Patient is presenting to the ED for the following concerns: suicidal ideation, depression. Patient reports he tried to kill himself last night by stabbing himself with a dull pencil. Patient reports suicidal and homicidal thoughts that have increased in last two weeks. He has been at North Homes for three months. He was discharged to North Homes after a hospital stay at UMMC in September for SI. At North Homes, the patient escalated and told staff he was suicidal. He took the batteries out of a remote and tried to swallow them. He also tried to stab self with dull pencil. He became combative and needed to be restrained and then kicked staff in chest and tried to kick another staff. Patient then stated he would find each clients personal info and then take pictures of other clients after he killed them and send to parents. Patient told staff he would kill other clients and himself.
Patient reports long history of MH including PTSD, MDD and GAD. Patient has been hospitalized 2 x in past 6 months. Patient reports history of trauma. Patient states he has history of SIB.
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.
CH-M13-2506
The patient is a 13 Y year-old male with a history of fetal alcohol syndrome, separation anxiety, ADHD, RAD, sensory processing difficulty, DMDD, conduct disorder, and ODD who presents to the ER on 12/2 via law enforcement for assessment of aggression, suicidal, and homicidal ideation after physically assaulting his adoptive mom and brother and threatening to use a knife or gun to hurt the family when they weren’t looking. The patient made threats to kill himself with a colored pencil. The patient has aggressive outbursts several times per day when he is told no.
The patient has a long history of psychiatric services including residential at Northwoods x3, inpatient hospitalization x1, group home placement, PHP and further outpatient services. The county is currently in the process of developing an individual home for him which is thought to be completed in January though still requires licensing.
EH8D-M19-2375
ASD, aggression, DD, language impairment
RH-F15-2367
1 week prior to ED pt was found tied up in her home by her parents. She was taken to Children’s and placed into foster care. Mother didn’t believe in Western Medicine and was using THC and tying her up to treat pt’s agitation in the home. Pt presented to Regions ED from the foster home due to increase agitation and needing more staff support, pt has severe ASD, DD. Hx of violence towards self and others. She can’t eat without someone holding her hands because she hits everything away. She is mostly nonverbal, only knows a few words.
Has been in the ED for over 165 hours, she has been started on medications and we have seen a decrease in her level of agitation. She has been more cooperative with ADLs, takes medications, and eating meals w/ assist and staff have been able to redirect her before a code needs to be called. Pt has been declined by all inpatient facilities at this time. CPS in Anoka is current guardian. Has DD waiver. Regions providing sensory support, weighted blankets, stuffed animals, music. Needs 24/7 support.
Mom currently in custody.
AH-F15-2359
SI, self-harm, history of suicide attempts, past (not current) substance abuse, fetal alcohol syndrome disorder (normal IQ), reactive attachment disorder.
Denied from village ranch due to Mental Health concerns, Heartland due to behaviors, Little Sand denied due to recent suicide attempts, Greater MN denied due to hygiene concerns. Just completed res tx in Oct. Cadii waiver? Has been screened for the waiver. Jen Butler will connect. Hunters Place and Port are reviewing. UPDATE FROM 1/12: Accepted to North Homes Eval Program for 1/18/23
C8SM8M-F11-2346
History of trauma, sexually exploited youth, aggression, ODD, multiple placements, adjustment disorder. Had an Intake with FV PHP program, was accepted, but nowhere to place her to do the program. Meeting today with county to discuss the case. Looking at intensive therapy services, shelters.
Patient been accepted to Fairview’s PHP, pt has a foster mom who is only willing to take pt home after completing PHP, county seeking residential. 3/23 update: transferring 3/24 @ 10:15 am to DIVINE.
AH-F13-2307
RAD. Aggression at home. Parents unable to accommodate needs at home so resident remains in ED. Hasn’t needed hospital since mid feb but parents unable to take her home. Accepted 3/15 to Community Living Options.
AH-F17-2292
attachment difficulties, parent child difficulties, working towards either RTC or group home. Working w/ county – denied from most residentials due to IQ. Looking at group home placement. Home is disruptive. Attachment difficulties.
AH-F17-2288
FASD, PTSD. Has lived in group homes. LSS home until last summer when there were allegations against staff and drank bleach for self-harm. Series of Shelter placements, ext. ER placements. Admit to Prairie care 2 mos ago, End of Dec. came to ANW ED. Rec group home funded by DD waiver. 18 in March. Leech Lake will be going for guardianship when she turns 18. Had done well in group home setting, but recently had a younger roommate that transferred, and became very upset after that.
C8SM8SP-F9-2009
UPDATE 11.16.23 – Dragonfly is a potential placement.
Patient recently moved to Minnesota and was displaying sexualized behaviors at school (disrobing, touching herself, attempting to grope teachers, making sexualized comments) CPS was contacted and they were concerned Patient was being sexually abused at home. They were brought to our hospital in need of out of home placement after MCRC visit while dad is investigated. Carver County has temporary custody. Patient has history of developmental delay. No sexualized behaviors toward other kids, mostly with self, while playing with dolls and adults.
Having DX completed this week. County pursuing a variety of options