Patient presented to the ER 1/21. Patient is familiar to us. Patient has a complex psychosocial history with prior CPS involvement and a chaotic home environment. Patient typically does well in the ER & hospital setting but struggles at home with severe aggression and behavioral dysregulation in relation to conflict with parents. Patient does not appear to comprehend the severity of his actions and feels like his actions are justified (which appears to be related to his level of functioning). Patient likely needs a crisis respite placement/group home placement, but his CADI waiver and insurance are on hold while transferring to Benton County.
Recommended Service: Group Home
Group Homes are residential facilities where individuals, often children or adults with special needs, live in a group setting with support and supervision provided by trained staff.
MHF-F13-6462
Youth came to our ED 1/9 after running away from family member she was placed with, unable to return to that family. SEY concerns. Has been denied from multiple SEY/shelter/crisis options due to behaviors. County is working on placing with Aunt in WI but needing ICPC to be finalized first. Were hoping that would be completed last week, however home study for that occurred this morning 1/22. County reports she is not eligible for waiver.
MHF-M14-6458
Youth came in to our ED 1/8 after altercation at his Group Home where he has 3:1 staff. Initial recommendation was IP but he was denied by several units. He stabilized while waiting in the ED and the recommendation changed to discharge. Struggling due to sensory needs and the environment of an ED. GH is likely going to take him back once they can figure out staffing and some modifications. Looking for potential ideas to further support this youth in the community. Referral being made for youth ACT team but unsure if he will be accepted due to DD diagnoses. Has DD waiver and CM.
CH8SCH-M13-6405
Patient presented to the ETC from a local Youth Shelter. Patient is not able to return to the shelter. Patient is in the custody of Hennepin County. Patient has significant trauma that he has been able to truly process and understand.
MHF-F13-6390
Youth came to ED on 12/13 after altercation at home with Grandfather. Was in at FV hospital, primarily in the IPMH unit from 11/11/25 until 12/12/25, discharged to Grandfather for one night before brought back to the hospital, Grandfather unable to take youth back again. Has previously been to Bar None and Divine GH. County currently has approval for therapeutic GH level of care, but many of these settings have denied. No current recommendation for RTC. County has temp custody, but Mom has parental rights. No waiver currently.
MHF-F13-6356
Youth came into our ER on 12/2 after an episode of aggression at the Crisis Home. The crisis home will be willing to take them back in the future, but not until the other individual in the home has moved out, which won’t be taking place until end of January, They also want to have increased staffing and put rights restrictions into place. It will be almost 2 months before that can happen. Looking for an interim plan for them. Pt is open to waiver, has mild intellectual disability. Also has CMH, but treatment placements are not being explored as pt has been to those in the past (Northwood, Chelida, and Grafton) and more recently treatment placements have all denied them, so primarily looking at waiver paid placements.
MFIUP-F13-6344
Pt has a hx of MDD, GAD, PTSD, RAD, insomnia and unspecified disruptive, impulse control and conduct disorder. Pt has previous inpt MH admission from 12/18-1/23/25 at UMMC. Per review of the record pt has recently been at Bar None and Divine group home. Pt has hx of foster care placement and has been under legal custody of Hennepin county. Pt has a hx of abuse and neglect. Mother has mental health concerns and CHIPS order indicated hx of civil commitment. Pt was in her father’s care and removed due to concerns for abuse. Maternal uncle died by suicide. Pt had multiple recent ED visits. Pt has been with her grandfather for a few days after running from her last placement and being found on the streets.
MHF-F13-6278
Youth came into our ED 10/31 after an altercation in the car with Mom, on the way from being discharged from RTC after 6 months there. Mom reports she can not take her home. County would prefer higher level of care than RTC however she has been denied by Grafton, so only 1 potential option remains and referral was made. MNchoices is being completed today 11/5. Exploring all options currently. Has recent sexual exploitation history.
MHF-F13-6222
Youth came into our ED on 10/8 after altercation at placement and she can not return there. County is working on getting an updated DA completed while here for recommended care. Has CADI waiver open currently. Guardian is through Mille Lacs Band. This is her 8th time boarding in our ED. Referrals have been made to CABHH, MORA and some group homes.
MHF-M9-6137
Youth came to ED 9/22 from Foster Home after aggressive behavior and is unable to return there. Was recently in FV IP unit until 9/19. County has temp custody and is looking for other foster options, but he has been circulated on the list since end of July with no acceptance. Expedited MNchoices is reportedly being requested.
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