MHF-M15-6824

Youth came into our ED 5/8. Has been to our ED many times in the past, coming in almost weekly. Dad frequently brings him in as he feels overwhelmed by kiddos needs. Pt has behavioral concerns of elopement and some aggression. Has intellectual disability though it seems IQ testing has not been completed since he was 5, is mostly non-verbal. CPS is petitioning for custody. DD waiver is being opened, and crisis respite options are being explored. Reported that he is a “2 county kid” with both Ramsey and Hennepin involvement. Has a referral in for stabilization center however its unknown how long that list is or if he will be accepted.

MHF-M8-6816

Youth came into our ED on 5/5 after seriously injuring another child. Parents are refusing to allow him to return. He is being screened via JST today to determine if County approves RTC level of care. On wait list for crisis stabilization but unsure how long that is or if he will be accepted. MNchoices is taking place on Friday for waiver.

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-F17-6780

Youth came into our ED 5/5. This is her 3rd time boarding with us in 3 weeks. She discharged to Dignity House and Aspen House the last times and is needing placement again as she can’t return to either. (Eloped from Dignity and got into an altercation at Aspen. ) Looking for waiver or treatment placement, but has been denied from many options.

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.

MHF-F17-6700

Youth came to our ED on 4/9 after being on the run for 3 weeks. Has a long history of elopement and some aggression as well. Is open with CPS, ACT team, and DD waiver, and there is a VPA for placement currently. County team is looking at all placement options- all waiver options, RTC, out of state. Has been denied many places already primarily due to the elopement behaviors.

MHF-M14-6607

Youth came to our ED this time on 2/21 after physical aggression at his GH where he injured staff. This is the 3rd time he has boarded with Fairview in the past month. The GH has taken him back previously however are reluctant this time and are considering an immediate suspension but may be willing to take him back one more time with additional supports. Trying to get started with Youth ACT for additional support, they are reviewing but have concerns related to DD and if they are a proper fit. County is also trying to pursue CABHH and PRTF simultaneously as they feel he needs a higher LOC but have not gotten acceptance. Was previously at Northwoods PRTF for 1.5 year. Looking for any additional supports that could be offered to this youth in the GH to make it successful. Currently has 3:1 staffing at the GH, psychiatry, therapy multiple times per week, has had MCCP behavioral analyst in the past and another referral is being made there, seeing if he may qualify for Youth ACT, and if not ACT looking to connect him to MIDB for psychiatry.

MHF-F14-6421

Youth came into our ED on 12/28 after altercation at hotel crisis respite. Was in this setting for approx 5 months, and prior to that was boarding in our ED from 5/28-7/3. Hotel crisis will not take her back. She has 4 different felony charges pending, awaiting a rule 20 assessment. Most placements including non secure corrections settings will not accept due to aggression. Team is working toward a single site CRS home, but that is a few weeks from being completed, waiting on provider’s waiver enrollment with DHS and finalized staffing. Last DA done a few weeks ago recommended GH with supports, and scored a level 5, however not pursuing treatment placement as all MN options have denied and pt was in RTC in Florida for 2 years previously.