Mental Health Collaboration Hub
Presented from home following an episode of aggressive behaviors. History of FAS, parents do not feel safe with patient returning to their home. Seeking crisis respite or shelter placement for patient. Has been calm and cooperative in the ED.
Archives: Cases
Post Type Description
PH-M15-3171
Updated 2/22/24: DC Fri 2/23 to Nexus Mille Lacs RTC (County and Nexus recommending PRTF for long term tx). DC pending communication with guardians, have not had a response from them the whole hospitalization.
Update 2/16/24: Nexus Mille Lacs RTC is recommending PRTF level of care for patient. Kanabec County is in support of recommendation and plans to being the referral process.
Case Description:
15-year-old female identifying patient with a history of depression, anxiety, RAD, PTSD, ADHD, and ODD. Patient has been in out of home treatment settings for 3 years. Patient was at an unknown treatment facility and was discharged due to its closing, Northwood Children’s Services PRTF and most recently has been at Nexus Mille Lacs RTC since October 2022. Patient has a history of three inpatient hospitalizations.
Current services:
CMHCM: Kanabec County
RTC: Nexus Mille Lacs
C8SM8M-M10-3146
Patient presents to ED for behavior escalation from foster setting. Guardianship lies within county.
MCR-M12-3200
Conduct disorder (childhood onset), Parent-child relationship problem, ADHD, Borderline intellectual functioning
Pt has outbursts and behaviors causing family in the home to feel unsafe, he has been utilizing a respite home but recently became dysregulated in this setting additionally and struggles with boundary and limit setting. Home environment appears to reflect chronic chaos.
CH-M9-2986
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.
MHF-F14-3188
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.
C8SM8M-M11-3149
Patient presented to hospital from group home with escalated bx, unable to return. County retains guardianship.
C8SM8M-F16-3153
Patient presents from former group home placement, unable to return. In need of placement, a county is guardian.
CH-M14-2989
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. .
MHF-F0-3084
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.