Group Home – Page 11 – Mental Health Collaboration Hub

MHF-M12-1583

Pt is presented to the ED via EMS after increased verbal and physical threats towards his family. Patient attempted to burn a locked door down with his mom and sister behind it. Patient’s mother called the police, and patient threatened to jump off of the balcony. Patient has a diagnosis of ASD and ADHD.
Patient was hospitalized and in outpatient program about 4 years ago. Per patient’s mother, the patient had been receiving wrap around treatment until he was discharged 4 months ago, when the patient brought a knife to therapy and threatened his therapist with said knife. The patient has been declined for all services by Prairie Care. Patient was assessed by Fairview recently and planned to start day treatment, but he refused to get in the car to go to therapy.
Patient has shown increasing aggression since about October 2022 when he decided he no longer wanted to have a relationship with his father.

MCR-M16-382

Update 7/27 Genesis Group Homes is pursuing an intake to potentially utilize crisis services.

16 year old adopted from Ecuador at age 8 (with twin brother with similar difficulties, as well as 2 other siblings without similar struggles), with ASD and intellectual disability, associated with a microduplication at chromosome 8p23.1, likely in-utero substance exposure, as well as early life neglect (living in an orphanage for much of his young life). Significant aggression difficulties that are becoming more unmanageable by family as he grows larger; unsuccessfully discharged from Chileda in November 2022. Family have financial resources and have purchased a second home for the boys and hired private caregivers in the evenings, but their income limits eligibility for MA and state-funded services. New behavior analyst started working with the family in March. May be on the MSOCS wait list. Currently on the wait list for inpatient care at Kennedy Krieger near Baltimore (brother previously had a good experience there).

AH-F15-1322

came to ED with suicidal and homicidal threats after an upsetting conversation with former foster provider – currently denies HI/SI to staff, unable to be placed with former foster provider, difficulty at group home – arguments with staff and other residents and they have said she is unable to return, CPS worker is guardian and looking for placement,

Nexus -FACTS
– youth has been accepted at Nexus FACTS for assistance with Placement Coordination Services.

MCR-M17-283

State of MN is trying to find a way to build his own home, timing TBD.

Aggressive, DD, low IQ – 40-50, FAS, ward of state, targeted case mgr. Was provisionally discharged from CABHH, not allowed to return. Perhaps a plan is a state run group home, in development?

MHF-M9-808

Patient is presented to the ED by EMS for aggressive behavior towards staff and another resident in his group home. At the group home staff brought the patient out to his school transportation but the patient became dysregulated when he saw the driver was different from prior trips. Patient then eloped to a neighbor’s house where he entered. Staff followed and called the police. Patient was brought back to the group home, but later got into a physical fight with another resident and staff member. Police were called a second time, and patient was transported to the hospital using restraints. The patient has a history of ED visits and has had approximately 6 previous hospital admissions (5/21; 7/21; 10/21; 11/21; 12/21; 9/22). The patient has a diagnosis history of DMDD, ODD, ADHD, GAD, depression, and RAD

MCR-M14-1086

14 year old with significant trauma history, ward of Hennepin County, recent placement at his request with young adult brother that was disrupted due to conflict. Briefly placed at Von Wald shelter but repeatedly eloped in an effort to reunite with his brother, and was brought to the ED. Calm overall except when relocated to a unit that required observation while in the restroom, then repeatedly escalated with verbal threats, closing himself in the bathroom, and hitting the walls.

MHF-F16-1057

Patient is under the guardianship of Swift County, and presented to the ED from his group home in Hennepin County. Patient got upset after being denied an outing, and went out to the road (not a busy road) and threatened suicide by getting hit by a car. Police were called, and patient was taken back to his group home where he made homicidal threats towards a neighbor. Group home staff then requested patient be seen by the emergency department. Patient has had multiple psychiatric hospitalizations. Patient reports frequent suicide attempts with methods unlikely to harm him, such as tying shoestrings around neck. Patient has a history of self-harm.

EH8D-M15-414

15 year old male with a history of ASD, ADHD, trauma, and multiple prior psychiatric hospitalizations and residential placements. He was admitted to the hospital after becoming aggressive and self-injurious while at crisis stabilization home. Patient has a history of making significant threats of violence and has been repeatedly sexually inappropriate. He was removed from his home after having molested a younger cousin. Patient will, at times, express remorse for his behaviors while at other times appearing grandiose and narcissistic, with violence perpetrated in response to narcissistic injury.

EH8D-F15-277

ASD, impulse control issues, DD, trauma history, pica, SIB, hits self, headbangs, nonverbal, putting foreign objects in body, smears feces, no family involvement, ward of Stearns County. No family involvement. Communicates w laptop, pictures. OT doing sensory work. Referral across MN, WI, ND, SD. Tennessee declines. Very difficult to place. 2 staff in day and 1 at night. Stearns trying to work on a home in their county. Came from her family care at age 4, to group home until 7, then another group home. She has struggled at her most recent group home. Lots of hands-on care. Willing to re-refer her to Grafton – was declined in July.