Pt presented to the ED via EMS after jumping out of her mother’s car into traffic, stating that she wanted to die. Pt lives with her mother and brother, who moved to MN from TX in December of 2022, to escape domestic violence and pervasive sexual trauma. Pt has a history of significant sexual abuse from their father, including sex trafficking. Pt has been screaming, kicking, and running outside, placing the family’s housing at risk.
Risk Factor: Aggression (chronic/ongoing)
This term describes a pattern of repeated and persistent aggressive behaviors, such as chronic physical or verbal aggression.
MHF-F13-251
History of Autism Spectrum Disorder, prenatal exposure to alcohol, cocaine, and heroin. Pt is cognitively delayed and has limited verbal skills. Recently attempted group home, assaulted staff after 1 day; guardian took patient home. Pt presented to ED after assaulting guardian in the home and guardian does not feel safe with patient returning to home, is planning to relinquish custody. In ED, patient is disrobing, throwing feces, assaulting staff, in seclusion. Behavior is chronic and has been seen at similar level historically. Prescribed Zyprexa, Abilify, Clonidine, Thorazine, Atarax, Trazadone.
4/7/23-4/13-23 – Discharged to home.
5/13/23-5/19/23 – Discharged to home.
5/23/23-5/26/23 – Discharged to home.
5/27/23-6/7/23 – Discharged to home.
MHF-M9-1185
Pt is presented to the ED via EMS due to aggressive behavior in his foster mother’s home. Pt became escalated when his foster mother asked him to take a bath, and began throwing chairs and kicking his mother. Pt has an intellectual disability and lacks insight into behaviors and mental health concerns. Pt has hx of autism and ADHD combined type, and hx of agitation/aggression.
SMCF-F12-1160
Patient was brought to the Emergency Dept. after having a violent outburst at a residential facility in Fargo, ND. Concern for physical aggression and property damage. Patient reportedly was involved in a verbal altercation with another resident who was calling him by the wrong pronouns. He has now been discharged from the residential facility with no alternative residential facilities available. Otter Tail County (MN) is the guardian. Guardian has exhausted all options. He has been calm and cooperative in the ED with no outbursts. He is medically cleared and he is not meeting criteria for inpatient psychiatric hospitalization.
MHF-F37-787
Patient presents to ED via EMS for aggressive behaviors and agitation at her foster home. Patient has diagnosis of MDD, GAD, and Intellectual Delay. Foster caregivers report that the patient has had increased agitation over the past 4-5 days, is throwing things, crying most of the day, trying to run away from the setting multiple times a day, is uncooperative, destroying property, hitting caregivers in the face and stomach, and is now trying to self-harm by dumping a dresser over on herself. Patient does have contact with her birth mother but there are apparently issues with that, and foster care believes that birth mother is influencing the patient to act out so mom can get custody returned to her.
MHF-F16-987
Patient is a 16 year old female presenting to the UMMC West Bank Adult ED for the following concerns: parent-child conflict. Patient has most recently been to Prairie Care inpatient facility. Patient’s mother reports patient has been skipping school and running away, so she locked her out of their apartment. Patient’s mother won’t accept patient back into her home.
MHF-F12-655
Patient presented after RTC in Nevada abruptly closed that patient was residing at; patient was flown home to MN and brought directly to the ED due to lack of placement following RTC closing. Patient is under guardianship of Otter Tail county. History of aggressive behaviors in community and placements however has been calm throughout ED stay.
C8SM8M-M8-308
Presents with dysregulation, agitation, aggression, threats of SI/SIB. extensive mental health history. Sexual abuse at early age. In and out of residential treatment. He doesn’t meet inpatient requirement. Mom unable to meet his needs at this time. Mom working with county to find residential placement.
MHF-M14-699
Patient is presented to the ED by EMS after getting into an altercation with his mother. Patient threatened mother, and ran away from home. Police found the patient three hours later and was brought to the hospital. Patient has a history of mental health issues, aggression, and is currently on probation for making terroristic threats at his school.
MHF-M6-779
Patient is presented to the Peds ED from his elementary school, where he became physically aggressive towards staff and students, and eloped from his school. Patient was placed in the care of paternal aunt about two years ago, but removed a couple of months ago due to alleged abuse toward patient. Patient’s mother and aunt are allowed supervised visits. Patient has been in four foster home placements in the last six weeks. Patient’s most current foster placement refuses to take him back. Patient has hypersexual behavior and sexual knowledge not appropriate for his age. There are concerns for sexual abuse