Mental Health Collaboration Hub
Patient presents to ER with mom for concern for suicidal ideation, fights at school, along with problematic sexual behaviors towards females. Mom is fearful of the safety of other children including 3-year-old daughter within the home. Patient does not have any active services.
Archives: Cases
Post Type Description
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.
MHF-M14-6458
Youth came in to our ED 1/8 after altercation at his Group Home where he has 3:1 staff. Initial recommendation was IP but he was denied by several units. He stabilized while waiting in the ED and the recommendation changed to discharge. Struggling due to sensory needs and the environment of an ED. GH is likely going to take him back once they can figure out staffing and some modifications. Looking for potential ideas to further support this youth in the community. Referral being made for youth ACT team but unsure if he will be accepted due to DD diagnoses. Has DD waiver and CM.
MHF-M16-6455
Youth came into our ED on 1/13/26 and was determined to be ready for discharge. Came from Grandparents who are refusing to take him home until he gets SUD treatment. He is unagreeable to SUD treatment at this time, willing to do OP. County is not funding shelter due to not having custody. Parent referred shelter referrals have been made however custodians refused the Bridge who were looking at accepting him. Has been to Lakeside Academy and Wings SUD treatment in the past and eloped from both. No waiver currently. FV Maplewood declined primarily due to pt being unagreeable to treatment, but also due to concerns of elopement and Grandparents being willing to get him from the ED. Has been declined by many other RTCs as well. Referral pending with Anthony Louis.
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
PCMC-M9-6439
A 9-year-old male brought to the ER by his father. He has history of anger management which turns into aggression. The patient states that when he gets angry he just wants to hit things. Today he was hitting his mother in the face and back and also threatening to hit his little sister. He hit the wall creating holes. Threatened to burn himself with the radiator heater. He has been seen multiple times for the same issues. He was seen and Mayo Clinic behavioral health facility in October 2025. Family is working with the case worker named __________ The father states that the psychiatrist has referred him to behavioral health facility in Duluth and they are waiting for him to be excepted in placed in that facility through commitment. Parents are voluntarily allowing him to go to a facility tonight. They do not feel that their family and other siblings are safe at home with him.
CH8SCH-M10-6397
Patient presented to ER the same day he was discharged from 2 month inpatient hospitalization for aggression/safety concerns. Was threatening harm to self and others in the home. Was accepted for admission to Mille Lacs Academy with admission date unknown. Currently stable and no indication to remain in the hospital though family does not feel safe with him in the home. Looking for interim placement while awaiting admission to Mille Lacs.
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.