Post Type Description
2/15/24/ update. Adjusted meds, doing better. Referring him to CABS, Grafton
Patient admitted to unit after ER boarding within the ER for an extended period as mom didn’t feel safe with him returning home. He has a chronic history of extreme emotional dysregulation with acute worsening since moving to the unit & significant head banging and aggression towards himself and others. He has a history of trauma that is likely impacting his presentation.
Patient presented to the ED after self-presenting to a police station reporting herself as a run away. Ran away from shelter for about one week and reports staying with friends. County is guardian and looking at shelter or kinship placement options.
Patient presented to hospital from group home with escalated bx, unable to return. County retains guardianship.
Patient presents from former group home placement, unable to return. In need of placement, a county is guardian.
2/15/24/ update, accepted to Omegon, waiting for that.
Patient presented to the ER via EMS after being found outside at a local school’s playground intoxicated, hypothermic, and with an altered mental status with a concern for head trauma and a seizure. He was medically stabilized and admitted to the MHU. He had just completed residential CD treatment on 1/24/24 after continued use while in IOP with plans to transition to IOP again though he self injured via cutting on his arm, began to drink, and snuck out the window in the middle of the night.
The patient is very depressed with no motivation or desire for sobriety. He has a history of a previous suicide attempt. He does require residential CD treatment again and will need to transition straight from the hospital to treatment. .
Patient presented from aunt’s home where she has been in foster placement, however aunt unwilling to allow to return home following an altercation about her cell phone. Unable to return to foster placement and CPS does not have immediate options for placement alternatives. Presents with aggression primarily toward family. HX of abuse.
Patient presented from Aspen House due to suicidal ideation and aggression. He has stabilized and is at baseline level of functioning. Patient unable to return to Aspen House and does not have an alternative placement he can go to. CPS looking into long term placement options. Presents with aggression and suicidal ideation, elopement.
Patient presented to the ED from school reporting suicidal ideation. Is able to safety plan for discharge however mother not answering calls and unable to discharge related to this. Historically has been in crisis respite placement after mother refused home last fall from a hospital stay.
Update 2/15/24: DC 2/18 to Gerard on 2/19
Discharge Plan: *Insurance is UCARE MN PMAP * County funding approved 1/30/24*
Residential Treatment – Referrals have been sent to the following facilities- pt is accepted at two- waiting county funding and then admission.
-Avanti (Referral submitted 10/26, DECLINED)
-Gerard Academy (Referral submitted 10/26; Accepted, estimated admission around 2/11)
-North Homes (ACCEPTED; openings in March/April)
-PrairieCare Residential could consider pt in interim should county approve funding
PRTF – Referrals to be sent to the following facilities:
-Grafton (Referral submitted 10/23; pt does not meet exclusionary criteria)
-Nexus East Bethel (Referral sent; only accepting pt’s with MA insurance at this time; will refer once County confirms MA insurance)
Outpatient Services:
Establish CMHCM through Ramsey County (Referral submitted 10/23; intake worker confirmed on 1/10 that a long term worker would be assigned next day, now assigned to Clues- they are completing a full intake for CMHCM now, and working on setting up JST meeting with Ramsey County)
Continue existing outpatient services:
-Therapy/Therapist: Minnesota Mental Health Clinic in Woodbury
-Prescriber/Medication Management: Nystrom & Associates
-MCRC Runaway Intervention Program at Children’s
-PO Ari Tresselt Ramsey County
-Disability Services intake worker: Ramsey County
Case Description
15-year-old female with a history of depression, anxiety, ADHD, PTSD, as well as some behavioral concerns. Pt has had three hospitalizations in the past year, has done PHP, JDC, outpatient.
Primary Recommendation – RTC
-Nexus Gerard, accepted, admission 2/9 at 1000
Other RTC referrals:
-Avanti, declined
-North Homes, declined
-PrairieCare Residential, declined due to aggression
-Northwoods, referral made, declined for RTC
Out-of-State:
-Northwest Passages (Prairieview), county made referral, waitlist 2-4 months
-Lad Lake in Wisconsin, county made referral
-Youth Villages in Memphis; county made referral, reviewing
-Lava Heights in Utah; county made referral
-Falcon Ridge in Utah; county made referral
-Newport News in Virginia; county made referral
-Summit Oaks in South Dakota, county made referral, declined
-Provo Canyon in Utah; county made referral, declined
-Rogers, Hennepin County does not contract/won’t provide funding
Due to declines from QRTP, exploring PRTF options:
-Nexus East Bethel; referral made, not covered by insurance, potential to switch insurance, reviewing
-Northwoods; referral made, waitlist 2+ years
Bridge to RTC/PRTF; if warranted:
Establish CMHCM (Assigned to Kimberly Trembley through Hennepin County, 612-743-1549, waiting for QI approval for funding)
Establish PHP (SW to reschedule if/when appropriate)
Other Referrals Made:
Acadia Treatment Placement Specialists; referral made
Outpatient Recommendations:
Establish Individual Therapy
Establish Family Therapy
Continue PCP at Indian Health Board in Minneapolis
INSURED BY PRIME WEST MA
Presenting Problems: Experiencing school stressors, family dynamic changes, depression, mood lability, SI via ingestion.
Mental Health Collaboration Hub