Risk Factor: Aggression (chronic/ongoing)

This term describes a pattern of repeated and persistent aggressive behaviors, such as chronic physical or verbal aggression.

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-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.

CH8SCH-F15-6993

Patient is well known to our ER/Hospital. She previously boarded in the ER 3/12/25-5/9/25 when she was transitioned to the Adolescent inpatient unit and boarded until 10/2/25. Patient moved into a group home built for her.

Patient returned to our ER on 6/28/26 and the group home suspended services effective 6/29/26 due to the level of aggression patient has displayed and injuries to staff. Sherburne County and patient’s guardian (adoptive mom) are not appealing.

MCR-F12-7001

12 y.o. female who was psychiatrically admitted following a suicide attempt at the local crisis center in the context of conflict with peers. There have been concerns of child maltreatment in the home, with a history of foster placements. Active child protection involvement. She struggles to communicate her emotional needs adequately, and this frequently translates to provocative, explosive, or attention-seeking behaviors to get her needs met. The county is currently hoping for a 30 day assessment for further diagnostic clarity and treatment recommendations.

MHF-F12-6968

Youth came to ED 6/17 after altercation with siblings at home. Adoptive Mom is not allowing her to return currently. Has boarded in our ER 2 other times, in April 2026 and May 2025, returned to Mom both times previously. Has DA and approval for RTC, primarily looking at RTC options. Trying to get further medical records to support RTC referrals from Children’s. No MNChoices/waiver currently.

MHF-M16-6918

Youth came into the ED on 5/29 from adoptive parents home. They are not allowing him to return home. Has CMH and DD waiver CMs and the County has said they will not approve CRS placement as the family has not followed through on the less restrictive alternative services first. (Is on wait list for ABA, positive supports, and family has not followed up on in home crisis respite.) County is looking at temp out of home crisis respite options, but none with youth openings currently. County Placement Screening team is meeting tomorrow, 6/11, to determine if they will approve any additional out of home placement options.

MHF-F16-6930

Youth came to our ED 6/5 from Mom’s home. Previously resided with Dad, moved to Mom’s 3 weeks ago, neither are willing to allow pt to return to their home. Youth has CADI waiver. Not currently open with CMH as they need youth to agree to those services. County is willing to look for short term crisis respite with a plan to return to parents after, but not willing to explore CRS. No LOC recommendation for treatment placement at this time.

MHF-M10-6915

Youth came to our ED 5/31 from a waiver placement that issued immediate suspension/termination. County has custody. Due to his age and some behavioral concerns, placement is difficult to locate. This is his 3rd time boarding in our ER in 3 years. They are currently searching for waiver placements crisis respite and CRS, and he is on the list for YSC, along with several other youth. He’s been on MITH wait list for years and remains on MCCP list.

LAHC-M14-6887

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.