Mental Health Collaboration Hub
Patient came to our ED after a physical altercation with another resident at Aspen House, is not able to return there. Has been to multiple shelters and RTCs in the past, success with some of these programs. County is looking at other shelters as well as waiting for a previous provider to send recommendation for PRTF. Has been denied by VOA Bar None- all programs, can’t return to Von Wald shelters, discharged previously from Prairie Care, and can’t return to Aspen. 3rd time in the ED in a month.
Archives: Cases
Post Type Description
REH-F17-3586
5/2 Update: Client has been discharged home twice (contracted for safety) and returned within 24 hours due to attempting to run into traffic. Has been approved for PRTF and referrals have been made to Northwoods (2 year waitlist) and Grafton. Inpt behavioral health is not an option due to previous stays. CABHH referral pending and they are attempting to admit pt when they have discharges.
Presented with attempted suicide on 4/4 (superficial laceration on arm). Also attempted to overdose on Lithium on 4/2. Appears to have a developmental delay. Denied at multiple inpt facilities due to previous aggression. Turns 18 in July.
PH-F17-3426
Update 4/26/24: Patient discharged from inpatient on 4/26/24 and admitted to VOA Bar None Shelter Plus.
Update 4/24/24: Patient has been accepted to VOA Bar None ShelterPlus Program with admission scheduled for Friday 4/26.
Update 4/17/24: Updated clinical/referral resubmitted to Anthony Lewis Center for acceptance consideration.
Update 4/4/24 – County is working towards referrals to group home settings at North Crow Group Home – Cokato and Annadale – Village Ranch while awaiting appropriate RTC placement. Anthony Lewis Center tentatively reconsidering the referral if patient does not need a medical setting.
16-year-old female presenting to PrairieCare Inpatient Hospital. Patient is diagnosed with RAD, depression, anxiety, ADHD, PTSD, polysubstance use emerging personality traits. Patient has had multiple hospitalizations, utilizes outpatient resources and completed DBT, one RTC placement, been in a group home, and is currently in foster placement. Patient’s current foster placement is unwilling to have patient return. Patient is currently under guardianship of Wright County.
Discharge Plan:
Dual Diagnosis RTC:
– MHealth Fairview-Maplewood (Referrals submitted: Update 3.13.24 – Cannot be approved until housing is confirmed)
– Wings (Referrals submitted Denied 3.15.24 due to mental health needs exceeded current program capabilities)
Current Providers:
– Individual Therapy
– Chemical Dependency Counseling
– Medication Management
– CMHCM with Wright County
PH-F14-3601
Update 4/25/25: Patient discharged from inpatient to Willow Trails Group Home on 4/25.
Update 4/24/24: Patient is medically ready for discharge from inpatient. Tentative admission to Willow Trails Group Home on 4/25.
Update 4/18/24: Patient is medically ready for discharge from inpatient. County is their guardian. County is working on finding foster care/group home placement. Patient has been denied at Village Ranch, is being reviewed at Port Place, Hunter’s Place, and Anoka County Juvenile Center.
Patient presented to the ED on 03/15/2024 after making suicidal statements while at school. Patient noted they have been being bullied, which contributed to the increased in suicidal ideation. Patient denied having a plan to complete suicide but was experiencing passive suicidal ideation and indicated that they would “probably do something with cutting.” The school contacted law enforcement and patient was transported to the ED for further mental health evaluation. Patient was unable to contrast for safety, resulting in them being transported via non-emergent transportation to PrairieCare for short-term stabilization.
Patient is under guardianship of Ottertail County at this time. Placement is being pursued by the county to either a Group Home or Foster Home.
Discharge Plan:
Continue care with existing outpatient providers:
-Individual therapy, PCP and Psychiatry at Behavioral Health in Badger, MN
Patient is medically ready for discharge and is awaiting placement in an appropriate group home/foster home, as identified by the county.
MHF-F15-3741
Came to our ED after physical altercation with another resident at Prairie Care Residential, can not return there. History of multiple inpatient admissions and PHP. Grandma is guardian and pt is unable to return there due to another child living there that pt can’t be placed with. CMH worker has made multiple RTC referrals and patient has been denied by almost all. Currently looking into a RTC out of state in TN, however this provider does not have a contract so would be a long time before this placement was obtained. Also looking at shelter options.
CH-F16-3722
Patient has a history of DMDD, PTSD, ADHD, intellectual disability with FSIQ of 50, TBI, as well as seizures and psychogenic non epileptiform seizures who presents from group home where she has been aggressive and threatening to staff and other house mates. She attacked another resident there. This resident is pursuing legal charges. The patient continues to describe intent to harm other residents and staff if she goes back there, as she wants a different group home. The group home has given letter of termination and suspension. Hennepin County is patient’s guardian. County is looking into previous respite home she was at as an option, as she did really well there prior to coming to this group home 1 month ago. This same situation occurred with the same group home last fall where they terminated her and brought her to the ER.
PH-F14-3695
Update 4/23/24: Patient discharged from inpatient on 4/23/24. Patient scheduled to begin PrairieCare PHP on 4/24/24 while continuing to pursue Group Home placement as recommended by the county.
Patient is a 14-year-old female presenting to inpatient on 03/19/2024 from the ED due to running away from shelter placement. Patient has a history of participating in PHP two times, DBT, ongoing outpatient mental health services, and being in shelter placement.
Discharge Plan:
RTC:
-North Homes (on the wait list)
CD-RTC: Referrals submitted/considered for the following facilities:
-Hazelden (Pt’s insurance not accepted in Minnesota)
-Rogers (Declined due to elopement risk)
-M Health Fairview (Declined due to elopement risk)
-Anthony Louis Center (referral sent 03/27/24)
Group Home Placement (as recommended by JST/county):
-Little Sands (Referral submitted by CM; declined d/t LON)
-Village Ranch (Referral submitted by CM; reviewing 4/10; pending additional review on 4/17)
-North Homes (Pt is on the waitlist for RTC; pt is not eligible for their group home due to age)
Existing Outpatient Providers:
CHMCH: Hennepin County
Psychiatry: Nystrom & Associates
PH-F16-3669
Update 4/29/24: Patient discharged from Inpatient on 04/19/24 to wraparound outpatient mental health services while continuing to pursue RTC options.
Patient admitted to PrairieCare Inpatient Hospital 3/19/24 from the ED following increased thoughts of suicide with a plan. Pt has had previous IP stays at PrairieCare, Mayo Clinic, Riverside and Prairie St. John’s. Pt had a previous residential stay at Gerard. RTC has been pursued and funding has been approved through Dakota County although currently pt has been declined by viable in-state options. Level 6/PRTF programming is also being explored.
Referral is currently pending at Bar None Haven. Referral also made to Acadia to explore out of state options. Referral will be made to Nexus East Bethel PRTF as CMHCM is willing to help pt switch to straight MA if Nexus is able to accept. Patient is medically ready for discharge and is pursuing an interim plan of dcing home with wrap around services while awaiting placement.
RTC (CASII LEVEL 5) (funding approved, in QI process):
-Acadia (referral sent to explore out of state options)
-Avanti (declined)
-PCR (declined)
-North Homes (declined)
-Gerard (declined)
-Northwoods (waitlist 2+ years, so not a viable option)
-Newport (Insurance not accepted, so not a viable option)
-Nexus Mille Lacs (only accepts biologically male patients, so not a viable option)
PRTF/CASII LEVEL 6
-Bar None Haven (referral pending)
-Nexus East Bethel (referral to be sent, CMHCM able to help switch to straight MA if accepted)
-Grafton (requires ID dx)
-Leo Hoffman (only accepts biologically male patients)
-Northwoods (2+ year WL)
MHF-M11-3615
Came to ED 4/5 after some property destruction at family home. Previously in FV’s PHP program. Mom refusing to pick up and refusing family first services in home. County now has temporary custody for out of home placement, has not been in out of home placement previously. Ongoing CPS worker assigned 4/18 and is starting placement search.
MHF-M13-3518
Presented from foster care home after making threats to shoot foster parents and himself. History of PTSD, RAD, IQ of 62. Ongoing aggressive behaviors and impulsivity in the home. Foster parents do not feel safe with patient returning home and is in need of new long term placement. CM has explored Dragonfly, Newport academy, RSI, Genesis, Meridian, Beacon, Twin Ports, Pine City crisis, Northstar community respite. CM/guardian allowed our team to make Nexus YCT referral so intake with them for placement coordination is 4/17.