Update – 2024-09-19 04:37:28

9/19/24 

Discharge Plan: 
 From an acute psychiatric standpoint, youth is safety to discharge form inpatient care and receive services in the community prior to admission to PRTF. Last (and only) incident of externalizing behaviors that required physical staff intervention was 7/28/24. Patient has made significant progress on treatment goals during hospitalization. 
PRTF-(county determination/recommendation – DHS approved) 
-Nexus East Bethel (referral submitted; would re-consider in several months until milieu stability at East Bethel) 
 -Grafton (not an option; patient does not meet admission criteria) 
 -Northwood (referral submitted; two year waitlist) 
 – Acadia (referral for out of state consideration submitted) 
 RTC: (county declined funding for level 5 QRTP, recommended PRTF) 
 -Avanti (declined)
-Gerard (referral sent, unable to move forward due to lack of funding) 
 -North Homes (referral sent, unable to move forward due to lack of funding) 
Continue with established outpatient providers: 
Individual Therapist: Your Vision Family Therapist 
Psychiatrist: Associated Clinic of Psychology 
PCP: Allina Healthcare 
CMHCM: Dakota County 
PO: Dakota County 
Support Groups: Treehouse Hope 
Crisis (if needed): Dakota County CRU/Stabilization 
CADI Waiver: SMRT completed earlier this year, still pending

Update – 2024-09-19 04:17:04

Accepted to respite group home through Zane Care and can be admitted on 9/23. With plans to be admitted to MSOCS on 10/2.

Update – 2024-09-19 01:42:36

9/13/24: Patient discharged from inpatient. Patient discharged home with PHP and outpatient services due to no available stepdown for PRTF – patient was declined to Grafton PRTF due to their current milieu and declined to Nexus East Bethel due to her age.

Update – 2024-09-19 12:54:58

Patient currently on thorazine and doing very well behaviorally with this medication. Patient has not had any behavioral dysregulation resulting in restraints/seclusion or IM’s for over a month now. Referral to Chileda currently pending.

Update – 2024-09-18 04:57:18

Patient discharged back to group home on 9/13 with a plan to utilize outpatient supports. Patient returned to the ETC on 9/17 after becoming dysregulated while at an outpatient appointment for medication management. Current recommendation is for patient to return to the group home as she is not meeting criteria for inpatient admission. Group home is willing to explore it but if patient shows any aggression, they will call 911.