Cases – Page 52 – Mental Health Collaboration Hub

AH-F15-2261

discharged from residential due to noncompliance with programming and elopement.

This child is a ward of Steele County with Significant aggression and significant trauma. Mom died in 2019, Dad in group home for TBI. Suicidal/homicidal statements, thoughts. Tried to place with 19 yo sibling which lasted for a month, but brother doesn’t think he can keep him safe any longer. Came from SERCC to Mayo ED when he escalated to a point that they couldn’t care for him. He has been doing OK since he got there but has had a few instances of escalating to the point of needing to be restrained with holds and sedation. Struggles with conspiracy theories, as his mom died of a septic kidney infection, but he believes that her boyfriend poisoned her. He is fearful of being poisoned; he won’t sleep without someone watching over him. Not safe for a group home at this point.

C8SM8SP-F9-2009

UPDATE 11.16.23 – Dragonfly is a potential placement.
Patient recently moved to Minnesota and was displaying sexualized behaviors at school (disrobing, touching herself, attempting to grope teachers, making sexualized comments) CPS was contacted and they were concerned Patient was being sexually abused at home. They were brought to our hospital in need of out of home placement after MCRC visit while dad is investigated. Carver County has temporary custody. Patient has history of developmental delay. No sexualized behaviors toward other kids, mostly with self, while playing with dolls and adults.
Having DX completed this week. County pursuing a variety of options

AH-M17-298

UPDATE: 11-15-23 still inpatient at United.
UPDATE 8.24.23 – still at United Hospital.

SUD, aggression, low IQ. Working on MI and D commitment. (Mentally ill and dangerous)

HCMCH-M17-2004

Update: Accepted by PrairieCare but waiting on funding. looking for respite while waiting.

A 17 year old, African American, assigned male at birth. He identifies with “both” genders (boy and girl) equally. Alternates between male and female persona. Medically stable and boarding on Pediatrics while awaiting placement disposition. History of being bullied.
Approaching his cluster of symptoms from the lens of comorbid autism spectrum disorder and mild intellectual developmental disorder is likely to lead to better treatment adherence and response to intervention.
Given his intellectual concerns and history of emotional dysregulation, the patient would benefit from residential treatment. Such a treatment facility should have access to mental health resources, independent living skills training, and regular recreational and social-emotional supports.

MHF-M15-2183

Patient is presenting to the ED for the following concerns: self-harm. Patient has a history of self-harm, through primarily biting his arm, punching other things or scraping himself with a tack. Mom reported that today was the first time he self-harmed with a blade. Mom reporting increased aggression in the home and at school and feels that patient needs inpatient. Mom explained the patient is in a level 4 school setting. He recently did PHP at Prairie Care and was discharged after three days due to concerns about aggression and inappropriate sexual comments. Mom shared the patient has made comments about wanting to strangle others.
Mom explained that patient may already be on the waitlist for the Village Ranch residential treatment in Cokato. They are also exploring North Home in Bemidji. Mom reported that patient has been diagnosed with ADHD, ODD, PTSD and ASD. She also wonders about FASD due to his biological mothers, drug and alcohol use. Patient was adopted at age 7 by his adopted mom and adopted dad. Mom was his PCA in his last foster home for one year before adoption.

MHF-M7-2180

Patient is presenting to the ED for the following concerns: verbal agitation, physical aggression. Patient currently lives with foster mom and dad, mother will soon be entering IRTS but intends to take son back afterward. Patient has been not been taking his medications and engaging in behavior that puts himself and others around him in danger. Patient has high sensory needs that if not attuned to will begin to hurt self and others. Patient was last admitted on 10/20/23 and was inpatient until stabilization. Patient has been attempting to “scratch out” his eyes and turn off devices of his fellow foster care children. Pt is diagnosed with Autism Spectrum Disorder and significant early childhood trauma. Collateral reports that when pt takes meds, he can calm down. Patient is non-verbal.