HCMCH-F14-2910

Presented after a sexual assault. She has a known history of depression and PTSD, polysubstance use and prior sexual assaults, trafficking and pelvic inflammatory disease.

MHF-M14-2604

1/18/24. No placement at this time. Waiting for a waiver to open up more funding sources. Denied at respite/shelter due to behaviors

Patient presented from Aspen House shelter due to aggressive behavior and property destruction. Patient is unable to return to shelter. Mother refusing to discharge home. County looking into shelter options and foster care placement

CH-F15-2882

Patient presented to the ER after 3 other ER visits from outside ER for physical concerns that were determined to be panic symptoms verses a physical abnormality. Patient has a chronic history of mood and behavioral dysregulation, self-harm, multiple suicide attempts, truancy, and parent child relationship difficulties. She has a history of trauma in the form of witnessing domestic abuse, physical abuse, possible sexual abuse, and the death of her dad due to an OD 4-5 years ago. She has had 2 inpatient hospitalizations along with 2 PHP admissions with little benefit and participation. Mom struggles with following through on recommendations and struggles with alcohol/substance use. A child protection report was filed last year and she moved in to her neighbors though this is no longer an option. She denies any passive or active suicide ideation, plan, or intent. Inpatient hospitalization is not recommended. Mom is not willing to bring her back home at this time due to disruption in the home.

CH-F13-2724

Update 1/15/24- potential admission to Ain Duh Yung Center today.

Patient presented via EMS after running away from emergency foster placement. Foster home is not willing to take her back. The patient is polite and calm though guarded and provides minimal information. She was seen by psych on arrival to the ER with recommendations to return to foster placement. She was removed from her biological parent’s home at age 3 and has been in foster home placements since. We have received minimal information about her history from legal guardian though previous foster provider noted that she was found with cigarettes, pipe, and a needle in her possession recently.

C8SM8SP-F13-2687

Patient presented to ED due to concerns of sexual abuse. Patient has extensive history of eloping from home to meet up with adult men she met online and have sex with them. Mom does not feel she can keep her safe at home due to her risky behaviors.

MHF-F15-2645

Patient presented from foster home due to SIB via cutting and passive SI. Recommended for discharge, however foster parent unwilling to take patient back due to concerns for behaviors (passive SI, reportedly giving men her address online). Needs shelter or foster placement.

MHF-F6-2388

Update: DIfficult to place, haven’t been successful at contact w family
Patient is presenting to the ED for the following concerns: physical aggression, significant behavioral change. Patient has Autism, is non-verbal, has a developmental delay, speech delay, PICA and behavioral issues at home that have been increasingly difficult for the family to manage. Patient was seen her earlier this month after ingesting a battery. Patient reportedly has been accepted for a residential treatment facility in Missouri – Lake Mary Center, though they currently do not have a funding source and intake is not until the end of December. Family has been working with Aurora Behavioral Services, as well as psychiatry and PCA services.

CH-M11-2520

Patient was adopted 2 years prior from Bulgaria. Initially, patient had very odd behaviors. For example, he would like his adoptive dad to be present in the bathroom when he went to the bathroom and showered. Parents state his behaviors have escalated. He has tried to masturbate the dog. He draws pictures of men with erections. He has exposed his genitals to his siblings. Purposefully incontinent of stool at tines. He has killed a Chinchilla and possibly several cats. He has tried to strangle the dog. They found sharp objects including a razor and sharp screwdriver under the bed. He did cut the top of his left hand but states this was an accident. Adoptive mom states they have a special needs child and patient has tried to harm this child. Parents are worried about safety within the home and are unable to bring him home at this time.

CH-F6-2448

Patient was dropped off at a different ER by the parents of her 4th foster home placement where she was placed 3 days prior as the foster parents didn’t feel they could provide care for the patient due to hyperactivity, impulsivity, aggression, elopement, and sexualized behaviors. Her social workers picked her up from the outside ER and while in route to human services center to board until a new foster home was located, the patient was attempting to remove her seatbelt and she was brought to this ER where initially inpatient psychiatric hospitalization was recommended due to a lack of safety awareness, elopement, sexual behaviors, and need for medication assessment. She was trialed on guanfacine, developed hypotension and this was discontinued, and she was started on Concerta where her elopement attempts, impulsivity, and hyperactivity improved. She remains boarding in the ER while the county pursues foster home placement.

MCR-F17-2442

Long history of trauma started ingesting non-edible items, batteries on 3 occasions. Waiting on County to help with disposition. Ward of state. No attempts at self-harm or ingesting since stay in ED. Last ingestion was day of admission. Surgically removed batteries then back to ED for MH care. Local school district working with her, tutoring. Turns 18 in May.

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