MHF-M15-7120

Youth came into our ED on 7/20. Came straight from another hospital. Has previously been in hotel crisis respite however due to history of property destruction was not allowed to return to the hotel location and provider has not been able to identify another hotel that pt can go to. Is on waiver and team is working toward a single site home, however waiting for DHS to give provider their UMPI# before they can take pt, unclear how long that could be. Parents are refusing to take youth home in the interim.

MHF-F15-7110

Youth came to our ED 7/16 after running from a youth shelter. The shelter will not allow her to return. Has a history of substance abuse, has been to at least 3 SUD residential treatment programs, including a cultural specific program in CA and discharged from all of them. No other SUD residential programs will accept her. History of elopement. Looking for placement to get her out of the ER. Currently no waiver, and has not been through County screening for MH RTC. Last SUD/comprehensive assessment 4/28 recommended residential and last DA 4/2 also recommended residential.

MHF-F17-6987

Youth came into the ED 6/26 after being discharged from the shelter program they were in. Reportedly were boarding in a different hospital last week. Currently accepted at RTC but admit isn’t until 7/10. Needing an interim plan. County has permanent guardianship. Has been denied by most shelter programs. Does have waiver funding but no waiver CM yet.

MHF-M16-7029

Youth came to the Grand Itasca ED 7/8 from a group home setting. They are unwilling to take him back. He is under custody of the County. Has been denied by programs primarily due to history of aggressive behavior. GH was able to complete SUD assessment 7/14 and waiting for that recommendation however pt is not currently agreeable to treatment. MNchoices was able to be completed 7/15. Is on MCCP crisis pool list. CPS is working on potential kinship placement and is meeting with that family today , 7/16. Remains on YSC list but is #8 so no likely bed for some time.

MHF-F13-7007

Youth came into the ED 7/2, from home, after being discharged from Fairview’s IPMH program on 7/1. Mom is refusing to allow her to return home. IP unit set pt up with attachment-based therapy to start 7/2, day treatment to start 7/9, psychiatry appt 7/9, and a referral for CTSS when available. Parents are declining to take back with those services. County offered CIBS services again as well, parents refused. Parents state they will only take home with 24/7 in home care which isn’t an option. Parents also state they will only accept RTC or a permanent group home (CRS) There is no current LOC recommendation for RTC, and pt just got onto the wait list for MNchoices assessment yesterday for the 1st time, so neither are options currently. Parents are not allowing referrals to parent referred shelters as those are not permanent solutions. No placements being explored currently because parents aren’t agreeable to current options., and no CPS involvement for County paid shelters.

CH8SCH-F13-6895

Presented from local youth shelter. Unable to return to the shelter. Patient is in custody of Leech Lake Band of Ojibwe due to child welfare case that is currently open. No family available to care for the patient. Looking for any/all placements.

MHF-M12-6868

Youth came to our ED on 5/20/26, group home is not allowing her return. County has custody, and pt is on CADI waiver. Is on YSC list, and they are exploring shelter, waiver, and group home options. She has history of aggression toward others.

C8SM8SP-M12-6753

12yo male, presented to Children’s ED 4/21 after becoming dysregulated at group home. He was threatening to peers in group home. Due to his aggressiveness, he is no longer able to return to the group home. He had initially been placed at group home due to physical assault from mother; mother does not have custody at this time. Placements have been placed by county worker, and all have been declined at this time. He needs an updated DA.

NFH8EB-F15-6850

Youth struggles to maintain appropriate boundaries with peers, engages in instigating behaviors and has a significantly strained relationship with her caregivers, which has continually contributed to disruptive attachments.