Risk Factor: Aggression (isolated incident)

This term refers to instances of isolated, non-repetitive aggressive behavior, such as a single incident of physical aggression or verbal aggression.

CH8SCH-M13-6400

Patient presented for overdose following rule enforcement at home. This is patient’s 5th inpatient hospitalization for suicide attempts/ideation. Suicidality appears to be in context to limit enforcement and a desire “to get back at mom.” Appears manipulative in nature. He attends most programming and has not displayed any emotional or behavioral dysregulation since admission.

PH-F14-5760

Youth stepped up to inpatient from PHP setting. Current admission is this youth’s third inpatient stay this year. Additionally, this patient has two historical PHP admissions and reports ongoing suicidal ideation and urges for self-harm.

CH-M9-5319

Patient presents to the ER with his 8-year-old brother from foster care. Patient was brought to the ER after running from foster home and making comments about using a kitchen knife to kill himself. Foster provider not able to have patient return. Has been recommended for residential care.

CH-M8-5322

Patient presents to the ER from foster home with his 9-year-old brother after running from his foster home. Patient has no previous psychiatric history. Foster provider not able to have patient return. Patient’s county social worker is looking for foster placement.

MCR-M16-5342

Arrives from 180 degrees / von wald shelter after eloping. Kicked out of family home in October 2024, was homeless and found shelter at Ain Dah Yung for a time until psychiatrically hospitalized. Has been at 180 degrees since 12/26/24-2/28/25.

CH-F16-5073

Presented from Newport Academy on 1/7/25. Patient engaged in property destruction and made suicidal comments. Patient admitted to Newport in November. Patient was administratively discharged at the end of December. Patient has a history of running/eloping and is believed to have been trafficked to Ohio in October. Patient was tracked down by his cell phone and detained by law enforcement at a juvenile detention center in Cleveland. Patient returned to MN and was admitted to Newport. Not meeting criteria for acute inpatient psychiatric placement. Long-term placement in a secure/locked facility is recommended.

CH-M15-4753

Pt presented after eloping from foster placement. Needing long term placement. Difficult placement with history of substance use, possible gang affiliation, elopement, substance use – THC, nicotine.

HCMCH-M12-4692

12 year old male with ADHD, unspecified mood disorder with recent suicide attempt, T1DM, hypothyroidism, asthma who is in the ED after intentionally setting fire and burning house down. Has an IEP for speech therapy.

PH-M15-4658

Pursuing QRTP – patient is currently in psychiatric inpatient hospitalization.
Patient is a 15-year-old male. He presented to inpatient via ED due to increased SI and SIB. He has three historical inpatient hospitalizations, has done DBT and outpatient psychotherapy services, and most recently was at Newport RTC – although was discharged early due to aggression and property destruction.

From an acute psychiatric standpoint, youth is safe to discharge form inpatient care and receive services in the community prior to admission to QRTP. He has made significant progress on treatment goals during hospitalization.

Discharge Plan:
Referrals sent to the following residentials:
– Omegon Ascend (Reviewing, no current waitlist)
– Nexus Gerard (Reviewing, waitlist about a week)
– Nexus Mille Lacs (Reviewing, Current waitlist 2 months)
– North Homes (Declined d/t hx of aggression towards others)
– Northwood (Received, 6-9 month waitlist)
– PrairieCare Residential (Reviewing, 2-3 week waitlist)

Alternative Placement through Wright County:
-Wright County unable to identify alternative placement as of 9/24/24

Plan to bridge until residential:
PrairieCare PHP at MOB (unable to pursue establishing care at this time due to pt continuing to be hospitalized)

Continue with established outpatient providers:
Individual Therapist- Bridging Hope Buffalo
Medication Management- LifeSpan Mental Health Monticello
PCP- HealthPartners Elk River
CMHCM- Wright County
Neuropsych Testing- Clary Clinic St. Cloud