Recommended Service: PRTF

PRTF facilities provide intensive psychiatric care in a residential setting for individuals, often children and adolescents, with severe mental health issues.

MCR-F12-1396

Update on 8/17/23 – still waiting placement, relocated to peds area, not admitted, still an ED patient.

Patient is ward of state with guardianship by Otter Tail County. On a stay of commitment. Terrible trauma history and aggression – toward inanimate objects, but occ if staff gets close, she will be aggressive toward a person. Multiple hospitalizations/boarding situations, multiple (5-6) PRTF placements and failures, including an out of state facility that was suddenly shut down. Was in Rochester for hotel with respite, but they brought her in after less than a week due to behaviors. Struggles to regulate when frustrated.

MHF-F10-1695

UPDATE 9/14/23: Intake date at Gerard next week.
Patient is presenting to the ED for the following concerns: suicidal ideation, verbal agitation. Per Hennepin County workers, patient had been in inpatient at Prairie Care since June due to behaviors and suicidal ideation. Patient was abruptly discharged because she was not safe, and spending a lot of time in seclusion. Patient was to be transported to her grandmother’s home but ran away, and into traffic. Patient reports that she will kill herself and her grandmother if she is to live there. Patient would like to live with her mother, but is unable to due to a court order. Patient has a history of trauma, has witnessed parental domestic violence, and parental substance abuse.
Patient has a bed at Gerard for residential treatment, but not until 9/18.

MCR-M14-1389

UPDATE: 9/7/23 – discharged to AMAS Inc (CADI group home)
UPDATE: 8/31/23 – Care conf tomorrow. Accepted by Sunset House, having zoom meeting with patient today to get to know him better before transition- waiting on them to get licensing.
UPDATE: 8/17/23 – Still in ED. Not able to go to Mille Lacs due to non-participation. There is a CADI group home willing to take him, working on licensing.
UPDATE 7/27 – had a video interview with Nexus Mille Lacs on 7/26, awaiting updates.

Previously MCR 1086: Discharged 6/15/23 to VonWald, returned ED 6/30. 14 year old with significant trauma history, ward of Hennepin County, recent placement at his request with young adult brother that was disrupted due to conflict. Briefly placed at Von Wald shelter but repeatedly eloped in an effort to reunite with his brother, and was brought to the ED. Calm overall except when relocated to a unit that required observation while in the restroom, then repeatedly escalated with verbal threats, closing himself in the bathroom, and hitting the walls. Had an interview with Nexus Mille Lacs on 7/26/23. He is familiar with Nexus Gerard and would feel comfortable there.