Mental Health Collaboration Hub
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)
Risk Factor: Aggression (chronic/ongoing)
This term describes a pattern of repeated and persistent aggressive behaviors, such as chronic physical or verbal aggression.
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.
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.
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.
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.