Mental Health Collaboration Hub
Pt was brought to the Sanford ED for concerns for “erratic behavior.” Long history of residential services, outpatient case management, Juvenile Detention in North Dakota and in Minnesota. Patient has been running away, increase in drug use. Mom is concerned about patient being trafficked. Reports have been made. No active probation at this time. Patient could benefit from an inpatient psychiatric hospitalization for stabilization. Concern facilities will take her with history of chemical dependency and aggression. Additional concern for a plan for patient upon discharge.
Risk Factor: Elopement risk
Elopement risk indicates the potential for individuals, often children or individuals with cognitive impairments, to run away or leave without supervision, which can lead to safety concerns.
MHF-M17-6251
Youth came to our ED via police on 10/28. Was previously in our IP unit, discharged to Nexus Gerard where he eloped several times. Pt is on a MI/CD commitment. Has substance use struggles ongoing but it’s reported that previous placement thought the MH was the primary concern. Has been denied by many SUD programs- Wings, Anthony Louis, Fairview, Oshki Manidoo and Ember in Iowa. Ideally CM wants pt in a secure setting due to history elopement, but has been denied by only secure setting in MN. Pt is newly 17. Any facility licensed by the DOC can’t be pursued due to commitment, and going out of state the commitment would not follow, so in state would be best.
MHF-F8-6164
Youth came to our ED on 10/1/25 via police from foster home after elopement. Has been to our ED 5x in the past 2 weeks, all for elopement. County has custody. Has been to RTC in the past and team does not feel that would be beneficial at this time. Looking for another foster care or waiver group home placements. Struggling with placement options due to age.
AH-F15-6102
The Guardian/Dakota Cty are planning for residential treatment for pt and she is indeed currently court ordered to remain hospitalized until this is located. She does not need inpatient level of care but here is no safe discharge location. History of sex trafficking and was recently picked up with a known trafficker. It was verbally reported that pt had a DA in July that recommended a level 6 placement and that CM was working on a facility in Arizona. Will ask for confirmation and documentation as hear from CM and request list of referrals, assist as able.
PH-F15-6060
Recommending RTC/PRTF
15-year-old female presenting to PrairieCare Inpatient Hospital as a step up from Newport RTC due to an increase in intrusive SI. She will not be returning to Newport per parent request due to SA and elopement while in programming. She has a history of depression, anxiety, ADHD, and PTSD. This is her 4th psychiatric inpatient hospitalization. She has also engaged in PHP and outpatient psychiatric services.
Discharge Plan as of 9/9/25:
RTC:
– Bar None Haven
– Avanti
– Gerard
– North Homes
PRTF:
– Northwood
– East Bethel
PH-F12-5898
Recommending Level 5 QRTP
12 year old transgender male. Presented to PrairieCare Inpatient Hospital due to mood and behavioral dysregulation. He has had multiple inpatient hospitalizaitons.
PH-F16-5956
Recommending Level 5 QRTP/Level 6 PRTF
16 year old female presented to PrairieCare Inpatient Hosptial due to increased SI and SIB. She has had multiple psychiatric inpatient hospitalizations.
CH8SCH-M14-5911
Patient presented from home where he lives with his mother. Patient was in residential treatment and group home from June 2022 until February 2025.
Patient has had several ER visits for aggressive behavior towards mother since returning home in February. Patient’s behaviors at home target his mother. He has engaged in eloping from home, stealing from neighbors in the apartment complex. Patient’s mother is struggling with her own mental health as a result of patient’s behaviors and does not feel safe with patient returning home.
PH-F10-5904
Pt is a 10 year-old female with historic diagnoses of anxiety, depression, ODD, specified neurodevelopmental disorder who presents today to address running away from home. Upon interview pt was observed to be easily distracted and appears to be guarded. Pt was resistant to the interview stating, “I don’t want to answer any questions.” After roughly 5 minutes pt refused the interview process leaving the room and forcefully pushing the door close with writer still in the room. Writer could hear pt yelling and laughing from the hallway “she’s locked in there” and “I locked her in there”.
Mother reports pt has been running away from home and putting herself in dangerous situation. Mother reports pt was sexually assaulted during one of her runaways. Mother reports pt’s motive for running away this time was to get on an airplane. Mother stated due to pt’s behaviors, pt has been hospitalized 3 times within one and a half weeks. Mother reports pt’s mental health is worsening. Mother reports pt struggles with authority figures and being held accountable. Mother states they use to have structure and routine in the home and is trying to incorporate it into the home again but when pt is held accountable, pt will threaten mother and think mother is “being mean.”
AH-F15-5741
Was residing at Meridian crisis home; filed notice of service termination. County has guardianship and has no other alternative housing. Will need updated DA with recommendations for level of care beyond mental health group home.
