Mental Health Collaboration Hub
Patient presented to the ED after ingesting a button battery. Surgical intervention was needed to remove the battery. Safety plan competed to allow patient to return home with father. While at school the next day, she hid in the bathroom and broke open a calculator to swallow 2 AA batteries. Hospital admission needed until batteries passed the next day. Acute inpatient MH options explored with no accepting facilities. Remains admitted awaiting residential placement at this time. Father does not feel he can keep her safe at home due to the increased risk of swallowing objects.
Recommended Service: Psychiatric Inpatient Hospitalization
Psychiatric Inpatient Hospitalization involves the admission of individuals to a psychiatric hospital for intensive treatment of severe mental health conditions, including therapy, medication, and stabilization.
SMCF-F17-6289
Pt was brought to the Sanford ED for concerns for “erratic behavior.” Long history of residential services, outpatient case management, Juvenile Detention in North Dakota and in Minnesota. Patient has been running away, increase in drug use. Mom is concerned about patient being trafficked. Reports have been made. No active probation at this time. Patient could benefit from an inpatient psychiatric hospitalization for stabilization. Concern facilities will take her with history of chemical dependency and aggression. Additional concern for a plan for patient upon discharge.
HCMCH-F13-6284
Due to poly trauma patient has had lengthy hospitalization with multiple orthopedic injuries. Her psychiatric needs surpass inpatient physical medicine and rehab needs.
In need of psychiatric crisis respite facility with 24/7 supervision and/or psychiatric residential placement. Has not yet been screened through Anoka County QRTF screening team.
PCMC-F17-6091
17-year-old female with a past medical history of depression, anxiety, history of child sexual abuse and homicidal ideation and a personal history of a traumatic brain injury in 2013 presents to the emergency department tonight, brought in by law enforcement after being called by her mother. Mom reports that she contacted them to bring her to the emergency department because she was told that she was not supposed to leave the house tonight, and unfortunately she did. When she got back, mom states that she tried to have a conversation with her and then she threatened to kill everyone in the house. She is not verbally responding to questions and is being asked to use non-verbal cues such as thumbs up/down or blinking to communicate during the interview, but still refuses to respond in any way. Her eyes are opened and she is turned a different direction, not engaging in conversation. Throughout the encounter, patient demonstrates limited responsiveness to questions and prompts. Provider attempts various methods to engage the patient, including offering time alone, asking about preferences for communication, and inquiring if there’s someone else patient would like to speak with.
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.
GC8S-F14-863
14-year-old adolescent female with a history of ADHD, witnessed verbal and physical abuse, multi-substance use with significant behavioral issues at school. Pt was admitted to Gillette Children’s on 4-30-2023 with an acute hypoxic ischemic brain injury secondary to hanging herself in a suicide attempt. Pt has made significant improvements in her cognitive and motor functioning since her initial presentation. Pt does not have a previous history of suicide attempts but does have a history of non-lethal cutting behaviors. She has been involved with various mental health providers on an outpatient basis over the past several years. She has never been hospitalized for mental health issues. Pt is currently not suicidal. Pt currently presents with a flat affect and difficulty comprehending the gravity of her suicide attempt. Pt will be ready for discharge from a medical standpoint mid-next week and is expected to be independent in mobility and self-cares, although she will require supervision in the home setting. Pt has the endurance to complete a full day of activity. Please consider Pt for intensive mental health services and parental support as she transitions back to her home setting.
Update 5/18/23 from Mallory at PrairieCare: Amy and I messaged, this pt will DC from RU 5/24/23 and has not had any SI or SIB plans, means, or intent. Likely initially declined for Inpatient due to medical condition. Once medically cleared, discussed referral for PHP due to needing intensive therapeutic intervention, but not imminent danger to self. Amy plans to refer for PHP.
PH-F14-5154
Psychiatric history of Major Depressive Disorder, Generalized Anxiety Disorder, and Oppositional Defiance Disorder. Patient has two prior inpatient psychiatric hospitalizations in October 2024 and December 2024. Patient has a history of partial hospitalization programming in October 2024. Patient presented to PrairieCare through the ED following a suicide attempt and increasing behaviors at home. The current recommendation is for residential or PRTF..
MCHAHS-M17-5128
Pt has a long term 245 D home here in Little Falls, they have been wonderful to work with this youth. Pt symptoms are increasing such as hallucinations and this can cause him to be aggressive. Pt med provider would like a safe place to adjust his medication, and we have been unable to find any assistance with this as denied by Prairie Care and all PRTF’s. Pt is on the waitlist at CABHH. Told this is long and do not know if he will be accepted or when. Currently Pt is on another 72 hour hold at the local hospital. He bounces back and forth from ER to his 245D home as the medication adjustment or consistent use of current meds is a challenge due to hallucinations and the risk of elopement and aggression that come with the hallucinations.
PH-F14-5049
Psychiatric history of PTSD, schizophrenia, and bipolar diagnoses. Patient has two prior inpatient psychiatric hospitalizations (Aug 2024 and Sept 2024). Patient presented to PrairieCare through ED, following and manic-like behaviors, delusions, and aggression during intake with Anthony Louis Center.
Initial treatment recommendation was to discharge patient to Anthony Louis Center, however current clinical indication is for longer term mental health care support.
GC8S-M10-4890
Patient was at school when he began having hallucinations, pulled his hood over his face, then ran into a concrete wall. He was admitted to Gillette for medical management of his bleed needing surgery to repair. Initially he was calm and not demonstrating behaviors then once he was fully off all sedation, he began showing his behaviors. He verbalized thinking everything is poison so he wouldn’t eat or drink, hearing and seeing things that are not there, extremely anxious and afraid. He needed physical holding for safety this am due to behaviors that put him at risk for his safety and others in the room. Patient has a history of this behavior prior to this incident. Strong family history of schizophrenia, this is currently in question for patient. Have connected with Children’s, Abbott and Prairie Care for possibly inpatient psych placement and med management.
