PH-F16-6225

Recommending RTC/PRTF.
16-year-old transgender male who presents to PrairieCare Inpatient Hospital due to increased SI and SIB. Patient has a history of several inpatient stays and a significant trauma history.

PH-M10-6068

Recommending RTC. Limited options available due to his age.
10-year-old male presenting to PrairieCare Inpatient Hospital as a step of from PrairieCare PHP after anger leading to physical aggression towards others and increased SI. This is his 5th psychiatric inpatient hospitalization. He has engaged in PHP three times as well as outpatient psychiatric services.

Discharge Plans as of 9/9/25:
-Gerard
-Rogers Behavioral Health
-Northwood (on wait list, currently 9/12 months)

NMH8R0MGH-F15-6156

Patient has a long history of suicidal ideation and self cutting behavior. She was released from Prarie Care 3 days ago with a recommendation from her psychiatrist there to be admitted to a residential living facility. She was released as a final attempt of living independently with outpatient care. patient reports cutting her thigh with a piece of glass and she told her mother she did not feel safe going to school , came to ED for help.

CH8SCH-M12-6116

Presented to ETC after overdose on medication. Recent hospitalization at PrairieCare and overdosed after returning home. Has had 4 inpatient hospitalizations over the last year. Participated in partial hospitalization program after inpatient stay in March. Recommending residential hospitalization due to multiple inpatient hospital stays in the last year.

CH8SCH-M10-6113

Presented from partial hospitalization program (Clara’s House) for worsening aggression and self-harm. Has had in-home skills worker and outpatient providers. Was referred to Clara’s House for worsening non suicidal self-injurious behaviors. Recommended residential treatment due to attempting all lower levels of care.

PH-M15-6144

Recommedning PRTF/RTC
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

Discharge plan as of 9/29:
PRTF/Level 6 (referrals placed by CMHCM, Approved by AFMC for PRTF)
– Northwood (reviewing, waitlist 3-4 months)
– Nexus East Bethel (referral submitted, reviewing possible opening early Oct.)
– Grafton (referral submitted, under review, declined due to inability to support level of care)
– Leo Hoffman Center (CMHCM to resubmit referral, declined due to safety concerns and inability to provided 1:1 staffing, able to re-refer upon further stabilization)

QRTP/ Level 5:
– Return to Nexus Gerard (under review, declined to return. Discharge effective 9/12)
– Bar None Haven (referral submitted)

PH-M12-6065

Recommending RTC. Will need county funding.
12-year-old male presenting to PrairieCare Inpatient Hospital due to an altercation with his mother after not wanting to go to school. Following this altercation, his mother found a suicide note. He is a history of depression, anxiety, PTSD, mood/dysregulation resulting in intrusive SI. This is his 2nd psychiatric inpatient hospitalization. He has engaged in PHP and outpatient psychiatric services.

Discharge Plan as of 9/9/25:
– PrairieCare
– North Homes
– Gerard

AH-F16-6099

Guardian reports that they are not allowing pt to return to her prior setting, which was living with a friend and her mom; history of recent placement at Brittney’s place. They have referred her to an open Crisis bed via MCCP as well as several other placements with no real option in sight.

PH-F15-6060

Recommending RTC/PRTF
15-year-old female presenting to PrairieCare Inpatient Hospital as a step up from Newport RTC due to an increase in intrusive SI. She will not be returning to Newport per parent request due to SA and elopement while in programming. She has a history of depression, anxiety, ADHD, and PTSD. This is her 4th psychiatric inpatient hospitalization. She has also engaged in PHP and outpatient psychiatric services.

Discharge Plan as of 9/9/25:
RTC:
– Bar None Haven
– Avanti
– Gerard
– North Homes

PRTF:
– Northwood
– East Bethel

PH-F17-6057

Recommending RTC/PRTF
17-year-old female who presents to PrairieCare Inpatient Hospital due to suicide attempt with increased SI and SIB.
This is her 2nd psychiatric hospitalization. She has engaged in PHP and outpatient psychiatric services.
For RTC – she will need funding through Ramsey County.

Discharge Plans as of 9/9/25:
RTC:
-Avanti (referral sent)
-Gerard (referral sent)
-PrairieCare Residential (accepted, on wait list)
-North Homes (not pursuing due to distance per guardians wishes)

PRTF:
-Nexus East Bethel (referral sent)
-Northwood (not pursuing due to distance per guardians wishes)