AMT, SUD, Aggression
Discharged to home 9/14/2022
Risk Factor: Aggression (chronic/ongoing)
This term describes a pattern of repeated and persistent aggressive behaviors, such as chronic physical or verbal aggression.
MFIUP-F14-5242
Presented to ED for verbal agitation, physical aggression, significant behavior chance, suicidal ideation. Patient has also been engaging in SIB. Aggression has been ongoing for over a year and has intensified. Aggression comes on suddenly/does not seem to be predictable. Mom feels she has no control. Has an IEP for low IQ and learning difficulties. Refuses medications. Strained relationships with mother, father, and older siblings. Patient reports not having many close friends. Has engaged in lots of community and outpatient treatment options including individual therapy, family therapy, case management, school counseling, child protection, primary care, psychiatric medication management, day treatment. Has been hospitalized before at PrairieCare.
MHF-M14-5199
Kiddo was previously boarding on our IPMH unit from 10/30/24-12/11/24, then discharged to hotel crisis respite. He came to the ED multiple times end of January for behavior at the hotel crisis placement. Upon driving home from ED on 2/1, pt became aggressive in the car and was brought back to the ED again. The provider now indicated that he is unable to return to their crisis program. He has been accepted at Chelida in WI, however its reportedly a long wait list, and they may not be able to admit him until this summer. He is also on the wait list for CABHHS but it’s reported they would not have a bed for him for several months. Needing an interim crisis placement while awaiting placement at Chelida. Referral is being made for Nexus YCT to assist with placement coordination. He is suspected to have autism however the full assessment has not been completed for diagnosis. Has previously denied at Grafton, Leo Hoffman, Mille Lacs/Gerard.
CH-F11-5026
Pt presented from home, adopted parents, for aggressive behaviors. Third ER visit this month, unable to take pt back home due to frequency and intensity of behaviors as well as 4 other children in the home. Pt initially recommended IP hospitalization, however unable to find placement due to acuity, no beds, or declined due to IQ (56) and inability to participate in programming. Medications adjusted in ER. No violence since medication increase. Family/CADI worker have been looking for more support for several years and pt seems to fall through the cracks due to IQ and aggression.
MHF-F14-5169
Kiddo boarded in our ED from 11/18/24-12/18/24 after being discharged from JEC Miller GH. JEC Miller took her into a temporary placement in an apartment setting while County worked toward another permanent placement. On 1/19/25 she returned to our ED after ingesting glass and was sent to our medical floor, where she is currently boarding. County team is looking into placement options- primarily crisis respite. On CADI. Working on Nexus YCT referral to assist with placement coordination.
PH-F14-5154
Psychiatric history of Major Depressive Disorder, Generalized Anxiety Disorder, and Oppositional Defiance Disorder. Patient has two prior inpatient psychiatric hospitalizations in October 2024 and December 2024. Patient has a history of partial hospitalization programming in October 2024. Patient presented to PrairieCare through the ED following a suicide attempt and increasing behaviors at home. The current recommendation is for residential or PRTF..
AH-M16-5148
The patient has a history of ADHD, disruptive mood dysregulation disorder, anxiety, and PTSD. Last night he became frustrated at residential treatment facility- Bar None, kicked a door with his right foot, and put a shoestring around his neck out of frustration. He states he was not trying to hurt himself and did not intend to hurt himself. Bar None completed an administrative review and will not allow his return.
MCHAHS-M17-5128
Pt has a long term 245 D home here in Little Falls, they have been wonderful to work with this youth. Pt symptoms are increasing such as hallucinations and this can cause him to be aggressive. Pt med provider would like a safe place to adjust his medication, and we have been unable to find any assistance with this as denied by Prairie Care and all PRTF’s. Pt is on the waitlist at CABHH. Told this is long and do not know if he will be accepted or when. Currently Pt is on another 72 hour hold at the local hospital. He bounces back and forth from ER to his 245D home as the medication adjustment or consistent use of current meds is a challenge due to hallucinations and the risk of elopement and aggression that come with the hallucinations.
MHF-F13-5110
Kiddo was brought into our ED on 1/9/25 by her County Case Manager. She was in residential treatment at Deveruex in FL for over a year, she then aggressed, and was charged with assault so was brought to a JDC for 21 days in FL. After that time was up, she was ordered back to MN and the County had no placement so she was brought to the ED. Ramsey County currently has custody. Their goal is a long term group home with 2:1 staffing, but are needing somewhere for pt to go in the interim. Our team tried to refer to Nexus YCT for placement assistance, but the County worker refused that service. She has been declined by Gerard and North Homes RTCs. She currently is eligible for waiver placements but a waiver worker won’t be assigned until placement is found, so the Child Family Svs worker is doing all referrals, for MH and waiver placements. County is currently refusing hotel crisis as an option.
MHF-F17-5090
Kiddo came to our ED from NW Passages in WI on 1/3. She can not return to NW Passages as she has told them she refuses to return there. She had made threats to peers and family while there and was showing increased aggression. She was only going to remain there until turning 18 this spring and then the team did not know where she was going to go next. Currently they are looking at shelters, PRTFs, and anywhere that may accept her. (We have not had a team meeting yet to get full details) There is an intake meeting with Nexus YCT today at 1pm to get their assistance with placement.