Mental Health Collaboration Hub
ADHD, adjustment disorder, anxiety, Developmental delay, ODD, aggression, sexualized behavior. FAmily was living in shelter. Disregulated episode- tried to strangle self, to ED for assessment. Initially rec for inpt, then decided he did’nt need inpt. Family leaving shelter soon, so not able to take him back at this time. Mom says addicted to porn. Became disregulated once but otherwise has been stable, no SI. Henn county won’t get involved- saying it’s not abandonment, doesn’t have a county case mgr. Some services thru Dakota county. Level 4 school setting. Looking into other shelters. Family thinks he needs tx. Referrals to nexus, Prairie Care, Henn County Peace offering made. Gap in services. 7/21 was at Prairie Care. Mom open to foster home, he doesn’t necessarily need residential. Mom isn’t visiting bec she is scared he will be sent home with her.
Previously attended IP MH at PC in July 2021, no current acute SI, safety concerns in hospital, pt and his family are homeless, got kicked out of shelter due to aggression, pt currently does not have any county supports. Patient’s family moved from St. Cloud. Due to pt’s age, history of aggression, and sexualized behavior (watching porn, taking photos of privates, exposing himself to siblings) mom has been unable to find a shelter that will accept them. referral for services was put in with Hennepin county. DC’d to home with mom.
Risk Factor: Sexual misconduct
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.
AH-F15-2303
PTSD, Disinhibited Social Engagement Disorder, Conduct Disorder, ADHD, ODD. Just got approval from HC for funding. Case mgr will start making calls. Doest present well on paper. Challenging behaviors – gets escalated and disreg. with peers. Is able to walk away. Threatens to hurt people but hasn’t yet. Remorseful about behavior. Learning about her dx. Fun kid, gets along with certain peers. Doesn’t work well with peers who have made statements about race. Ready to benefit from res. tx. and work with people 1 on 1. A lot of early childhood disruptions. Not sure why removed from bio mom – per aunt and gramma, she didn’t know how to be a parent. Aunt and gramma say that she has tried to kill them, threatens people, hard to know what’s what and what is recent behavior.
AH-F17-2276
attachment difficulties, inappropriate sexual stories and behaviors. Rec level 6. Has a father and step mother who are involved.
C8SM8SP-F9-2009
UPDATE 11.16.23 – Dragonfly is a potential placement.
Patient recently moved to Minnesota and was displaying sexualized behaviors at school (disrobing, touching herself, attempting to grope teachers, making sexualized comments) CPS was contacted and they were concerned Patient was being sexually abused at home. They were brought to our hospital in need of out of home placement after MCRC visit while dad is investigated. Carver County has temporary custody. Patient has history of developmental delay. No sexualized behaviors toward other kids, mostly with self, while playing with dolls and adults.
Having DX completed this week. County pursuing a variety of options
MCR-M18-2169
sexual behaviors, aggression, mostly stable but his history makes placement challenging.
EH8D-M15-414
15 year old male with a history of ASD, ADHD, trauma, and multiple prior psychiatric hospitalizations and residential placements. He was admitted to the hospital after becoming aggressive and self-injurious while at crisis stabilization home. Patient has a history of making significant threats of violence and has been repeatedly sexually inappropriate. He was removed from his home after having molested a younger cousin. Patient will, at times, express remorse for his behaviors while at other times appearing grandiose and narcissistic, with violence perpetrated in response to narcissistic injury.
