Primary Recommendation – RTC
-Avanti, referral made, declined
-North Homes, referral made, reviewing, would need county support
-Gerard, referral made, declined
*County Pre Placement Screening scheduled 12/5/23, funding approved, county started QI process
INSURED BY PRIME WEST MA
Presenting Problems: Experiencing school stressors, family dynamic changes, depression, mood lability, SI via ingestion.
14 year old with significant trauma history, ward of Olmsted, previously residing in kinship foster placement but repeatedly eloped. Refuses to participate in therapy as an outpatient. Verbally defiant at times but no significant aggression toward caregivers; can have reactive physical fights with peers at school but not unprovoked. County has guardianship since November 2022, but he does have actively involved aunt/uncle who will be the targets for permanency planning.