Mental Health Collaboration Hub
Recommending Level 5 QRTP/Level 6 PRTF
16 year old female presented to PrairieCare Inpatient Hosptial due to increased SI and SIB. She has had multiple psychiatric inpatient hospitalizations.
Recommended Service: PRTF
PRTF facilities provide intensive psychiatric care in a residential setting for individuals, often children and adolescents, with severe mental health issues.
MHF-F13-5959
Youth came into our ED on 8/9, discharged from her crisis home. Previously boarded at FV in both the ED and then our IPMH unit from 3/17/25-5/5/25, and has boarded on our IPMH unit before that as well. Crisis home has terminated pt from their home. Has been denied by many PRTF and RTC facilities due to behaviors/aggression, in and out of state. Has waiver but County reports that her needs are too high for most waiver placement options.
PH-M15-5886
15 year old male with increase in arguments at home and sharing that he no longer wants to be at home and wants to live with a different home. Had barricaded his bedroom door, left out window with intent to keep walking without food or water with intent to die. Ongoing, some passive SI and aggression towards siblings in the home.
Has previously completed outpatient therapy, psychiatry, PCP, CMHCM, PHP, residential treatment, multiple inpatient hospitalizations at PrairieCare (3 in 2025).
PH-F10-5904
Pt is a 10 year-old female with historic diagnoses of anxiety, depression, ODD, specified neurodevelopmental disorder who presents today to address running away from home. Upon interview pt was observed to be easily distracted and appears to be guarded. Pt was resistant to the interview stating, “I don’t want to answer any questions.” After roughly 5 minutes pt refused the interview process leaving the room and forcefully pushing the door close with writer still in the room. Writer could hear pt yelling and laughing from the hallway “she’s locked in there” and “I locked her in there”.
Mother reports pt has been running away from home and putting herself in dangerous situation. Mother reports pt was sexually assaulted during one of her runaways. Mother reports pt’s motive for running away this time was to get on an airplane. Mother stated due to pt’s behaviors, pt has been hospitalized 3 times within one and a half weeks. Mother reports pt’s mental health is worsening. Mother reports pt struggles with authority figures and being held accountable. Mother states they use to have structure and routine in the home and is trying to incorporate it into the home again but when pt is held accountable, pt will threaten mother and think mother is “being mean.”
PH-F15-5890
Presented to ED after a verbal altercation with mother and expressed a suicidal plan to walk into traffic. History of cutting, scratching, elopement behaviors.
MHF-M14-5751
Youth came to our ED on 6/13 straight from a Missouri RTC that he was discharged from due to aggressive behavior. Came to us as there was no other place for him to go. Has CMH and they are reporting they are not seeking another placement at this time and recommend pt return to adoptive Mom, or we contact CPS. Mom also requested we contact CPS so she can get further assistance and potentially out of home placement. No waiver at this time.
ARCAJC-F14-5870
14 year old female with a history of hospitalization and services such as Prairie St john and Children and Adolescent Behavioral Health Hospital in Willmar, MN from December 2024-March 2025. Assaultive towards her caregiver (grandmother) when in her care. Appears she would benefit from a mental health vs correctional program. On lengthy wait list for PRTF.
MHF-M10-5723
Youth came to our ED 5/28 from home after an escalation. Mom unable to take him back currently. Dakota County CPS has a custody hearing today, 6/4/25. If given custody, they will be working on foster/shelter placement and kinship. All have been explored in the past for this kiddo, but previously denied due to behaviors. Kiddo has trauma history and does very well in school, only behavioral at home. Unsure if there is a current DA- team is looking into it. Its reported by CPS that they tried to get CMH CM for kiddo 4 months ago but that was denied. No waiver currently.
MHF-F15-5707
Youth came to our ED on 5/24/25 after physical altercation at Red River Valley placement, and they refuse to let her return. Has history of physical aggression and a rule 20. Has boarded with us multiple times prior- 12/5/23-12/29/23, 2/13/25-2/27/25, and 3/6/25-3/12/25. Looking both in and out of state for placements that might take her.
AH-M15-5556
Impression of Crisis Behavior (precipitants): Patient presented to the ED due to agitation and SI. The identified precipitant for this crisis is a verbal and physical argument with his mother and her boyfriend at the home. Patient was released from the JDC to home on 4/5/25.
Vulnerabilities: adolescent, ASD, h/o trauma, recently released from JDC, parent-child conflict, inadequate outpatient supports
Behaviors / Symptoms to address in the ED: deferred
Methods to increase desirable behaviors in the ED: meet basic needs, set behavioral boundaries/limits,
Barriers to Discharge include: At this time, patient is NOT felt to meet criteria for inpatient hospitalization. There are no new acute safety needs that warrant admission. His mental health concerns are chronic and environmental.
Mom is refusing to take him home, JDC won’t take him back as there are no new charges and he has no place to go. CPS is investigating allegations of abuse by parents and child but are not seeking placement. Mom does not consent to use of a shelter or Nexus YCT.
