Mental Health Collaboration Hub
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.
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.
EH-M16-6874
Report by psychiatrist
This is a 16-year-old male with a prior history of mild intellectual disability with a full-scale IQ in the 50s but apparent better verbal functioning, bipolar disorder, reactive attachment disorder, autism spectrum disorder and ADHD. Patient was brought in the emergency on 4/27/2026 by law enforcement. He had been making threats at school of stabbing others with a pencil had been attempting to elope. On 4/26/2026 he severely assaulted group home staff causing facial fractures requiring facial surgery. He tells myself “I was mad at the group home made up that stuff I never said I was going to go in there and set the other roommates deck “. Mother states that perhaps he was upset that the other client came out and put the his hand on staff and patient may have been jealous of this. It was a fairly severe sleep assault. Group home and previously given a 60-day notice. However when I talk to group home staff they state that they would have taken him back if he was stabilized. Case manager and mother sent an email on 5/5/2026 terminating their stay with that group home with mother telling me that group home said that they would take the client back but did not want the mothers involved any further. Patient does have some insight in this states he wants to avoid juvenile detention and states he knows what he did was wrong. He also describes knowing it was wrong to assault his mother and apparently another client in their foster home when he previously lived at home and went to juvenile detention. He appears very motivated to avoid juvenile detention.
Overall he has done reasonably well in the emergency room. He is slightly unkempt at times and needs redirection and can be somewhat irritable with this but has not had any physical aggression. In regards to his anger he states “I have bipolar disorder “. He is worried about charges being pressed for his recent actions but does not believe that they have been pressed.
Patient’s mother describes what sounds like perhaps manic episodes which can last for up to 5 days. She notes that the first hallmark is decreased need for sleep with excessive energy he seems to fixate on certain things and may have delusions with her state that he gets out of touch with reality. He has grandiose ideas and is overall very pleasant. He also becomes more hypersexual at these times and may attempt to touch staff. She feels that getting on top of the poor sleep with Zyprexa early on has been helpful.
There is been some concerns about depressive lows at times when he is more irritable and can and will risk of acting out. Patient denies this currently states he enjoys fishing, playing games and cooking. His sleep and appetite are fairly good. He apparently is been making comments to his mother about not wanting to live or being shot by law enforcement. When staff of asked him about this he states “I was just mad and saying that “. He denies current suicidal thoughts of myself. Apparently at age 8 he had placed a cord around his neck.
Patient has a long history of being very impulsive and rapidly fluctuating moods. I did not review symptoms of ADHD in detail with him. There is no current clear psychosis and no clear obsessions or compulsions. There were no clear recent stressors which triggered his change in behavior recently. I do wonder if the group home giving the 60-day termination notice in mid April as part of what triggered some these behaviors.
NFH8EB-F16-6845
Youth presents with a history of self-harm, including head tapping, picking, cutting, scratching, inserting objects under her skin which sometimes requires emergency medical care. Youth has a significant history of eloping, often coupled with the intention to self-harm or engage in other unsafe behaviors.
EH-F16-6694
Patient is a 16-year-old female presenting to the emergency department with concerns for psychiatric evaluation. Patient states that she is here because she has had suicidal thoughts. She states that she “acted out” at home today. She reports that she was recently hospitalized at Prairie care for a month and 1 week. She states that she was “kicked out of residential” because of frequent outburst. Patient states that she did not feel as though she was getting the help that she needed. She reports that she felt as though the workers there were talking about her. She states that today she again felt more suicidal. She states that she cut her arm with the top of a container. Denies any recreational drug or alcohol use. She denies other concerns at this time.
Previous psychiatric diagnoses include PTSD, RAD, Dysthymia, GAD and ADHD. She has had 2 previous psychiatric hospitalization(s). Most recent psychiatric hospitalization was 3/22/26 at Prairie Care, Altru health 2/12/26 for 13 days. Prairie Care in December 2025 due to behavioral escalation and SI crisis. . She admits current or past partial programs or residential programs. She was at Prairie Care Residential for one month. She had to leave due to her behaviors like hitting, screaming, biting and trying to kill herself. She denies psych testing. She admits to 1 previous suicide attempt(s): In December jumped in front of a car. She admits to engaging in self-injurious behavior. Last SIB Today cut her left inside forearm.
PCMC-M12-6603
Recurrent episodes of what appears to be anxiety attacks. Patient is supposed to be on Vyvanse but ran out of medication. Has had 2 previous non verbal episodes in the last 2.5 months.
SMCF-M12-6505
Patient has had an increase in ED visits due to an increase in behavioral outbursts including aggression. Patient was transferred to an inpatient psychiatric facility, however, report they cannot meet his medical needs including his incontinence. He was transferred back to the ED. Parents continue to express safety concerns for patient and family members (mom, dad, and 9yr sister). Family report they cannot bring him home at this time. Patient has been denied for hospitalization. He continues to be physically and verbally aggressive towards hospital staff.
PCMC-M9-6439
A 9-year-old male brought to the ER by his father. He has history of anger management which turns into aggression. The patient states that when he gets angry he just wants to hit things. Today he was hitting his mother in the face and back and also threatening to hit his little sister. He hit the wall creating holes. Threatened to burn himself with the radiator heater. He has been seen multiple times for the same issues. He was seen and Mayo Clinic behavioral health facility in October 2025. Family is working with the case worker named __________ The father states that the psychiatrist has referred him to behavioral health facility in Duluth and they are waiting for him to be excepted in placed in that facility through commitment. Parents are voluntarily allowing him to go to a facility tonight. They do not feel that their family and other siblings are safe at home with him.
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.