Self harm – Mental Health Collaboration Hub

CH8SCH-M12-6473

Patient presented to the ER 1/21. Patient is familiar to us. Patient has a complex psychosocial history with prior CPS involvement and a chaotic home environment. Patient typically does well in the ER & hospital setting but struggles at home with severe aggression and behavioral dysregulation in relation to conflict with parents. Patient does not appear to comprehend the severity of his actions and feels like his actions are justified (which appears to be related to his level of functioning). Patient likely needs a crisis respite placement/group home placement, but his CADI waiver and insurance are on hold while transferring to Benton County.

Doing very well for the most part at CentraCare.

PH-M15-6144

Recommending PRTF/RTC/ CADI placement with supports
15 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, family therapy, and RTC at Gerard
Funding is in place for RTC with Polk County, has waiver

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

PH-F17-6710

Inpatient Team is recommending Locked QRTP/PRTF.
17-year-old patient admitted to inpatient as a step up from PrairieCare Residential. They were admitted due to continued episodes of emotional dysregulation, intrusive SI and attempts to elope. This is their 9th psychiatric inpatient hospitalization. They have done PHP, outpatient care and residential treatment.

Discharge Plan as of 04/22/2026:
Hospital and PCR treatment team recommends:
-Bar None Haven locked RTC. They were accepted on 3/18; county did not approve placement.
-Heartland Girls Ranch. They were accepted and on wait list, county did not approve placement.

County team pursuing:
RTC-
-Gerard (reviewing)
PRTF-
-Nexus East Bethel (declined)
-Northwoods (county sent referral, currently a 2 year wait)
-Grafton (county sent referral, does not meet admission criteria)

Interim plan:
-Consider Shelter care at Ain Dah Yung Center, The Bridge for Youth- Supportive Housing-Marlene’s place, Youth Transitional Housing Program – Life Haven/ Lutheran Social Services of Minnesota
-Establish Psychiatry
-Establish Therapy
-Continue with Hennepin County Team, Guardian Ad Litem, and Tribal Representation

This youth has been medically cleared to discharge from inpatient to the appropriate next level of care although due to barriers with accessing the recommended level of care, they are now boarding. The Hennepin County Boarding team is working with inpatient on this case as well.

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

CH8SCH-F14-6487

Patient presented from local residential facility after getting into an argument with staff where she tied rubber bands around her neck in an attempt to end her life resulting in staff needing to remove the bands and discoloration of her face. She was able to hide and sneak in additional items to self harm with into the ER and inpatient unit where she again placed something around her neck. Residential unable to accept her for return as they feel they are not able to keep her safe and that she needs a higher level of care.

PH-F12-6449

Recommending PRTF
12 year old trans male who presents to PrairieCare Inpatient Hospital due to suicide attempt with increased SI, SIB, elopement, and aggression.
He has a history of several inpatient stays, has engaged in PHP, individual therapy, family therapy, and RTC at PrairieCare
Funding is in place for RTC with Hennepin County

Discharge Plan:
PRTF/RTC:
– PrairieCare Residential (administratively discharged due to acuity)
– Bar None Haven (under review)
– Nexus East Bethel ( under review)
– Grafton (referral submitted by PCR, Accepted )

Continue with established outpatient providers:
– Primary Care with Mhealth Fairview
– Psychiatry with Roman Becicka, MD at U of M
– CMHCM with Nakami Tongrit-Green at Hennepin County

CH8SCH-F16-6368

Patient was at Heartland Girls Ranch and reports that she tried to run from the facility, scratching her arm and hitting her head on the wall. Patient reported suicidal ideations with a plan. County is guardian of patient due to past abuse. County feels like patient needs PRTF level of care. On the waitlist at CABHH.

SBMC-F15-6411

Patient presented to the ED with her father after ingesting a screw while at school. EGD completed to remove the screw and she returned to the ED. Mental health team met with patient and father making the recommendation for acute inpatient MH placement. Patient denied ingestion to kill self and denied SI. She has a history of swallowing 2 AA batteries in Dec as well as another episode of swallowing a button batter a couple days prior. After those interactions she spent 11 on our medical floor waiting for a discharge plan. She was finally placed at an acute inpatient unit only to return home in a week with no additional supports in place. The original recommendation was for a long term residential placement but that was changed to discharging to home.

SBMC-F15-6326

Patient presented to the ED after ingesting a button battery. Surgical intervention was needed to remove the battery. Safety plan competed to allow patient to return home with father. While at school the next day, she hid in the bathroom and broke open a calculator to swallow 2 AA batteries. Hospital admission needed until batteries passed the next day. Acute inpatient MH options explored with no accepting facilities. Remains admitted awaiting residential placement at this time. Father does not feel he can keep her safe at home due to the increased risk of swallowing objects.