Archives: Updates

Made to store user submitted Updates for a Case. Linined to single case by id

Update – 2025-05-09 08:30:56

Leo Hoffmann Center’s clinical team has a virtual interview scheduled with the client and his support team Thursday May 15th to see if our programming will be a fit!

Update – 2025-05-01 08:29:17

Update 4/30/2025: 

 This youth discharged from PC Inpatient Hospital with outpatient supports in place. 
 The PrairieCare treatment team recommends a residential treatment (RTC) level of care. 
 Referrals have been submitted to: 
 -Nexus East Bethel: declined 
 -Northwoods: not a viable option due to wait list being 2+ years 
 -Grafton: does not meet admission criteria 
 -Leo Hoffman Center: does not meet admission criteria 
-Heartland Girls Ranch: a referral has been submitted 
A chemical dependency evaluation was completed while at PrairieCare, the recommendation is for dual diagnosis residential treatment, guardian does not want referrals sent at this time due to pursing mental health RTC. 
 Establish partial hospitalization programming (PHP) to bridge to RTC, guardian does not want to pursue at this time.

Update – 2025-05-01 04:20:58

She does not agree to residential treatment at this point. Recently had a MH DA recommended a PHP level of care. Looking at shelters and group homes, lots of denials due to substance abuse.

Update – 2025-05-01 04:12:56

Another Update for 5/1 🙂 

Discharge Plan: 
Residential care-
PRTF:
(eligibility form sent to AFMC – approved on 4/11) 
-Nexus East Bethel (declined 4/16 as they feel pt should attempt a least restrictive setting) 
 -Northwood (parent revoked consent on 4/10 due to distance) 
 -Leo Hoffman (not viable option due to only male patients) 
 -Grafton (not viable option due to needing ASD, ID, or DD 
 Level 6 RTC: 
-Bar None Haven (Parent consented 5/1, referral in progress)
 Level 5 RTC: 
-Avanti Center for Girls (mom’s first preference- declined due to increasing aggression and poor boundaries, recommending PRTF level of care) 
 -Gerard (referral made, consent revoked on 4/25) 
 Consider community based care settings such as group home or other residential living options (county not supporting at this time)

Update – 2025-05-01 04:07:12

5/1/25 

Establish Residential Treatment; 
-Newport Academy, declined due to needing higher level of care, requested re-review, 3/5/25 pt accepted to Orange County CA, guardian declined referral due to distance and financial reasons and is unwilling to complete hardship application (Newport said hardship application would cover remaining costs and they could provide airline ticket for guardian and patient) 

Consider out of state RTC due to very narrow network of options with insurance –
– Acadia Healthcare, pt reviewed to McCallum Place, guardian declined referral due to distance 
– Rogers Behavioral Health, guardian declined referral at this time 
 RTC Declines: 
-Avanti Center for Girls, insurance not accepted 
-Nexus Gerard, declined due to admission not being available prior to birthday, as well as age 
-North Homes, declined due to needing higher level of care 
-PrairieCare Residential, declined due to eating disorder concerns 
-Bar None Haven, not an option due to insurance not being accepted 

 Children’s Mental Health Case Management – guardian declined referral at this time 

 *Insurance Highmark BCBS is declining further Inpatient hospitalization though youth is acutely needing inpatient care

Update – 2025-05-01 04:01:14

4/30
Discharge Disposition: 

Establish PRTF/RTC: 
-Nexus East Bethel (CMHCM sent referral, PC also sent a referral, declined for admission 04/16 due to believing PT needs a higher level of care- CABHH) 
-Northwoods (Not a viable option due to insurance and 2 year waitlist) 
-Grafton (Not a viable option due to patient not meeting admission criteria) 
-Leo Hoffmann Center (Not a viable option due to patient not meeting admission criteria- only accept biological males) 
-Heartland Girls Ranch (CMHCM sent referral 04/25) 
interim plan-
 Establish PHP: LG declining additional referrals at this time 
-Children’s MN- Roseville (Referral sent, patient declined for admission on 04/29) 
-Allina Health- Fridley (LG declining referral at this time) 
 Complete CD Assessment: PrairieCare (Rec is ASAM 3.5 (RTC) with dual diagnosis programming, LG does not want to send referrals at this time d/t pursuing MH RTC) 
 Establish Dual Dx RTC: 
-Wings (CMHCM sent referral 04/25) 
-MHealth Fairview (CMHCM sent referral 04/25) 

 Establish IT: Nystrom and Associates (Referral sent) 
 Continue with established outpatient providers: 
Primary Care Provider: Children’s Minnesota in St. Paul (Appointment 05/07 at 1450 with Gigi Chawla) 
Medication Management: Julie Clausen with Nystrom and Associates (Appointment 05/02 at 0830 via telehealth) 
CADI Waiver: Heather Hanson with Anoka County 
CMHCM: Asli Abu with Anoka County (612-476-5933; Asli.abu@anokacountymn.gov)

Update – 2025-05-01 01:25:27

Update 5/1/2025: 

 Residential care- 
PRTF: 
(eligibility form sent to AFMC – approved on 4/11) 
-Nexus East Bethel (declined 4/16 as they feel pt should attempt a least restrictive setting) 
–Northwood (parent revoked consent on 4/10 due to distance) 
-Leo Hoffman (not viable option due to only male patients) 
-Grafton (not viable option due to needing ASD, ID, or DD) 

 Level 6 RTC: 
-Bar None Haven (Parent declined due to it being locked) 

 Level 5 RTC: 
-Avanti Center for Girls (referral sent, mom’s first preference – declined due to increasing aggression and poor boundaries, recommending PRTF level of care) 
-Gerard (referral made, consent revoked on 4/25) 

 Consider community-based care settings such as group home or other residential living options (county not supporting at this time)