Came from Bar None. Sig family trauma, sex trafficked by parents who are incarcerated. Some drug use, but sober now (benzos and opiates). been behaving ok so far. Responding well to limit setting in ED. At Omegon was doing ok aside from relationship issues. Grandmother had custody but has been terminated.
Several referrals – denied due to chemical use/abuse. Shelters denied d/t aggression. High risk for placement. Check into returning to Bar None Omegon? Youth Villages in TN – they can take more aggressive behaviors. ***Discharged to Hotel Care with crisis staffing. The Hennepin County CM/guardian arranged for the placement after 30 days in the ED.
discharged from residential due to noncompliance with programming and elopement.
Chemical Dependency (fentanyl and meth) suicidal statements when intoxicated. ED boarded 9/20/22-10/5/22 when brought from CRU for making suicidal statements. Placed at PORT group home in Bemidji, eloped in less than 24 hrs. presented to ED 10/12 after being hit in the head with machete. Surgically cleared, mayo filed for MI/CD commitment. Olmsted currently deciding between CHIPs commitment or family court to obtain court ordered CD tx. Needs locked CD or dual dx residential. Discharged to CD group home and eloped within 24 hours. dropped off at Mayo after OD. proceeding with commitment.
Aggression, Child looks difficult on paper.
Was living with grandparents, from crisis center, was in IOP at Prairie Care, showed up intoxicated, gramma fears for her life due to threats from granddaughter.
SUD, non-compliance and trauma
Patient arrived via EMS due to her mother calling 911 after the patient made suicidal comments at home and conflict with her mother. Patient was engaging in sexual behavior with a strange, in exchange for drugs. Patient went home and told her mother what she did, passively stating she wanted to kill herself.
The patient has a history of risky sexual behavior, self-harm, and suicidal ideation. Patient also has a history of physical and verbal altercations with others including family and EMS / hospital / treatment staff, and has a history of 3 suicide attempts, most recent attempt was 1 year ago by ingesting bleach.
Patient has a past psychiatric history of ASD, ADHD, MDD, GAD, and Cannabis Use disorder.
Pt is presented to the ED via EMS due to possible ingestion of cold medications. Pt’s father had called 911, reporting patient’s presentation as being confused and “high” on drugs. Pt admitted to taking pills (unclear about the number of pills) in order to get high. He denies that this was a suicide attempt, and currently denies any suicidal ideation. Pt denies recent self-harm, but has a hx of self-harm over one year ago. Pt lives with his father during the week, and mother on the weekends. Medical records indicate the following history: He has a history of major depressive disorder, generalized anxiety disorder, and substance use disorder. He had been evaluated in the ED for close monitoring in the setting of altered mental status secondary to presumed toxic ingestion of unknown substances, and has a history of multiple inpatient psychiatric admissions. Most recently admitted in March 2023 due to “ingestion/inhalation of multiple substances, including dextromethorphan and benadryl”. Pt has a history of residential treatment, and has a hx of substance abuse for several years and participating in both inpatient and outpatient treatment.
AMT, SUD, Aggression
Discharged to home 9/14/2022
