Archives: Cases

Post Type Description

MHF-M15-1657

UPDATE 9/14/23: Discharge date to Companion Homes set for 9.22.23
UPDATE: 9.7.23 working on a group home placement.
Patient is presented to the ED via EMS. Patient was discharged from Chelida Residential Facility after 2 years, for assaulting another client. Patient was then admitted to Winnebago Mental Health Institue in WI. Patient was discharged, and returned home to parents. Patient has since demonstrated emotional and behavioral dysregulation such as following his mother around, threatening to hit and push her. Patient also biked to his neighbors, and pulled his pants down in their driveway. Patient has a history of assaulting neighbors and is not supposed to be there.
Patient has historically received services at St. Davids, Fraser, and the MN Autism Center.

MHF-M16-1654

UPDATE : Transferred to BAr None shelter 9/13/23
UPDATE 9.7.23 – working with Nexus FACTS for Placement Coordination Services. New Diagnostic Assessment 9/7.

Patient presents to the Emergency Department from a residential treatment facility, following attempted self-harm and suicidal ideation, with a plan to slit his throat with a screw. Staff monitored and stopped the patient from harming himself. The patient experienced intense emotions as he thought about the trauma he experienced at the hands of his father.
Patient was seen in the ED on 8/14/2023 with a similar presentation. Medical records indicate a hx of physical and sexual abuse, conflicts with his father, patient had pulled a knife on this father, and hx of substance abuse. Patient denies current substance use, and has 60 days of sobriety.
8/24- Patient was discharged from residential facility

MHF-F10-1695

UPDATE 9/14/23: Intake date at Gerard next week.
Patient is presenting to the ED for the following concerns: suicidal ideation, verbal agitation. Per Hennepin County workers, patient had been in inpatient at Prairie Care since June due to behaviors and suicidal ideation. Patient was abruptly discharged because she was not safe, and spending a lot of time in seclusion. Patient was to be transported to her grandmother’s home but ran away, and into traffic. Patient reports that she will kill herself and her grandmother if she is to live there. Patient would like to live with her mother, but is unable to due to a court order. Patient has a history of trauma, has witnessed parental domestic violence, and parental substance abuse.
Patient has a bed at Gerard for residential treatment, but not until 9/18.

MHF-F11-1552

UPDATE: Accepted to Gerard Pending date next week.
Patient is presenting to the ED for the following concerns: verbal agitation, physical aggression, anxiety, worsening psychosocial stress. Patient was threatening to attack kids in her neighborhood with a knife, and threatened to stab her grandfather when he attempted to intervene. Patient’s grandfather locked her out of the house, so she wasn’t able to get anything else to hurt someone with, and patient kicked the lock off of the door.
Patient recently lived in a youth shelter/transitional home called Dignity House for 1.5 weeks until 8/3/2023. She was then sent to the ED for aggression. She had a warrant for arrest due to an assault and threatening homicide to family members. She was taken to JDC on 8/3/2023, had court, and then she was sent to the Bridge for Youth Shelter. Patient got into a physical altercation at The Bridge and was sent back to the ED on 8/8/2023. While in the ED, patient physically assaulted a nurse and was picked up by her grandfather.
Within this year, the patient has had approximately 13 ED visits due to concerns including runaway, aggression, abuse/neglect, and altercations with family members.

MHF-F14-1736

Patient presented to the ED via police due to physical and verbal aggression, threats to kill group home staff members, and damaging property. Patient became upset with group home staff after they questioned where she had received money during a shopping trip. After returning back to the group home, patient threatened to kill staff and threw a brick at their car. Group home staff report that patient is demonstrating a pattern of unsafe behavior and are not allowing her to return, citing police involvement on multiple occasions.

MHF-M6-1725

Patient is presenting to the ED for the following concerns: physical aggression, abuse or neglect, worsening psychosocial stress. Patient has been with his foster family for a week. He has been displaying sexualized behaviors, aggressive behaviors like throwing furniture, hitting, trying to light paper towels on fire on the stove top, sharing that he wants to die and self-injure. Patient was in a previous foster home and prior to that he was with his Grandma. Per foster mom, there was “interfamily torture” and the kids were sexually abused. Patient demonstrates inappropriate sexualized behaviors

PH-F13-1646

UPDATE 9/7/23: Pending potential foster/emergency beds.
UPDATE 8/31/23: Possible emergency foster bed open 9/5, emergent SMRT application in process. Still waiting living placement.

13 y/o female with a history of PTSD, depression, ADHD, mild CD concerns. Patient has a history of previous psychiatric hospitalizations related to increase in SI, SIB, and/or suicide attempts. Patient currently has an outpatient therapist and children’s mental health case manager; treatment history includes outpatient therapy and psychiatric hospitalizations as well as one prior placement at Northwoods crisis stabilization program. Patient is in foster care under guardianship of St. Louis County. Patient was in a foster home prior to inpatient hospitalization but is unable to return to that placement after discharge. Patient has Ucare PMAP insurance.

Discharge Recommendations:
Continue individual therapy established provider
Continue CMHCM with established provider
Continue primary care/medication management with established provider
Establish psychiatry (SW to refer/follow up with outpatient team RE: pending referral)

Estimated length of stay:
Until placement is established by the County (Patient is medically ready for discharge as of 08/16/23)

MCR-M14-1389

UPDATE: 9/7/23 – discharged to AMAS Inc (CADI group home)
UPDATE: 8/31/23 – Care conf tomorrow. Accepted by Sunset House, having zoom meeting with patient today to get to know him better before transition- waiting on them to get licensing.
UPDATE: 8/17/23 – Still in ED. Not able to go to Mille Lacs due to non-participation. There is a CADI group home willing to take him, working on licensing.
UPDATE 7/27 – had a video interview with Nexus Mille Lacs on 7/26, awaiting updates.

Previously MCR 1086: Discharged 6/15/23 to VonWald, returned ED 6/30. 14 year old with significant trauma history, ward of Hennepin County, recent placement at his request with young adult brother that was disrupted due to conflict. Briefly placed at Von Wald shelter but repeatedly eloped in an effort to reunite with his brother, and was brought to the ED. Calm overall except when relocated to a unit that required observation while in the restroom, then repeatedly escalated with verbal threats, closing himself in the bathroom, and hitting the walls. Had an interview with Nexus Mille Lacs on 7/26/23. He is familiar with Nexus Gerard and would feel comfortable there.

MHF-F17-1669

Patient is presenting to the ED for the following concerns: physical aggression, and suicidal ideation. Patient was brought in by EMS after the police were called due to patient becoming physically aggressive towards her 4 year old cousin. Patient said that that her older cousin started to film her when she was becoming physcially aggressive. Per patient, she called 911 on her cousin. Patient then became aggressive towards police, and EMS was called. Patient was placed in restraints and given medication. Patient reported that she made suicidal statements during the incident, but that she did not mean them. She tends to say she wants to kill herself when she’s mad. Patient reports that she has never attempted to hurt herself, and has no intention on doing so. Patient has been off of her medications since June due to her insurance no longer covering them. Patient has been staying with her cousin, while her mom is on vacation. Patient’s cousin is refusing to let her return due to her aggressive behavior.
Patient has had several therapists in the past, and has been to day treatment.