CH8SCH-M12-6473

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.

Doing very well for the most part at CentraCare.

MHF-F12-6723

Youth came to our ED on 4/16. She was on the run from 4/11-4/15 and returned to adoptive parent 4/15 who brought her to the ED 4/16. SEY concerns while she was on the run. Adoptive parent does not want her returning home. Youth was only open with contracted CMH CM when arriving at the ED. County is working on transitioning her to operated CMH CM. DA was completed 4/22/26 and recommends QRTP/Group Home, need transfer to operated CMH and County JST approval before moving forward there. No waiver currently and no access to County paid shelters due to parent having custody. Have explored parent referred shelters, but so far they have denied. Once operated CM is assigned a referral can be made to Hennepin County YSC. Has history of physical aggression toward siblings, elopement behaviors and SEY concerns.

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.

EH-F16-6694

Patient is a 16-year-old female presenting to the emergency department with concerns for psychiatric evaluation. Patient states that she is here because she has had suicidal thoughts. She states that she “acted out” at home today. She reports that she was recently hospitalized at Prairie care for a month and 1 week. She states that she was “kicked out of residential” because of frequent outburst. Patient states that she did not feel as though she was getting the help that she needed. She reports that she felt as though the workers there were talking about her. She states that today she again felt more suicidal. She states that she cut her arm with the top of a container. Denies any recreational drug or alcohol use. She denies other concerns at this time.

Previous psychiatric diagnoses include PTSD, RAD, Dysthymia, GAD and ADHD. She has had 2 previous psychiatric hospitalization(s). Most recent psychiatric hospitalization was 3/22/26 at Prairie Care, Altru health 2/12/26 for 13 days. Prairie Care in December 2025 due to behavioral escalation and SI crisis. . She admits current or past partial programs or residential programs. She was at Prairie Care Residential for one month. She had to leave due to her behaviors like hitting, screaming, biting and trying to kill herself. She denies psych testing. She admits to 1 previous suicide attempt(s): In December jumped in front of a car. She admits to engaging in self-injurious behavior. Last SIB Today cut her left inside forearm.

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.