C8SM8SP-F14-885

Patient has previous mental health history and does not want to return home to live with her parents. Patient makes efforts to elope from their care and will escalate her behaviors to ensure she does not return home. Patient has grabbed the steering wheel from mom in an effort elope from the car.

C8SM8M-M8-308

Presents with dysregulation, agitation, aggression, threats of SI/SIB. extensive mental health history. Sexual abuse at early age. In and out of residential treatment. He doesn’t meet inpatient requirement. Mom unable to meet his needs at this time. Mom working with county to find residential placement.

MHF-M14-699

Patient is presented to the ED by EMS after getting into an altercation with his mother. Patient threatened mother, and ran away from home. Police found the patient three hours later and was brought to the hospital. Patient has a history of mental health issues, aggression, and is currently on probation for making terroristic threats at his school.

MHF-M6-779

Patient is presented to the Peds ED from his elementary school, where he became physically aggressive towards staff and students, and eloped from his school. Patient was placed in the care of paternal aunt about two years ago, but removed a couple of months ago due to alleged abuse toward patient. Patient’s mother and aunt are allowed supervised visits. Patient has been in four foster home placements in the last six weeks. Patient’s most current foster placement refuses to take him back. Patient has hypersexual behavior and sexual knowledge not appropriate for his age. There are concerns for sexual abuse

MHF-F12-680

Patient presented to the hospital by police for suicidal ideation, homicidal ideation, and physical and verbal aggression towards her family after lowering a dose of patient’s medication. Patient’s mother doesn’t feel safe with her returning home.

5/3/23 discharged to home

AH-F13-470

Diagnosed with Disinhibited Social Engagement Disorder. Has been inpatient and in PHP continuously since October 2022. Was in residential treatment at Prairie Care in December 2022 but discharged early due to ingesting non-food items. She has not engaged in this behavior for several months. Current struggles include suicidal ideation and self-harm. Struggles with peer relationships. Presents as intrusive and has poor boundaries.

PH-M8-352

Admission: 2/24/23
Presenting concern: PTSD, Depression, Anxiety
Ongoing case conferences weekly with Itasca have occurred. Itasca County holds guardianship.

Discharge Plan:> UPDATE 4/20/23:ADMISSION IS 4/24/23> ADMITTED SUCCESSFULLY TO NORTHWOOD on 4/24/23
Patient is medically ready for discharge; will discharge as soon as RTC/living arrangement is identified.

Interim plan:
-PHP while awaiting RTC (foster parents share they are not able to have patient back into their home at this time)
-Itasca County has submitted referral for SMRT; once approved, this will provide access to disability status/waivers and additional placement options
-MNCHOICE assessment (Referral made to Hennepin County on 04/04/2023)
-Continue CMHCM at CMHS/REACH

RTC:
-Northwest Passage (2-3 month waitlist for patient’s age group; guardian declined referral due to waitlist and out of state)
-Gerard Academy (Referral made, Declined for admission on 3/24)
-Northwoods 35-day assessment (Screening meeting completed on 4/12/23, pending acceptance/admission)
-Clinical submitted on 4/5 to treatment placement specialist at Acadia Healthcare for consideration of out-of-state referral options