Patient is a 16-year-old girl with history of mental illness who was brought to the emergency department from port group home where she has been residing for about 5 days. Patient states that she was in juvenile detention immediately prior to going to the group home. Patient has been prescribed psychotropic medicines in the past, but is not currently using any medications. Recommendation from probation officer and county social worker is juvenile detention center or psychiatric inpatient hospitalization pending long term psych placement. However, LE states they can’t bring her to JDC as she has no charges that would make that appropriate at this time without order from probation. Pt has been aggressive, verbally and physically while in the ED. She has eloped on multiple occasions and has attempted to harm herself.
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.
HCMCH-M12-4692
12 year old male with ADHD, unspecified mood disorder with recent suicide attempt, T1DM, hypothyroidism, asthma who is in the ED after intentionally setting fire and burning house down. Has an IEP for speech therapy.
CH-F13-4577
Pt presents from school after high level of aggression, homicidal threats, and property destruction resulting in multiple hours of restraints. Patient has longstanding history of aggression and impulsivity with recent increase and daily occurrence consistent with starting new school. Pt newly to a group home from home placement as of May 2024. Now discharged from level 4 school due to behavior leading to presentation. Looking for IP for medication adjustments, though making changes in the ER in the interim. Difficult placement given neurological functioning, level of aggression, and acuity.
PCMC-F15-4528
Pt presented with mother to ER after taking 30 tablets of 650mg Tylenol arthritis to end her life. She has multiple superficial cuts to her right thigh. Last inpatient treatment in May 2024. Pt states she had argument with couple friends and one friend told another things and now that friend was mad at her or does not like her. This upset her enough to want to end her life.
CH-M11-4380
Patient endorses homicidal ideation towards his sibling. Increasing behaviors at home. PHP (Clara’s House) attempted and will be discharged with recommendation of high level of care (residential). Patient has significant trauma after extensive physical abuse from biological mother and likely operates at a much younger age. Patient was removed from his mother’s custody by Ramsey County CPS in May 2024. Aunt is foster care provider.
EHS-M16-4154
Patient was brought to ED after making suicidal and homicidal statements during his psychiatric medication appointment. He was evaluated and inpatient psychiatric stabilization was recommended. While in the ED he has been calm and cooperative. Denying suicidal ideation or Homicidal ideation at this time. He does recognize that he has been dysregulated and struggling to find effective coping skills. Recent increase in conflict at home. Has been engaging in self-harm. Mom does not feel safe having him in the home at this time.
NMH8R0MGH-M19-3995
19 year old left his adoptive home for a walk, then stopped at a private home and requested that 911 be called due to having suicidal thoughts. Patient is in high school. 4 visit to the ER in two weeks.
HCMCH-M16-3905
Update: O5/16, Central Pre-Admission denied the patient’s placement in CABHH, appealing this decision. Comprehensive Home Care (Respite Provider) accepted him moving date TBD.
Update: 5/15 referred to CABHH he previously denied on 3/29 along with residential and respite placement.
16 y/o M with hx of intellectual disability, poor distress tolerance, and maladaptive patterns to get needs met. Presents with chronic behavioral pattern of acting out to get needs met. Pervasive behavioral patterns in the community result in unsafe behaviors, high utilization of ERS, loss of placements, and exacerbating attachment struggles. He was d/c from respite placement through Twin Cities Home Care on 5/14 due to aggression and impulsive behaviors.
REH-F17-3586
5/2 Update: Client has been discharged home twice (contracted for safety) and returned within 24 hours due to attempting to run into traffic. Has been approved for PRTF and referrals have been made to Northwoods (2 year waitlist) and Grafton. Inpt behavioral health is not an option due to previous stays. CABHH referral pending and they are attempting to admit pt when they have discharges.
Presented with attempted suicide on 4/4 (superficial laceration on arm). Also attempted to overdose on Lithium on 4/2. Appears to have a developmental delay. Denied at multiple inpt facilities due to previous aggression. Turns 18 in July.
CH-M17-3298
Update 3/14: Planning for DC back to home 3/15. Provided mom with resources for group home placement
Patient presented to the ER via law enforcement for suicidal ideation after getting into an argument with his brother and attempted to jump out of a 3rd story window and the vehicle. Mom does not feel safe with him at home due to ongoing aggression. Patient has ABA therapy and social worker.
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