Risk Factor: Aggression (property)

Aggression that results in damage or harm to property.

LAHC-M14-6887

Has been with us since January. Arrived from Prairie care from Mayo Clinic before that for verbalized increase in SI and engaging in SIB. History of abandonment from bio mother and apparent abuse and substance use in the household per history. History of temporary foster care. Difficulty with boundaries and impulsive behaviors. Often losing his temper, being easily annoyed and irritable, arguing with adults of authority, and not complying with rules/structure. Current and historical property destruction and elopement. Behavioral instances at school, threatening gestures and actions. History of vaping nicotine “if I have it I will use it” mentality. Witnessed DV, history of homelessness, and physical abuse.

CH8SCH-M16-7447

Patient presented to the ER from group home after engaging in extreme aggression/property destruction. Group home moved to immediately terminate services. Patient has a recent history of boarding in ERs (5/29/26-6/29/26) and brief placements in group homes. Notably, patient was admitted to group home on 9/29 and presented to the ER within 12 hours due to extreme aggression and dysregulated behavior.

C8SM8SP-M12-7425

Child presented to Children’s ED due to altercation at group home. Child was requested by mother (guardian) to be brought to ED for MHCA. Child was no longer allowed to return to group home due to the altercation. Pt has a long history of presenting to the ED due to behaviors and is recommended to discharge home. Mother does not feel safe with pt discharging home in her care.

MHF-F15-7277

Youth came to our ED 8/27. This is her 3rd time boarding in our ER this month. She lives with Mom at home, however Mom does not want her to return. CMH is involved and offered Mom increased in home crisis services and she declined those. CMH is working on RTC. There is tentative acceptance at a program however its currently approx 3 weeks out- no admit date set yet. Mom has reported there is no family that pt can go with in the interim. Had a MNchoices last week, working on expediting SMRT.

MFIUP-F14-7201

Pt has hx of several suicide attempts, chronic SI, impulsivity, substance use, and PTSD with dissociative symptoms. Pt has a long history of IPMH and two residential stays at Heartland Girls Ranch. She recently was at a dual treatment center but was discharged following a suicide attempt. We were initially looking for dual RTC, but we have expanded our search to find placement as pt continues to struggle with prolonged hospitalization.

C8SM8SP-F11-7131

Child presented to Children’s with group home staff after pt had continuous behavioral escalations at the group home. Pt was unable to play with balloons with peers and got upset, leading to dysregulations and ran away from group home. Pt was found by police and became physically aggressive towards others. Pt assaulted staff, assaulted sheriff deputies and broke windshields with rocks. She is unable to return to group home.

MHF-F13-5583

Pt came to our ED on 4/20 from home, where she is unable to return at this time. CPS is looking for foster care placement. Open to DD waiver and crisis respite is also being sought, MCCP referral has been made. Do not believe pt has had out of home placement before. Had DA 3/31 and outpatient therapy was the recommendation.

CH-M15-4753

Pt presented after eloping from foster placement. Needing long term placement. Difficult placement with history of substance use, possible gang affiliation, elopement, substance use – THC, nicotine.

PH-M15-4658

Pursuing QRTP – patient is currently in psychiatric inpatient hospitalization.
Patient is a 15-year-old male. He presented to inpatient via ED due to increased SI and SIB. He has three historical inpatient hospitalizations, has done DBT and outpatient psychotherapy services, and most recently was at Newport RTC – although was discharged early due to aggression and property destruction.

From an acute psychiatric standpoint, youth is safe to discharge form inpatient care and receive services in the community prior to admission to QRTP. He has made significant progress on treatment goals during hospitalization.

Discharge Plan:
Referrals sent to the following residentials:
– Omegon Ascend (Reviewing, no current waitlist)
– Nexus Gerard (Reviewing, waitlist about a week)
– Nexus Mille Lacs (Reviewing, Current waitlist 2 months)
– North Homes (Declined d/t hx of aggression towards others)
– Northwood (Received, 6-9 month waitlist)
– PrairieCare Residential (Reviewing, 2-3 week waitlist)

Alternative Placement through Wright County:
-Wright County unable to identify alternative placement as of 9/24/24

Plan to bridge until residential:
PrairieCare PHP at MOB (unable to pursue establishing care at this time due to pt continuing to be hospitalized)

Continue with established outpatient providers:
Individual Therapist- Bridging Hope Buffalo
Medication Management- LifeSpan Mental Health Monticello
PCP- HealthPartners Elk River
CMHCM- Wright County
Neuropsych Testing- Clary Clinic St. Cloud