Mental Health Collaboration Hub
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.
Recommended Service: PRTF
PRTF facilities provide intensive psychiatric care in a residential setting for individuals, often children and adolescents, with severe mental health issues.
RCCP-F6-7478
6yo girl presents with extensive trauma history of sexual abuse has led to obsessive-compulsive behaviors related to sexualized behaviors including constant thinking about how to touch herself and others and trying to follow through with those thoughts. She has a long documented history of inserting items into her vagina and anus, resulting in pain, leakage, incontinence, and sores on her genitals/fingers/mouth.
AMHT-M13-7452
Client was referred to my program but we are unable to support his needs.
Has been to residential before for 6 months last year. Mom reported that when he got home he regressed back into old behviors including physical agression regularly; at times multiple times at day. He has also been to PHP before. He is currently at a respite home for the next 80 or so days. Mom reported insurance has been tricky and waitlists at programs willing to assess him have been long as well. History of eloping from school as well.
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.
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.
C8SM8SP-M14-7394
Child presented to Children’s ED after becoming dysregulated at group home; he wanted to leave, became upset and began throwing staff’s badges across the room. GH called EMS and child was transported to ED-Saint Paul. He is no longer able to return to GH after this incident. Child has a long history of foster care since he was three years old.
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-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
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.
CH8SCH-M9-7291
Patient presents from home via law enforcement. Aggression towards parents, elopes from parents, runs into traffic. Was recently discharged from PHP with recommendation for higher level of care (PRTF)