Mental Health Residential Treatment – Mental Health Collaboration Hub

LAHC-M14-6887

Has been with us since January. Arrived from Prairie care from Mayo Clinic before that for verbalized increase in SI and engaging in SIB. History of abandonment from bio mother and apparent abuse and substance use in the household per history. History of temporary foster care. Difficulty with boundaries and impulsive behaviors. Often losing his temper, being easily annoyed and irritable, arguing with adults of authority, and not complying with rules/structure. Current and historical property destruction and elopement. Behavioral instances at school, threatening gestures and actions. History of vaping nicotine “if I have it I will use it” mentality. Witnessed DV, history of homelessness, and physical abuse.

CH8SCH-M12-7212

Patient presented to the ER from residential facility in Wisconsin. He was discharged unsuccessfully from their program due to behaviors and acuity and transported here. Wrap around case manager is looking for placement. Patient’s mother does not feel able to have him home due to his behaviors, property destruction and eloping.

C8SM8SP-F11-7131

Child presented to Children’s with group home staff after pt had continuous behavioral escalations at the group home. Pt was unable to play with balloons with peers and got upset, leading to dysregulations and ran away from group home. Pt was found by police and became physically aggressive towards others. Pt assaulted staff, assaulted sheriff deputies and broke windshields with rocks. She is unable to return to group home.

CH8SCH-F14-7113

Patient presented to ER following discharge from residential due to aggression to staff and eloping. No other placement locations as she is not able to return to previous foster placement. Patient with poor boundaries, impulsivity, and instigates other peers to engage in negative behavior. Appears lower functioning or potentially with ASD in which we will be completing psych testing.

C8SM8SP-F15-7087

Child presented to Children’s ED due to increased suicidal ideation. Dakota County has had guardianship prior to him presenting to ED. Child was residing at a group home and reported to staff about increase thought of self-harm. Staff at group home called EMS and child was brought to Children’s ED for mental health evaluation. They did not meet inpatient criteria and have been recommended to discharge. The group home denied their return due to unsafe behaviors, such as tying clothing around their neck when dysregulated. Extensive trauma history from bio parents.

OCC0FS-F17-7034

Was hospitalized in at Prairie Care Psychiatric Hospital discharged May 30th- June 15th for significant self-harm by cutting, recommendations were residential, was accepted to Newport, Prairie Care RTC, and Rogers; however, due to bed availability was discharged home and started Prairie Care PHP on June 16/17th. Wound became infected on leg, he was hospitalized and treated for Sepsis, wound vac was placed. He was discharged home with recommendations of residential treatment once wounds healed. He was unable to go back to PHP or Residential (there was a bed opening at one of the placements) he was unable to return to PHP or be admitted to Residential due to wound vac/wound care needs. Within 24 hours of discharge, he was back in the hospital due to self-inflicted wounds on his leg caused by a blade of a box cutter requiring medical intervention and hospitalization. He has been in the hospital since his wounds are healing, there is no longer a wound vac, 9 or the 10 wounds have been sutured and one on his leg requires wound packing 2x per day.

MHF-F17-6987

Youth came into the ED 6/26 after being discharged from the shelter program they were in. Reportedly were boarding in a different hospital last week. Currently accepted at RTC but admit isn’t until 7/10. Needing an interim plan. County has permanent guardianship. Has been denied by most shelter programs. Does have waiver funding but no waiver CM yet.

MCR-F12-7001

12 y.o. female who was psychiatrically admitted following a suicide attempt at the local crisis center in the context of conflict with peers. There have been concerns of child maltreatment in the home, with a history of foster placements. Active child protection involvement. She struggles to communicate her emotional needs adequately, and this frequently translates to provocative, explosive, or attention-seeking behaviors to get her needs met. The county is currently hoping for a 30 day assessment for further diagnostic clarity and treatment recommendations.

MHF-F12-6968

Youth came to ED 6/17 after altercation with siblings at home. Adoptive Mom is not allowing her to return currently. Has boarded in our ER 2 other times, in April 2026 and May 2025, returned to Mom both times previously. Has DA and approval for RTC, primarily looking at RTC options. Trying to get further medical records to support RTC referrals from Children’s. No MNChoices/waiver currently.

MHF-M16-6918

Youth came into the ED on 5/29 from adoptive parents home. They are not allowing him to return home. Has CMH and DD waiver CMs and the County has said they will not approve CRS placement as the family has not followed through on the less restrictive alternative services first. (Is on wait list for ABA, positive supports, and family has not followed up on in home crisis respite.) County is looking at temp out of home crisis respite options, but none with youth openings currently. County Placement Screening team is meeting tomorrow, 6/11, to determine if they will approve any additional out of home placement options.