 year old female admitted from the ED. Pt was having increased panic attacks and engaging in self-injurious behaviors by hitting themselves. Patient has been having suicidal ideations. Patient has been using marijuana as a coping strategy. Patient has a history of numerous psychiatric hospitalizations. At this time mother feels the patient can not return home as the family has been staying at a motel.
Pt insured by BCBS PMAP and Medicaid.
Pt has the following outpatient supports:
Individual therapy
Psychiatry/medication management
Primary care

PH-F14-3695

Update 4/23/24: Patient discharged from inpatient on 4/23/24. Patient scheduled to begin PrairieCare PHP on 4/24/24 while continuing to pursue Group Home placement as recommended by the county.

Patient is a 14-year-old female presenting to inpatient on 03/19/2024 from the ED due to running away from shelter placement. Patient has a history of participating in PHP two times, DBT, ongoing outpatient mental health services, and being in shelter placement.

Discharge Plan:
RTC:
-North Homes (on the wait list)

CD-RTC: Referrals submitted/considered for the following facilities:
-Hazelden (Pt’s insurance not accepted in Minnesota)
-Rogers (Declined due to elopement risk)
-M Health Fairview (Declined due to elopement risk)
-Anthony Louis Center (referral sent 03/27/24)

Group Home Placement (as recommended by JST/county):
-Little Sands (Referral submitted by CM; declined d/t LON)
-Village Ranch (Referral submitted by CM; reviewing 4/10; pending additional review on 4/17)
-North Homes (Pt is on the waitlist for RTC; pt is not eligible for their group home due to age)

Existing Outpatient Providers:
CHMCH: Hennepin County
Psychiatry: Nystrom & Associates

PH-M17-3527

Update 4/16/24: Patient discharged from inpatient on 4/16/24 to outpatient mental health services while awaiting admission to CD RTC.

4/3/24 Update: Waiting accepting CD RTC tx

Case Description: 17 y/o male w/ ASD, depression, polysubstance use, ADHD, presenting due to intrusive SI . Biologically, there is a genetic predisposition for depression, anxiety and substance abuse in the family. Patient recently underwent chemical dependency tx outpatient and was using concurrently.

Discharge Plan:
– Omegon Pathways (referral submitted)
– MHealth Fairview-MW (referral submitted; denied 3/27/24 due to ED/behavior concerns)
– Lakeside (referral submitted)
– CMHCM through Blue Earth

Current Providers:
– Individual Therapy ACFS (Adult, Child, & Family Services, LLC) – Mankato
– Depression and Teens Group (DAT) Weekly Group at ACFS (12 week program)
– Medication Management at Mankato Clinic
– Truancy Worker at Blue Earth County Community Corrections
– Primary Care at Mayo Clinic Health System – Eastridge