Youth came to our ED 4/17 from group home, who are not allowing her to return. Stearns County has custody currently and there is a CPS worker as well as ICWA advocate. No waiver currently. Had a SUD assessment that recommends residential treatment and she was agreeable to that, however no acceptance at programs yet and wait lists for those also. CPS is exploring shelter and kinship options. Was denied by Red Lake shelter and Ain Duh Yung.
Risk Factor: Substance use/abuse
Substance use/abuse is the misuse or problematic use of drugs or alcohol, which can lead to negative consequences in a person’s life.
PH-F15-5562
Patient is a 15-year-old female, currently at PrairieCare Inpatient Hospital.
Recommendation is for level 6 PRTF.
Patient has had five previous inpatient hospitalizations through Abbott Northwestern and PrairieCare since April of 2022. Patient has had two admissions to PrairieCare partial hospitalization programming, and one admission to Anthony Louis Center RTC.
Establish PRTF:
-Nexus East Bethel (CMHCM sent referral, PC also sent a referral, declined for admission 04/16 due to believing PT needs a higher level of care- CABHH)
-Northwoods (Not a viable option due to insurance and 2 year waitlist)
-Grafton (Not a viable option due to patient not meeting admission criteria)
-Leo Hoffmann Center (Not a viable option due to patient not meeting admission criteria- only accept biological males)
MFIUP-F13-5535
Pt presented to the FV Riverside ED on 3/17/25 from school for agitation and aggression in the context of being questioned by school security about misusing her medications (which was reported to school by her guardian). She has remained in the ED boarding awaiting placement at a residential facility as guardian/aunt has not felt safe to have her return home. In the ED, she has had multiple behavioral codes, has been aggressive to staff, and has self injured. Given her out of control behaviors and the ED’s inability to manage her, she was admitted to UMMC unit 7ITC on 4/11/25 as a boarder while she awaits placement. Significant symptoms on the initial presentation include irritability, aggression, out of control behaviors, impulsivity, and SIB. Was previously admitted to Nexus-East Bethel but assaulted staff so unable to return.
MHF-M16-5515
Came to our ED on 4/10 only because the County had no where else to bring him. Mille Lacs County has custody. He just left the lino lakes juvenile detention center. Has been to many juvenile detention placements, but is no longer required to be there. Has some history of substance use, but most SUD treatments have denied him due to aggression. Has been sober for 2 months now as he was at JDC and now the hospital. County is exploring out of state MH treatment facilities, as well as in state MH group homes, shelters, evaluation programs. Working on getting a recommendation for PRTF through a psychologist who had seen him for civil commitment. Working on SMRT and MNchoices for waiver placement options.
TO-F11-18
This is a TEST CASE please IGNORE. Substance abuse has led to reckless behavior and disruptive relationships. Fights with siblings and friends
GC8S-F14-863
14-year-old adolescent female with a history of ADHD, witnessed verbal and physical abuse, multi-substance use with significant behavioral issues at school. Pt was admitted to Gillette Children’s on 4-30-2023 with an acute hypoxic ischemic brain injury secondary to hanging herself in a suicide attempt. Pt has made significant improvements in her cognitive and motor functioning since her initial presentation. Pt does not have a previous history of suicide attempts but does have a history of non-lethal cutting behaviors. She has been involved with various mental health providers on an outpatient basis over the past several years. She has never been hospitalized for mental health issues. Pt is currently not suicidal. Pt currently presents with a flat affect and difficulty comprehending the gravity of her suicide attempt. Pt will be ready for discharge from a medical standpoint mid-next week and is expected to be independent in mobility and self-cares, although she will require supervision in the home setting. Pt has the endurance to complete a full day of activity. Please consider Pt for intensive mental health services and parental support as she transitions back to her home setting.
Update 5/18/23 from Mallory at PrairieCare: Amy and I messaged, this pt will DC from RU 5/24/23 and has not had any SI or SIB plans, means, or intent. Likely initially declined for Inpatient due to medical condition. Once medically cleared, discussed referral for PHP due to needing intensive therapeutic intervention, but not imminent danger to self. Amy plans to refer for PHP.
C8SM8M-M14-476
Diabetes, non-compliance, new substance use, looking at Jarvis, CHIPs placement.
DC’d to foster care 9/7/2022
MHF-M17-5398
This kiddo has boarded with us in the past. Was just with us 2/17/25 – 2/27/25 when he discharged to the Bridge shelter. Returned to us 3/17/25 after refusing to attend PHP for SUD and the shelter will not take him back. His parents are refusing to have him return home. He is a few weeks from being 18 and there is no plan to pursue guardianship of him at that time. He is not agreeable to any sort of SUD treatment. Has CMH and CADI waiver CM.
NMH8R0MGH-F17-5257
Patient presented to the ER with PD following being on run for one week from a trial home visit with biological parents, was in shelter prior to that. Drug of choice is meth. Initially presented with psychotic symptoms that have since cleared, which has resulted in patient being cleared by psychiatry.
PH-F17-5283
17 yo female with hx of dep, anx, PTSD, eating d/o, mood lability, and personality concerns who lives with her dad and siblings in Menahga. She is in the 12th grade and reports having a 504 plan. She has a hx of around 10 inpatient hospitalizations and 3 stays in RTC. Stressors include family conflict, social stressors, and school. Family hx of MICD concerns. Patient has been struggling with worsening symptoms and safety concerns including SI with multiple plans (cut, OD, hanging, crash, etc) and SIB. She has been admitted for acute stabilization.