C8SM8SP-F11-7131

Child presented to Children’s with group home staff after pt had continuous behavioral escalations at the group home. Pt was unable to play with balloons with peers and got upset, leading to dysregulations and ran away from group home. Pt was found by police and became physically aggressive towards others. Pt assaulted staff, assaulted sheriff deputies and broke windshields with rocks. She is unable to return to group home.

CH8SCH-F12-7116

Patient presented with Benadryl overdose requiring ICU stabilization. Unable to return home at this time as she requires residential SUD treatment. Struggling with obtaining facility call backs and finding locations that accept her age and insurance.

CH8SCH-F14-7113

Patient presented to ER following discharge from residential due to aggression to staff and eloping. No other placement locations as she is not able to return to previous foster placement. Patient with poor boundaries, impulsivity, and instigates other peers to engage in negative behavior. Appears lower functioning or potentially with ASD in which we will be completing psych testing.

MHF-F15-7110

Youth came to our ED 7/16 after running from a youth shelter. The shelter will not allow her to return. Has a history of substance abuse, has been to at least 3 SUD residential treatment programs, including a cultural specific program in CA and discharged from all of them. No other SUD residential programs will accept her. History of elopement. Looking for placement to get her out of the ER. Currently no waiver, and has not been through County screening for MH RTC. Last SUD/comprehensive assessment 4/28 recommended residential and last DA 4/2 also recommended residential.

C8SM8SP-F15-7087

Child presented to Children’s ED due to increased suicidal ideation. Dakota County has had guardianship prior to him presenting to ED. Child was residing at a group home and reported to staff about increase thought of self-harm. Staff at group home called EMS and child was brought to Children’s ED for mental health evaluation. They did not meet inpatient criteria and have been recommended to discharge. The group home denied their return due to unsafe behaviors, such as tying clothing around their neck when dysregulated. Extensive trauma history from bio parents.

OCC0FS-F17-7034

Was hospitalized in at Prairie Care Psychiatric Hospital discharged May 30th- June 15th for significant self-harm by cutting, recommendations were residential, was accepted to Newport, Prairie Care RTC, and Rogers; however, due to bed availability was discharged home and started Prairie Care PHP on June 16/17th. Wound became infected on leg, he was hospitalized and treated for Sepsis, wound vac was placed. He was discharged home with recommendations of residential treatment once wounds healed. He was unable to go back to PHP or Residential (there was a bed opening at one of the placements) he was unable to return to PHP or be admitted to Residential due to wound vac/wound care needs. Within 24 hours of discharge, he was back in the hospital due to self-inflicted wounds on his leg caused by a blade of a box cutter requiring medical intervention and hospitalization. He has been in the hospital since his wounds are healing, there is no longer a wound vac, 9 or the 10 wounds have been sutured and one on his leg requires wound packing 2x per day.

MHF-F17-6987

Youth came into the ED 6/26 after being discharged from the shelter program they were in. Reportedly were boarding in a different hospital last week. Currently accepted at RTC but admit isn’t until 7/10. Needing an interim plan. County has permanent guardianship. Has been denied by most shelter programs. Does have waiver funding but no waiver CM yet.

MHF-M16-7029

Youth came to the Grand Itasca ED 7/8 from a group home setting. They are unwilling to take him back. He is under custody of the County. Has been denied by programs primarily due to history of aggressive behavior. GH was able to complete SUD assessment 7/14 and waiting for that recommendation however pt is not currently agreeable to treatment. MNchoices was able to be completed 7/15. Is on MCCP crisis pool list. CPS is working on potential kinship placement and is meeting with that family today , 7/16. Remains on YSC list but is #8 so no likely bed for some time.

CH8SCH-F15-6993

Patient is well known to our ER/Hospital. She previously boarded in the ER 3/12/25-5/9/25 when she was transitioned to the Adolescent inpatient unit and boarded until 10/2/25. Patient moved into a group home built for her.

Patient returned to our ER on 6/28/26 and the group home suspended services effective 6/29/26 due to the level of aggression patient has displayed and injuries to staff. Sherburne County and patient’s guardian (adoptive mom) are not appealing.

MHF-F13-7007

Youth came into the ED 7/2, from home, after being discharged from Fairview’s IPMH program on 7/1. Mom is refusing to allow her to return home. IP unit set pt up with attachment-based therapy to start 7/2, day treatment to start 7/9, psychiatry appt 7/9, and a referral for CTSS when available. Parents are declining to take back with those services. County offered CIBS services again as well, parents refused. Parents state they will only take home with 24/7 in home care which isn’t an option. Parents also state they will only accept RTC or a permanent group home (CRS) There is no current LOC recommendation for RTC, and pt just got onto the wait list for MNchoices assessment yesterday for the 1st time, so neither are options currently. Parents are not allowing referrals to parent referred shelters as those are not permanent solutions. No placements being explored currently because parents aren’t agreeable to current options., and no CPS involvement for County paid shelters.