Brought to the ER via mom for assessment of suicidal ideation following an argument with guardians resulting in behavioral dysregulation and hitting their head into the wall and sitting on the driveway in inappropriate weather wear. Patient has a long history of psychiatric services and continues to struggle with emotional dysregulation. Parents requesting residential level of care.
Recommended Service: PRTF
PRTF facilities provide intensive psychiatric care in a residential setting for individuals, often children and adolescents, with severe mental health issues.
CH-F14-4594
Patient presented to the Emergency Trauma Center at St. Cloud Hosptial with aunt. Patient presented after being on run from NW Passages in Wisconsin. During times of elopement, patient is known to spend time at the home of a person known for drugs and trafficking. Patient has a county mental health case manager that is working to make referrals for appropriate levels of care. Patient has a history of aggression towards their aunt. Patient does not have any contact with biological father as he is incarcerated and limited contact with biological mother. Parental rights have not been terminated, but patient’s aunt has physical and legal custody. Patient is very vulnerable and has no insight into the unsafe nature of his behaviors.
MHF-F17-5090
Kiddo came to our ED from NW Passages in WI on 1/3. She can not return to NW Passages as she has told them she refuses to return there. She had made threats to peers and family while there and was showing increased aggression. She was only going to remain there until turning 18 this spring and then the team did not know where she was going to go next. Currently they are looking at shelters, PRTFs, and anywhere that may accept her. (We have not had a team meeting yet to get full details) There is an intake meeting with Nexus YCT today at 1pm to get their assistance with placement.
MFIUP-M17-5076
Brought to ED for abnormal and erratic behaviors. Pt barricaded himself in his room with a knife and refused to come out. Previously diagnosed with acute psychosis who presents with aggression, psychosis, and mania under unclear context. His UDS on admission was negative this hospitalization. He was previously prescribed antipsychotic medications but not prescribed any medications on discharge from IMPH after his hospitalization in 08/2024 under similar circumstances. This is his third psychiatric hospitalization this year (PrairieCare, CABHH in Wilmar). Patient has not been going to school. Current civil commitment. Has not been fully complying with treatment.
CH-F11-5026
Pt presented from home, adopted parents, for aggressive behaviors. Third ER visit this month, unable to take pt back home due to frequency and intensity of behaviors as well as 4 other children in the home. Pt initially recommended IP hospitalization, however unable to find placement due to acuity, no beds, or declined due to IQ (56) and inability to participate in programming. Medications adjusted in ER. No violence since medication increase. Family/CADI worker have been looking for more support for several years and pt seems to fall through the cracks due to IQ and aggression.
AH-M12-5056
Patient sent to Cambridge medical center ED due to aggression and numerous ED visits from Bar None. Bar None discharging the patient.
MLBOO-F16-5053
Runaway to Ohio. Retrieved by case management and HHS team with their Native American tribe. Escorted to Newport Academy. Transgender status – was allowed to be assigned to male cottage initially, but transferred to female cottage for not following boundaries in place for clients in cottage. After told of the move, patient eloped from campus. Later returned, but refuses to move to female cottage. Eloped again later the same day, with another client and found alcohol in dumpster and ingested this. Is stating they are going to do whatever they can to get kicked out. Needs higher level of care that Newport is able to provide. Needs secure place to prevent from running away again out of state or elsewhere.
MHF-M13-4917
Youth came to our ED 11/30 after an altercation in the car with adoptive parents and suicidal threats. Has been to Northwoods PRTF for year and Leo Hoffman PRTF for 6 months, which were not successful. Had been in the community for a couple of months before coming back to ED. Team is exploring possibility of return to Northwoods. Previously had a waiver through Morrison County but current dispute between Counties about where Case Management for that waiver will be- Hennepin County is digging into this, and plan to explore waiver placements once sorted.
PH-F12-5010
12 year old, history of trauma with subsequent depression and anxiety ADHD and anxiety. Multiple treatment interventions at PHP. Patient reports that depression has been worsening over the last several months and has becoming more difficult to manage. Patient reports ongoing suicidal ideation and difficulty thinking about anything in the future that would be of benefit. Patient reports ongoing mood disorder low mood low energy reports difficulty with school reports anxiety.
R
PH-F15-5000
Previously diagnosed with depression, anxiety, PTSD . Numerous admissions to psychiatric hospitals and Emergency Departments because of suicidal ideation, suicide attempts and self-injury. History of CPS, county mental health case managers and crisis services. Plan to jump off a bridge. Self injury has included cutting, scratching, burning and head banging.