Mental Health Collaboration Hub
Youth came into the ED 7/2, from home, after being discharged from Fairview’s IPMH program on 7/1. Mom is refusing to allow her to return home. IP unit set pt up with attachment-based therapy to start 7/2, day treatment to start 7/9, psychiatry appt 7/9, and a referral for CTSS when available. Parents are declining to take back with those services. County offered CIBS services again as well, parents refused. Parents state they will only take home with 24/7 in home care which isn’t an option. Parents also state they will only accept RTC or a permanent group home (CRS) There is no current LOC recommendation for RTC, and pt just got onto the wait list for MNchoices assessment yesterday for the 1st time, so neither are options currently. Parents are not allowing referrals to parent referred shelters as those are not permanent solutions. No placements being explored currently because parents aren’t agreeable to current options., and no CPS involvement for County paid shelters.
Risk Factor: Aggression (home only)
Aggression occurring primarily within the home environment.
MHF-M14-6924
Youth came into the ED 6/3 from home, and father is refusing to allow him to return. Is open to CADI, has CMH through Fraser, and CPS worker currently. Has private insurance primary and MA secondary. Dad is currently refusing crisis respite and wants RTC but reports he has been told by providers that pt needs to complete IPMH before getting RTC, and has been denied by most MN placements. DA currently recommends level 5. Team is working on referral to Leo Hoffman today.
C8SM8SP-M12-6753
12yo male, presented to Children’s ED 4/21 after becoming dysregulated at group home. He was threatening to peers in group home. Due to his aggressiveness, he is no longer able to return to the group home. He had initially been placed at group home due to physical assault from mother; mother does not have custody at this time. Placements have been placed by county worker, and all have been declined at this time. He needs an updated DA.
PH-M13-6717
Recommending PRTF.
13-year-old male who presented to Inpatient from ED after aggression towards adoptive parents and suicidal ideation with intention to act. This is his 2nd psychiatric inpatient hospitalization, and he has been engaged in outpatient care.
Discharge Plan as of 04/22/2026:
Grafton (Declined due to inclusion criteria)
Leo Hoffman Center (Accepted with approx waitlist 2 months)
Nexus East Bethel (Reviewing)
Northwood Children’s (Does not accept pt’s insurance, 2-year waitlist)
In the interim:
Establish PHP: PrairieCare PHP at Mankato (Guardian prefers continuing with ABA Day Program instead)
Continue with established outpatient providers:
CMHCM: Blue Earth County
Psychiatry: Mankato Clinic
IT: Surdey Family Services
Day Program/ABA Therapy: Northway Academy, Children’s Autism Services-Mankato
OT: Mankato Clinic Pediatric Therapy Services
MHF-M16-6652
Youth came to our ED on 3/24 from home after an altercation with Mom. He has a history of physical aggression against Mom. He is commercial insurance, so there is currently no County involvement. Mom would like him to get RTC however there isn’t a DA with that recommendation currently. Mom is not currently agreeable to shelters.
MHF-F12-6621
Youth came to our ED 3/9/26 after an altercation at home. Mom is not willing to have her return at this time. Mom ultimately wants RTC however County JST has not approved that currently. County team has put intensive in home services in place (CIBS) and report they would like family to try that program completely as the less restrictive option before going to RTC. Youth only seems to have behaviors at home, do not see them at school, at respite, or in the hospital. County reports plan to treat behaviors where they are occurring for best success, but Mom continues to refuse to bring pt home.
PH-M12-6583
Recommending PRTF/RTC
12 year old male who presents to PrairieCare Inpatient Hospital due to suicide attempt with increased SI and SIB.
He has a history of several inpatient stays, has engaged in PHP, individual therapy, and family therapy
Funding to be established with Anoka County
Discharge Plan as of 2/13:
Interim Plan:
– Establish PHP with PrairieCare MOB (IRF Submitted, intake scheduled for 2/19 at 0930)
Establish RTC/QRTP: ( county funding to be established, referrals submitted)
– Bar None Haven (under review, ACCEPTED 2/11 with estimated admission for mid march)
– Gerard (under review)
– Mille Lacs (under review, immediate openings, ACCEPTED 2/11)
– Northwoods (six to nine month waitlist)
– PrairieCare
– North Homes (under review)
Continue with established outpatient providers:
– Psychiatry with Andrea Somers, MSN, PNP, PMHNP-BC at Associated Clinic of Psychology
– CMHCM with Anoka County (guardian working to establish)
– Therapy With Katie Carras at Conscious Healing Counseling
– Primary Care with Dr. Surekha Pagidipala At Park Nicollet in Brookdale
PCMC-M9-6439
A 9-year-old male brought to the ER by his father. He has history of anger management which turns into aggression. The patient states that when he gets angry he just wants to hit things. Today he was hitting his mother in the face and back and also threatening to hit his little sister. He hit the wall creating holes. Threatened to burn himself with the radiator heater. He has been seen multiple times for the same issues. He was seen and Mayo Clinic behavioral health facility in October 2025. Family is working with the case worker named __________ The father states that the psychiatrist has referred him to behavioral health facility in Duluth and they are waiting for him to be excepted in placed in that facility through commitment. Parents are voluntarily allowing him to go to a facility tonight. They do not feel that their family and other siblings are safe at home with him.
AH-M14-6314
Currently in custody of St. Louis County. Ongoing CPS case management. Due to presenting incident that involved patient threatening SI and possibly threatening other family members in the home, current foster placement unwilling to have patient return.
PH-M12-6065
Recommending RTC. Will need county funding.
12-year-old male presenting to PrairieCare Inpatient Hospital due to an altercation with his mother after not wanting to go to school. Following this altercation, his mother found a suicide note. He is a history of depression, anxiety, PTSD, mood/dysregulation resulting in intrusive SI. This is his 2nd psychiatric inpatient hospitalization. He has engaged in PHP and outpatient psychiatric services.
Discharge Plan as of 9/9/25:
– PrairieCare
– North Homes
– Gerard