Mental Health Residential Treatment – Mental Health Collaboration Hub

EH-M16-6799

Adopted adolescent that came from group home prior to presenting to the Emergency Department on 4/27/2026 with Law Enforcement due to increased aggression and agitation at group home. 4/26/26 had aggressive behavior at his group home physically assaulting two staff members. One staff sprained a wrist and the other staff required facial surgery following the incident. Earlier in the day he had made threats to stab teachers and staff at school. He reported he meant to strike is housemates but struck the staff instead. A few years ago patient had a previous episode of physical aggression toward caregivers and was hospitalized at that time.

PH-F15-6783

Recommendation is for level 5 QRTP
15-year-old female presenting to inpatient as a step up from PrairieCare Residential after experiencing increased mood dysregulation and suicidal ideation. This is her 4th hospitalization with PrairieCare and has been hospitalized at two other facilities. Guardians are currently hoping for a QRTP closer to home and not out of state.

Discharge Plan as of 5/7/26:
-PCR, declined for return
-Avanti, declined, not accepting BCBS at this time
-Gerard, in process of reviewing
-North Homes, declined due to current milieu
-Newport MN, declined due to functional impairment limiting ability to engage effectively in programming
-Newport CT, in process of reviewing
-Rogers Behavioral Health, referral sent
-Acadia Healthcare, referral sent

Continue with established outpatient providers following RTC:
– Individual Therapy
– Medication Management
– CTSS
– Primary Care Provider

MHF-F17-6780

Youth came into our ED 5/5. This is her 3rd time boarding with us in 3 weeks. She discharged to Dignity House and Aspen House the last times and is needing placement again as she can’t return to either. (Eloped from Dignity and got into an altercation at Aspen. ) Looking for waiver or treatment placement, but has been denied from many options.

MHF-F11-6771

Youth came to our ED in a smaller town on 4/27/26. Was in a pre-adoptive home who is refusing to allow her to return, was at RTC prior to that. Struggling to identify placement options due to age, IQ, and history of behaviors. County is currently exploring all options for her- PRTF, QRTP, Group Homes, DD waiver placements- Crisis and CRS, shelters, and fosters.

PH-M15-6144

Recommending PRTF/RTC/ CADI placement with supports
15 year old male who presents to PrairieCare Inpatient Hospital due to suicide attempt with increased SI and SIB.
He has a history of several inpatient stays, has engaged in PHP, individual therapy, family therapy, and RTC at Gerard
Funding is in place for RTC with Polk County, has waiver

MHF-F12-6723

Youth came to our ED on 4/16. She was on the run from 4/11-4/15 and returned to adoptive parent 4/15 who brought her to the ED 4/16. SEY concerns while she was on the run. Adoptive parent does not want her returning home. Youth was only open with contracted CMH CM when arriving at the ED. County is working on transitioning her to operated CMH CM. DA was completed 4/22/26 and recommends QRTP/Group Home, need transfer to operated CMH and County JST approval before moving forward there. No waiver currently and no access to County paid shelters due to parent having custody. Have explored parent referred shelters, but so far they have denied. Once operated CM is assigned a referral can be made to Hennepin County YSC. Has history of physical aggression toward siblings, elopement behaviors and SEY concerns.

PH-F17-6710

Inpatient Team is recommending Locked QRTP/PRTF.
17-year-old patient admitted to inpatient as a step up from PrairieCare Residential. They were admitted due to continued episodes of emotional dysregulation, intrusive SI and attempts to elope. This is their 9th psychiatric inpatient hospitalization. They have done PHP, outpatient care and residential treatment.

Discharge Plan as of 04/22/2026:
Hospital and PCR treatment team recommends:
-Bar None Haven locked RTC. They were accepted on 3/18; county did not approve placement.
-Heartland Girls Ranch. They were accepted and on wait list, county did not approve placement.

County team pursuing:
RTC-
-Gerard (reviewing)
PRTF-
-Nexus East Bethel (declined)
-Northwoods (county sent referral, currently a 2 year wait)
-Grafton (county sent referral, does not meet admission criteria)

Interim plan:
-Consider Shelter care at Ain Dah Yung Center, The Bridge for Youth- Supportive Housing-Marlene’s place, Youth Transitional Housing Program – Life Haven/ Lutheran Social Services of Minnesota
-Establish Psychiatry
-Establish Therapy
-Continue with Hennepin County Team, Guardian Ad Litem, and Tribal Representation

This youth has been medically cleared to discharge from inpatient to the appropriate next level of care although due to barriers with accessing the recommended level of care, they are now boarding. The Hennepin County Boarding team is working with inpatient on this case as well.

PH-M10-6705

Recommending PRTF/RTC
10-year-old male who presents to PrairieCare Inpatient Hospital after an episode of behavioral escalation at home.
This is his 2nd psychiatric inpatient hospitalization and had been engaging in outpatient therapy services.
Funding is in place for QRTP with Mower County

Discharge Plan as of 04/20/2026:
RTC/QRTP: (Funding approved 2/17)
– Gerard (Declined due to safety concerns, recommending Bar None Haven or PRTF level of care)
– PrairieCare Residential (Declined due to acuity)
– Northwoods (one year WL, not viable immediate option)
– Bar None Haven (Declined due to safety concerns)
– Nexus Mille Lacs (Declined due to safety concerns)
-Avanti (unable to refer d/t gender criteria)
-North Homes (unable to refer d/t age)
-Newport (unable to refer d/t insurance)

PRTF:
– Grafton (Declined due to request for further diagnostic clarity)
– Nexus East Bethel (reviewing)
-Leo Hoffman (unable to refer d/t age)
-Northwoods (one year WL, not viable immediate option)

Interim Plan:
Establish Psychological Testing
-Sagent Behavioral Health in Rochester
-Southern MN Psychological Services
Establish Occupational Therapy with School
Establish CTSS
-Fernbrook
-Independent Management Services
-Cedar House

Continue with following outpatient providers:
– Medication Management at Olmstead County Medical Center
– CMHCM with Mower County

MHF-F17-6700

Youth came to our ED on 4/9 after being on the run for 3 weeks. Has a long history of elopement and some aggression as well. Is open with CPS, ACT team, and DD waiver, and there is a VPA for placement currently. County team is looking at all placement options- all waiver options, RTC, out of state. Has been denied many places already primarily due to the elopement behaviors.

CH8SCH-F13-6644

Patient presented to ER from residential treatment after assaulting staff. This was patient’s second day of residential treatment followed by lengthy back-to-back hospitalizations. Patient recently assaultive to staff and oppositional at times. Has required multiple PRN’s for dysregulation. Residential treatment facility therapeutically discharged her to the hospital.