C8SM8SP-F15-7263

Child residential treatment since April 2026. After she had assaulted someone at the resident, she was brought to JDC. After JDC, she returned home.
Child presented originally to ED 8/2 via EMS after intentional ingestion. She was recommended IPMH after MHCA. No units were accepting of child; after psychiatry consultation, she was appropriate for discharge to home. Mother refused to discharge child to return to home. Extended family members not willing to have her stay with them at this time.

NMH8R0MGH-M9-7198

history of mental health disorders (ADHD, aggressive behavior) who is brought in by EMS from home in restraints with significant psychomotor agitation. He harmed animals in the home. He is self-harming; he harmed family. He tried to stab himself with various items in the house. Per medic, he ran away from home last night and was brought back home by police. For the rest of the night into today, he has been significantly agitated at home. He has been hitting his head in the wall, biting and himself and hitting various body parts on walls at home. He also reportedly threw his stepmom’s dog into the wall a couple of times. He had spit at multiple EMS providers and police on scene and then kicked a police officer as well. Parents, who arrive shortly after his arrival here in the emergency department, say that he has been more agitated recently and his self-harm is a new behavior problem for him. He did get his morning and afternoon medications. He was taken off of Abilify 2 weeks ago, and unfortunately that has not changed or altered his behavior. He was also started on Lamictal, without improvement.

CH8SCH-F14-7113

Patient presented to ER following discharge from residential due to aggression to staff and eloping. No other placement locations as she is not able to return to previous foster placement. Patient with poor boundaries, impulsivity, and instigates other peers to engage in negative behavior. Appears lower functioning or potentially with ASD in which we will be completing psych testing.

NFH8EB-F15-6850

Youth struggles to maintain appropriate boundaries with peers, engages in instigating behaviors and has a significantly strained relationship with her caregivers, which has continually contributed to disruptive attachments.

EH-M16-6799

Adopted adolescent that came from group home prior to presenting to the Emergency Department on 4/27/2026 with Law Enforcement due to increased aggression and agitation at group home. 4/26/26 had aggressive behavior at his group home physically assaulting two staff members. One staff sprained a wrist and the other staff required facial surgery following the incident. Earlier in the day he had made threats to stab teachers and staff at school. He reported he meant to strike is housemates but struck the staff instead. A few years ago patient had a previous episode of physical aggression toward caregivers and was hospitalized at that time.

CH8SCH-F13-6644

Patient presented to ER from residential treatment after assaulting staff. This was patient’s second day of residential treatment followed by lengthy back-to-back hospitalizations. Patient recently assaultive to staff and oppositional at times. Has required multiple PRN’s for dysregulation. Residential treatment facility therapeutically discharged her to the hospital.

MHF-F13-6462

Youth came to our ED 1/9 after running away from family member she was placed with, unable to return to that family. SEY concerns. Has been denied from multiple SEY/shelter/crisis options due to behaviors. County is working on placing with Aunt in WI but needing ICPC to be finalized first. Were hoping that would be completed last week, however home study for that occurred this morning 1/22. County reports she is not eligible for waiver.

PH-M16-6335

Recommending level 5 RTC
16-year-old male who presented to PrairieCare Inpatient Hospital as a step up from PHP. When home for the weekend, he had increased emotional and behavioral dysregulation with symptoms of psychosis and was brought to the ED by his mother.
He has a psychiatric history of disruptive mood dysregulation disorder, autism spectrum disorder with accompanying intellectual impairment, intellectual developmental disorder, mild, fetal alcohol syndrome, and ADHD.
This is his second psychiatric inpatient hospitalization; he was attending PHP prior to this hospitalization and has a history of psychiatric outpatient services.

CH8SCH-M12-6116

Presented to ETC after overdose on medication. Recent hospitalization at PrairieCare and overdosed after returning home. Has had 4 inpatient hospitalizations over the last year. Participated in partial hospitalization program after inpatient stay in March. Recommending residential hospitalization due to multiple inpatient hospital stays in the last year.

PH-F15-6047

15-year-old female history of depression and anxiety PTSD. Significant sexual abuse by immediate family members. Admitted to hospital after argument with grandma, who is guardian. Patient then tried to strangle herself by placing a 20-foot cell phone cord around her neck. Perpetrator of sexual abuse is out of jail on bail and has cut of ankle monitor. Significant long standing sexual abuse, trauma, and drugs from abuse.