Mental Health Residential Treatment – Mental Health Collaboration Hub

PH-F15-7244

Recommendation is QRTP or PRTF.
Patient presented to PrairieCare Inpatient Hospital after suicide attempt by hanging on two consecutive days while at Avanti Center for Girls Residential. She has been at 3 different residential treatments (North Homes, Bar None Haven, and Avanti). This is her 4th psychiatric inpatient hospitalization.

Discharge Plan:
Establish QRTP/PRTF:
-Avanti (discharged d/t suicide attempts and elopement concerns)
-PrairieCare Residential (declined d/t suicide attempts and elopement concerns at Avanti)
-Grafton (referral sent)

Outpatient Providers:
Red Lake Ombimindwaa Gidinawemaaganinaadog (OMBI) Program: Outpatient therapy
Sagent Behavioral Health: Medication Management/ Psychiatry Services

PH-F14-7333

Recommending QRTP.
She presented to inpatient from the ED after increased SI and engaging in SIB via cutting. This is her 3rd psychiatric hospitalization.

Discharge Plan as of 9/9/2026:
Establish Residential Treatment Care
In State:
– PrairieCare , referral sent
– Avanti, requiring secondary county funding for placement
– Gerard, referral under review
– North Homes, referral under review
– Northwoods, not appropriate referral due to current two-year waitlist

Out of State:
– Altior, declined due to safety concerns related to ingestion
– Acadia, declined due to safety concerns related to ingestion
– Rosecrance in Illinois, declined due to safety concerns related to ingestion
– Rogers Behavioral Health in WI, declined due to safety concerns related to ingestion
– Embark Behavioral Health Utah, declined due to safety concerns related to ingestion
– Rolling Hills Ada, OK, declined due to safety concerns related to ingestion
– SunCloud in Illinois, declined due to safety concerns related to ingestion
– AMFM, referral sent by Acadia, declined due to safety concerns related to ingestion
– Kid Link Treatment Services, referral under review
– Perimeter Behavioral of Forrest City, AR, referral sent
– Lakeland Behavioral Health Springfield, MO, referral sent
– Springbrook in South Carolina, referral sent

PH-F15-7329

Recommendation is for QRTP.
Patient presented to Inpatient from the ED after disclosing suicidal thoughts to her outpatient therapist with a plan to overdose on her prescription medication she had been saving. This is her 2nd psychiatric hospitalization in 2026.

Discharge Plan as of 9/9/26:
-North Homes: Referral sent, guardian declined to pursue further
-Gerard: Referral sent, guardian declined to pursue further
-Newport: Patient declined for admission due to continued endorsement of SI/SIB and recent self-harm
-PrairieCare: Admission was available on 8/31, guardian declined in favor of pursuing Avanti
-Avanti: Accepted, awaiting admission timeline

MHF-F16-4834

Kiddo came to us on 11/7 from East Bethel PRTF. East Bethel has discharged reporting they are unable to meet his needs based on his ongoing SI and behaviors. They are completing a referral to CABHH. Has a long history of SI. There is currently no County involvement. Aunt is working on setting up CMH services, but County has reported they don’t have any placement options. Our team will be requesting County look at approval for out of state options once they are open due to limited options in MN for this level of care.

MHF-F16-5020

Kiddo arrived in ED on 12/22 after altercation at Passageways Shelter. Has boarded with us many times previously, including 3 in the past month: 11/29-12/5, 12/14-12/18, and now 12/22. Also previously boarded with us 4/26 to 5/29. Was recently at Aspen and Passageways shelters, neither which she can return to. Long history of elopement. County has interim custody. Team was working toward RTC but has also historically been denied by these programs.

MHF-F15-7277

Youth came to our ED 8/27. This is her 3rd time boarding in our ER this month. She lives with Mom at home, however Mom does not want her to return. CMH is involved and offered Mom increased in home crisis services and she declined those. CMH is working on RTC. There is tentative acceptance at a program however its currently approx 3 weeks out- no admit date set yet. Mom has reported there is no family that pt can go with in the interim. Had a MNchoices last week, working on expediting SMRT.

C8SM8SP-F15-7263

Child residential treatment since April 2026. After she had assaulted someone at the resident, she was brought to JDC. After JDC, she returned home.
Child presented originally to ED 8/2 via EMS after intentional ingestion. She was recommended IPMH after MHCA. No units were accepting of child; after psychiatry consultation, she was appropriate for discharge to home. Mother refused to discharge child to return to home. Extended family members not willing to have her stay with them at this time.

C8SM8SP-M12-7257

Child presented to the emergency department after getting physically aggressive with sister at home. Was brought via EMS to receive mental health evaluation. Pt was recommended discharge home after MHCA. Mother refused to discharge with child to return home.

MFIUP-F15-7229

Admitted due to suicidal and homicidal ideation. Patient struggles with explosive outbursts when she does not get her way. Patient has a hx of calling CPS frequently alleging abuse against mom. Diabetes was managed with an insulin pump until recently, when the pump was removed for inpatient admission and she was transitioned to insulin injections. She reports that the pump was helpful in regulating her diabetes. She reports daily suicidal ideation, describing it as a persistent struggle, with plans to smother or strangle herself. She also experiences homicidal ideations, particularly directed toward her mother and sister.