Mental Health Collaboration Hub
Patient presented to Children’s ED after attempting to jump off 3rd floor balcony at home. Patient has been IPMH in the past and was originally recommended IPMH at this ED visit. However, after pt was not being accepted to IPMH units in metro, psychiatry was requested. Psych reported pt was near baseline behavior and mood, recommended to discharge home. Mother and father did not feel safe having pt return to either of their homes.
Risk Factor: Aggression (chronic/ongoing)
This term describes a pattern of repeated and persistent aggressive behaviors, such as chronic physical or verbal aggression.
C8SM8SP-M12-7649
Patient presented to Children’s ED after being discharged from Prairie Care IPMH. After returning home, patient became upset with mother because he did not want to go to Hyvee to pick up medication. Pt became distressed, attempting to hurt mother with a butter knife and kicked mother. Mother called 911 and does not want patient to return home at this time.
C8SM8SP-M17-7645
Patient presented to Children’s ED from Passageways after getting into an altercation with a peer. Patient was recently approved to stay at Jelani House but had a negative experience there recently and refused to return.
Cannot return to Aspen House due to elopement concerns.
AH-F16-7617
Previous psychiatric diagnoses: PTSD, depression, anxiety, eating disorder, ADHD, complex trauma, suicide attempts, self-harm
Patient presented to the ED after reporting SI to their guardian. Patient reports a near daily experience of SI and AH/VH of his brother who abused him. Therefore, this is not a new symptom. Patient reports that yesterday there was no particular trigger for his SI and AH/VH, that he took a PRN medication, which usually works for him, and then called his guardian who told him to go to the ED.
While in the ED (and as is common in the community), patient will attempt to use clothing to strangle themselves when dysregulated, often revolving around trauma.
Guardian is Dakota County (Tori Thompson). No contact order for anyone in the biological family.
Hospitalized in ND for a full year and a recent over month stay at Children’s for placement from which they were placed in Mn Care Counseling Crisis home.
Crisis home has given an immediate termination notice and state as they are a crisis home they do not require a 30 day notice, due to inability to keep pt safe. They report running into traffic as a particular concern.
Recommendation is discharge with ongoing outpatient support coping skills, distress tolerance, emotional regulation and behavioral support. Pt presentation appears to be baseline and unlikely to mitigated by an admission which may conversely increase risk of maladaptive coping skills and hospital seeking behavior.
Referrals:
· Wingspan is future development of home for patient; not ready until January
referrals made to all PRTFs
Grafton
Leo Hoffman
North Woods
Nexus East Bethel
No update on possible openings
CABHHS – pt has been declined multiple times due to various reasons including high acuity, Diabetic, Eating disorder – A new referral is in process
Bridgeview—-Dakota county crisis placement; on list but currently full (2 bed facility for Dakota County youth)
Kid Link – referral to all 50 of the facilities they work with, no update on potential openings.
Out of state (Rogers and Acadia)—active referrals, no timeline
MHF-F13-7627
Youth came to our ED 10/24/26 from a crisis home who are not allowing her to return. She just boarded in our ER from 9/1/26 to 10/14/26. A previous 30 day assessment provided a recommendation of PRTF/QRTP, however she has been denied from Grafton, Northwoods has extensive wait list, and she has also been denied by all MN QRTP programs. She is open to the CADI waiver. Team would prefer to keep her in MN near family however due to the challenges of placement had been looking across the Country as well.
C8SM8SP-M17-7527
Patient was residing at a group home when he became upset and verbally threatened peers due to a statement they made. Per staff, they were unable to deescalate and he began to punch walls and pushed staff. He is no longer able to return to this specific group home.
C8SM8SP-F9-7516
Child presented to Children’s to receive mental health evaluation due to homicidal ideation. Patient has a history of aggressive behavior and dysregulation that leads her to the ED for mental health evaluations. Patient had run away from her home and went into a neighbor’s home where she stole a firearm that was loaded. She pointed the gun at her mother, family, county social worker and police. Child cannot return home at this time.
C8SM8SP-F12-7502
Child presented to Children’s after becoming dysregulated and aggressive towards other while at a funeral. Family was in town from up north. 911 was called when child began becoming physically aggressive towards foster mother. She has a history of aggressive behavior; history of foster placements.
RCCP-M12-7481
Per DA, youth presents with oppositional behaviors: “verbal and physical aggression, making threats toward others, making sexual statements toward others, eloping, undressing himself in front of others.” CP became involved due to him hitting his sister with a baseball bat. He has had episodes of aggression toward family members and toward staff. Additionally, he was most recently homeschooled and did online school for a few years prior to that.
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.