Mental Health Residential Treatment – Mental Health Collaboration Hub

AH-F16-7617

Previous psychiatric diagnoses: PTSD, depression, anxiety, eating disorder, ADHD, complex trauma, suicide attempts, self-harm

Patient presented to the ED after reporting SI to their guardian. Patient reports a near daily experience of SI and AH/VH of his brother who abused him. Therefore, this is not a new symptom. Patient reports that yesterday there was no particular trigger for his SI and AH/VH, that he took a PRN medication, which usually works for him, and then called his guardian who told him to go to the ED.

While in the ED (and as is common in the community), patient will attempt to use clothing to strangle themselves when dysregulated, often revolving around trauma.

Guardian is Dakota County (Tori Thompson). No contact order for anyone in the biological family.

Hospitalized in ND for a full year and a recent over month stay at Children’s for placement from which they were placed in Mn Care Counseling Crisis home.

Crisis home has given an immediate termination notice and state as they are a crisis home they do not require a 30 day notice, due to inability to keep pt safe. They report running into traffic as a particular concern.

Recommendation is discharge with ongoing outpatient support coping skills, distress tolerance, emotional regulation and behavioral support. Pt presentation appears to be baseline and unlikely to mitigated by an admission which may conversely increase risk of maladaptive coping skills and hospital seeking behavior.

Referrals:

· Wingspan is future development of home for patient; not ready until January

referrals made to all PRTFs
Grafton
Leo Hoffman
North Woods
Nexus East Bethel
No update on possible openings

CABHHS – pt has been declined multiple times due to various reasons including high acuity, Diabetic, Eating disorder – A new referral is in process
Bridgeview—-Dakota county crisis placement; on list but currently full (2 bed facility for Dakota County youth)
Kid Link – referral to all 50 of the facilities they work with, no update on potential openings.
Out of state (Rogers and Acadia)—active referrals, no timeline

MHF-F13-7627

Youth came to our ED 10/24/26 from a crisis home who are not allowing her to return. She just boarded in our ER from 9/1/26 to 10/14/26. A previous 30 day assessment provided a recommendation of PRTF/QRTP, however she has been denied from Grafton, Northwoods has extensive wait list, and she has also been denied by all MN QRTP programs. She is open to the CADI waiver. Team would prefer to keep her in MN near family however due to the challenges of placement had been looking across the Country as well.

MHF-M16-7539

Youth came to our ER on 10/9. He had eloped from his home last week, police found him and when brought home he physically aggressed toward his mother, so police brought him to JDC, they reported they could not keep him because Mom was not pressing charges so he was brought to the Bridge shelter, where he was discharged from for exposing himself to others and was then brought to the ER. Mom is refusing to pick him up. He has autism and selective mutism. There is a recommendation for PRTF and RTC from June however the County has not yet screened via JST. There is not a current waiver, though waiver placements are starting to be explored to rush that assessment if identified. Has previously been denied by Hoffman Center and Grafton.

RCCP-M12-7481

Per DA, youth presents with oppositional behaviors: “verbal and physical aggression, making threats toward others, making sexual statements toward others, eloping, undressing himself in front of others.” CP became involved due to him hitting his sister with a baseball bat. He has had episodes of aggression toward family members and toward staff. Additionally, he was most recently homeschooled and did online school for a few years prior to that.

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.

C8SM8SP-M12-7425

Child presented to Children’s ED due to altercation at group home. Child was requested by mother (guardian) to be brought to ED for MHCA. Child was no longer allowed to return to group home due to the altercation. Pt has a long history of presenting to the ED due to behaviors and is recommended to discharge home. Mother does not feel safe with pt discharging home in her care.

MCR-F16-7399

16 year old female who has multiple in state and out of state residential placements, and currently on the waitlist for CABS. Family is unable to meet her needs, and she is boarding in the ED. She is in need of residential placement until she is accepted to CABS.

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. Behaviors worsen in an attempt for connection seeking and to obtain friendships with peers. Patient has been on a 1:1 or close observation through the entirety of her stay as she will engage in negative behaviors to seek connection including self harm, opposition, and defiance.

MHF-F13-7342

Youth came to our ER 9/1 from a 35 day assessment program in WI. They will not allow her to return. It’s reported that they will likely be recommending higher level of care and possibly a locked facility. The County is meeting with the program on 9/10 to get their official recommendations. She has history of aggression toward staff, but not toward peers. There is no waiver currently and a MNchoices assessment has been requested.

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