Mental Health Collaboration Hub
Kiddo came into ED on 9/24 from school for aggressive behavior, was in foster care who is not willing to take pt back. Under custody of the County. Has history of both residential txt (Northwoods 2x) and juvenile detention centers, and has a rule 20. Referral has been made to Prairie Lakes, waiting for response.
Risk Factor: Aggression (chronic/ongoing)
This term describes a pattern of repeated and persistent aggressive behaviors, such as chronic physical or verbal aggression.
MHF-F16-5020
Kiddo arrived in ED on 12/22 after altercation at Passageways Shelter. Has boarded with us many times previously, including 3 in the past month: 11/29-12/5, 12/14-12/18, and now 12/22. Also previously boarded with us 4/26 to 5/29. Was recently at Aspen and Passageways shelters, neither which she can return to. Long history of elopement. County has interim custody. Team was working toward RTC but has also historically been denied by these programs.
CH8SCH-M9-7291
Patient presents from home via law enforcement. Aggression towards parents, elopes from parents, runs into traffic. Was recently discharged from PHP with recommendation for higher level of care (PRTF)
MHF-M8-7271
Youth arrived in our ER 8/17 via bio Mom after behavioral issues at her home, and is refusing to let him return there. He had just come from Ohio to MN a couple weeks before where he was with Dad and step-mom. Dad has been incarcerated in Kentucky and will be there for over a year. Its reported that Dad has full legal and physical custody. Hennepin County CPS is trying to get transportation arranged to get him back to Ohio and step-mom/other family, however they are needing the custody paperwork before being able to do so. We have tried several times to get the custody paperwork from the County in Ohio, but have been unsuccessful thus far. (Hennepin is not CFR but there is no option to select somewhere outside of MN)
PH-F16-7247
Recommending outpatient wraparound services.
16-year-old female who presented to PrairieCare after being brought to the emergency department from their group home after an increase in suicidal ideation after intervening twice with a peer’s suicide attempt in the group home.
Patient has a history of 5+ inpatient hospitalizations, group home and PRTF placement.
Children’s mental health case manager is pursuing RTC and group homes as an alternative to home. Referrals were sent to:
– Northwoods (PT has been on waitlist, anticipated timeline at least 1 year as of 07/29)
– Community Living Options
– Little Sands
– Nexus Gerard RTC
– Avanti
– PORT
– Acadia Healthcare
– South East Regional Crisis Center (SERCC)
– Boys Town RTC in Nebraska
– North Homes RTC
– Village Ranch
MHF-F13-7240
This youth presented to the hospital after eloping from her foster residence. She had been on the run for over a month and was brought in by EMS after attempting to enter a youth shelter. She was admitted to the hospital for medical needs and determined to be appropriate for discharge. The foster residence is unable to take her back at this time due to needed home repairs and working on increasing staffing from 1:1 to 2:1.
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.
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.
CH8SCH-M12-7212
Patient presented to the ER from residential facility in Wisconsin. He was discharged unsuccessfully from their program due to behaviors and acuity and transported here. Wrap around case manager is looking for placement. Patient’s mother does not feel able to have him home due to his behaviors, property destruction and eloping.
C8SM8SP-F11-7131
Child presented to Children’s with group home staff after pt had continuous behavioral escalations at the group home. Pt was unable to play with balloons with peers and got upset, leading to dysregulations and ran away from group home. Pt was found by police and became physically aggressive towards others. Pt assaulted staff, assaulted sheriff deputies and broke windshields with rocks. She is unable to return to group home.