Risk Factor: Aggression (chronic/ongoing)

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

SMCF-F17-6289

Pt was brought to the Sanford ED for concerns for “erratic behavior.” Long history of residential services, outpatient case management, Juvenile Detention in North Dakota and in Minnesota. Patient has been running away, increase in drug use. Mom is concerned about patient being trafficked. Reports have been made. No active probation at this time. Patient could benefit from an inpatient psychiatric hospitalization for stabilization. Concern facilities will take her with history of chemical dependency and aggression. Additional concern for a plan for patient upon discharge.

MHF-F13-6278

Youth came into our ED 10/31 after an altercation in the car with Mom, on the way from being discharged from RTC after 6 months there. Mom reports she can not take her home. County would prefer higher level of care than RTC however she has been denied by Grafton, so only 1 potential option remains and referral was made. MNchoices is being completed today 11/5. Exploring all options currently. Has recent sexual exploitation history.

CH8SCH-M12-6254

Patient was brought into the ER by law enforcement as patient was pouring lighter fluid in the interior of a property that his family was recently evicted from. Family was recently evicted and relocated to a friend’s home.

MHF-F13-6222

Youth came into our ED on 10/8 after altercation at placement and she can not return there. County is working on getting an updated DA completed while here for recommended care. Has CADI waiver open currently. Guardian is through Mille Lacs Band. This is her 8th time boarding in our ED. Referrals have been made to CABHH, MORA and some group homes.

PH-M10-6068

Recommending RTC. Limited options available due to his age.
10-year-old male presenting to PrairieCare Inpatient Hospital as a step of from PrairieCare PHP after anger leading to physical aggression towards others and increased SI. This is his 5th psychiatric inpatient hospitalization. He has engaged in PHP three times as well as outpatient psychiatric services.

Discharge Plans as of 9/9/25:
-Gerard
-Rogers Behavioral Health
-Northwood (on wait list, currently 9/12 months)

MHF-M9-6137

Youth came to ED 9/22 from Foster Home after aggressive behavior and is unable to return there. Was recently in FV IP unit until 9/19. County has temp custody and is looking for other foster options, but he has been circulated on the list since end of July with no acceptance. Expedited MNchoices is reportedly being requested.

MCR-F14-5997

Comes from Von Wald 180 degrees after being there almost 5 days, due to her statements about “what would happen if someone died here,” and some fixation on the gas stove causing concern that she would tamper and cause harm to many. She is removed from family home and there are complex family dynamics. She is adopted and is the youngest of 6. Adoptive mom is in TCU level of care and cannot care for her, needing supervised visits, and dad is not able to have contact. CPS and MH workers involved. This week she was certified disabled and hopefully a CADI SW will be assigned soon!

MHF-M13-6110

Pt came to FV ED from North Homes, after aggressive behaviors, and they are unable to take him back at this time, stating he needs a higher level of care. He has a history of aggression and often refuses medications. Grandparents are the current custodians and are unable to have him. A referral has been made to CABHH however their wait list is long. A DA is being completed by an OP provider 9/24 as there is not a current one. MNchoices is also being completed 9/24.

AH-F16-6099

Guardian reports that they are not allowing pt to return to her prior setting, which was living with a friend and her mom; history of recent placement at Brittney’s place. They have referred her to an open Crisis bed via MCCP as well as several other placements with no real option in sight.

MHF-F13-6075

Youth came to our ED on 9/4/25 from a group home after reportedly ingesting extra medications. It’s unclear how she got the medications, but her custodian does not want her returning to the home at this time. IP was initially recommended however she was declined from multiple IP units due to feeling there would be no benefit from IPMH and due to her acuity. She has since stabilized while waiting in the ED, and is now being recommended for discharge. This is this youth’s 7th time boarding in Fairview EDs. There is a tentative placement set up for the 22nd, looking for potential interim plans.