9 year old female recommended for inpatient care due to verbalizing suicide plan. County involved. Outpatient services minimally utilized. MCO has been in the home several times and offered recommendations to family. Parents active and present, but unusre if able to set boundaries or have skills to meet needs. Other kids in home. MCO eval recommended placement and continue in ED until placement located. Avel consult and suggested could go home with safety plan if parents agreeable, parents not agreeable. Physical acting out example pounding on window, reported destroying things at home.


Ingesting items. Several ED trips to have items removed. Was at Gerard, couldn’t keep her safe. Significant sexual abuse history. Several referrals with denials due to the ingesting. looking at Group homes. takes responsibility for her actions. Parental rights terminated. Barriers are not being able to keep her safe (ingesting). medical issue with pancreas – very specific diet, ex. places don’t have medical staff on site. Turns 18 in May


Patient is presented to the ED by EMS from an RTC facility. Patient assaulted another resident and staff members, and attempted to elope from the facility. Patient is under guardianship of Martin County, and is considered a vulnerable adult. Patient has a significant history of abuse, and suicidal ideation. Patient is supposed to follow a low sugar and fat diet due to pancreatitis.