Mental Health Collaboration Hub
He has been in foster care since he was removed from home in 10/2022 due to physical abuse. He was in foster care with a family and was relatively stable until the past few months, when the foster father died and since then there has been an increase in behaviors. He is unable to return to that foster home. He has very low cognitive functioning, reported to be around a 3 year old, and he was attending school only a few hours per day. He was on a lot of medications and psychiatry has optimized them during his time here.
Archives: Cases
Post Type Description
MHF-F11-5677
Youth came to our ED 5/18 after physical altercation at home with adoptive mom and family. Has been expelled from school due to aggression also. Adoptive Mom reports no therapy or mental health services, besides medication management, in last 5 years, and has never had out of home placement. Referral was made for a DA and for CMH CM. Parent referred shelters that accept pt age declined. CPS is inquiring about other family to care for pt. Currently no County CMs that can authorize OOHP.
PH-M13-5662
Youth (he/Him) came to hospital after significant self harm at home. Self harming at school. Suicide attempts recently. Ongoing self harm at the hospital. Struggles making friends, feels isolated at school. Resides with Dad, dad is guardiann.
MHF-F17-5573
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.
MHF-F13-5650
Youth came into our ED on 5/12 after child/parent conflict at home with adoptive parents. Parents are not wanting her to return home. Kiddo has boarded with us before, 3/4/25-3/14/25. Just opened to CADI, and has CMH CM. Last DA was level 3 CASII, OP therapist is reportedly working on updating the DA.
HCMCH-F13-5634
13-year-old female with a history of autism spectrum disorder, oppositional defiant disorder (ODD), attention-deficit/hyperactivity disorder (ADHD), major depressive disorder (MDD), and traumatic brain injury (TBI).
On 4/23/25 according to EMS, the patient had an argument with her mother around 5:00 PM today and subsequently left the home abruptly.
This is her second time boarding in APS; she was admitted two weeks ago and remained for two weeks while in-home services were being arranged. She was discharged but returned due to elopement and aggressive behavior toward her mother.
During her previous admission, she was referred to CABHH but placed on the waiting list. She has also been referred to Beacon for respite care and has been on the waiting list at Grafton for over a year.
MHF-F14-5621
Youth came into our ED on 5/6 from the Bridge for Youth shelter. Shelter refusing to take her back. She has boarded with us before for a short time last June. Currently has CADI and CMH, both through contracted agencies. Unable to access County screening team due to contracted CM, so MH GH and residential are not options currently. MCCP referral is in, also have referral to CABHHS and Grafton- awaiting approval from Arkansas Foundation and for acceptance at the program.
MHF-M12-5618
Youth came into our ED on 5/6 from the Bridge for Youth after an altercation there. They will not allow him to return. He currently has a CMH Case Manager through Fernbrook with Goodhue Co. They last screening him for in home care/services but Mom is refusing to have him go home. Looking at shelters, group homes and residential. Also has CADI, so crisis respite and CRS would be options as well. Denied by North Homes.
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)
PH-F12-5504
Patient is a 12-year-old female, currently at PrairieCare Inpatient Hospital.
Recommendation is for level 6 PRTF.
Patient would be able to discharge to a lower level of care while awaiting admission to a PRTF, although she does not have a current placement through the county.
Patient has had a previous inpatient hospitalizations, through UMMC for 38 days waiting for a placement through the county and
PrairieCare Inpatient Hospital 02/02/2025-03/17/2025. Patient was admitted to PrairieCare Residential 03/17/2025-03/20/2025 although was stepped back up to inpatient due to safety concerns.
She has a known history significant for MDD, GAD, and PTSD.
SEE UPDATES BELOW
Establish PRTF:
(eligibility form sent to AFMC on 3/26)
-Nexus East Bethel (referral sent & under review)
-Northwood (referral sent, pt’s mother revoked consent on 4/10 due to distance)
-Leo Hoffman (not viable option due to only male patients)
-Grafton (not viable option due to needing ASD, ID, or DD)