Mental Health Collaboration Hub
Youth came to the ER 10/20. County has custody and she was under a trial home visit with Mom. County indicated at first that it wasn’t safe for her to return home until an investigation was completed. Had a plan to return her home 10/27 however pt has lupus and ongoing rheumatologist requested labs be completed so she was admitted to our medical floor overnight for those. The next day she was struggling emotionally saying she didn’t want to go home with Mom, and on 10/29 the County reported they were no longer planning to return her to Moms at this time. They are looking for temp alternative placement. Report she isn’t eligible for County paid shelter/foster as she is still on trial home visit with Mom. Have her on the list for YSC crisis but uncertain when there may be an opening. Also exploring waiver crisis respite and potential in home waiver services to support the family. Recently completed RTC so not eligible for that currently.
Archives: Cases
Post Type Description
C8SM8SP-M12-7655
Patient presented to Children’s ED after attempting to jump off 3rd floor balcony at home. Patient has been IPMH in the past and was originally recommended IPMH at this ED visit. However, after pt was not being accepted to IPMH units in metro, psychiatry was requested. Psych reported pt was near baseline behavior and mood, recommended to discharge home. Mother and father did not feel safe having pt return to either of their homes.
C8SM8SP-M12-7649
Patient presented to Children’s ED after being discharged from Prairie Care IPMH. After returning home, patient became upset with mother because he did not want to go to Hyvee to pick up medication. Pt became distressed, attempting to hurt mother with a butter knife and kicked mother. Mother called 911 and does not want patient to return home at this time.
C8SM8SP-M17-7645
Patient presented to Children’s ED from Passageways after getting into an altercation with a peer. Patient was recently approved to stay at Jelani House but had a negative experience there recently and refused to return.
Cannot return to Aspen House due to elopement concerns.
C8SM8SP-M13-7639
Patient presented to Children’s ED most recently after leaving JDC. This patient is frequently in the ED for placement and elopes from ED often, and returns, sometimes within a few hours. County worker is attempting to reunification with patient’s mother after months of mother unwilling to have patient return home.
MNChoice Assessment recently completed.
C8SM8SP-F14-7632
Patient has been living in a group home. At the group home patient had gotten into a verbal altercation with a staff member. When the altercation went on for longer, the patient contacted the police while still at her group home. Patient reports staff member was calling her several names and patient began to verbally escalate back to the staff member. She was brought to Children’s ED, received a mental health evaluation and was recommended to discharge. At this time, pt is no longer able to return to group home.
AH-F16-7617
Previous psychiatric diagnoses: PTSD, depression, anxiety, eating disorder, ADHD, complex trauma, suicide attempts, self-harm
Patient presented to the ED after reporting SI to their guardian. Patient reports a near daily experience of SI and AH/VH of his brother who abused him. Therefore, this is not a new symptom. Patient reports that yesterday there was no particular trigger for his SI and AH/VH, that he took a PRN medication, which usually works for him, and then called his guardian who told him to go to the ED.
While in the ED (and as is common in the community), patient will attempt to use clothing to strangle themselves when dysregulated, often revolving around trauma.
Guardian is Dakota County (Tori Thompson). No contact order for anyone in the biological family.
Hospitalized in ND for a full year and a recent over month stay at Children’s for placement from which they were placed in Mn Care Counseling Crisis home.
Crisis home has given an immediate termination notice and state as they are a crisis home they do not require a 30 day notice, due to inability to keep pt safe. They report running into traffic as a particular concern.
Recommendation is discharge with ongoing outpatient support coping skills, distress tolerance, emotional regulation and behavioral support. Pt presentation appears to be baseline and unlikely to mitigated by an admission which may conversely increase risk of maladaptive coping skills and hospital seeking behavior.
Referrals:
· Wingspan is future development of home for patient; not ready until January
referrals made to all PRTFs
Grafton
Leo Hoffman
North Woods
Nexus East Bethel
No update on possible openings
CABHHS – pt has been declined multiple times due to various reasons including high acuity, Diabetic, Eating disorder – A new referral is in process
Bridgeview—-Dakota county crisis placement; on list but currently full (2 bed facility for Dakota County youth)
Kid Link – referral to all 50 of the facilities they work with, no update on potential openings.
Out of state (Rogers and Acadia)—active referrals, no timeline
MHF-F13-7627
Youth came to our ED 10/24/26 from a crisis home who are not allowing her to return. She just boarded in our ER from 9/1/26 to 10/14/26. A previous 30 day assessment provided a recommendation of PRTF/QRTP, however she has been denied from Grafton, Northwoods has extensive wait list, and she has also been denied by all MN QRTP programs. She is open to the CADI waiver. Team would prefer to keep her in MN near family however due to the challenges of placement had been looking across the Country as well.
RCCP-M13-7590
He is new-to-country, arriving in June from The Gambia. He is English-speaking.
He has a record in the past month of trying to wander around – likely a cultural habit of wandering around the community, saying hi to people, just kinda hanging out. He wanders and then often returns within a few hours.
Current dx: Adjustment Disorder due to transitions related to moving to the US and living with mom.
Mid-October, he tried to force another male youth to perform oral sex on him. 5th Deg CSC charges pending. He has a pending Rule 20 competency eval & full psych eval.
He was in a CADI home where we contract for a crisis bed (no current waiver). Over the weekend, he punched 2 peers and was discharged.
Current VPA to allow placement authority to Ramsey County.
Goal is to return him to The Gambia.
Placement History
9/13-9/15: hospital
9/15-9/18: foster home, disrupted placement
9/18-10/4: various hospitals
10/4-10/10: foster home, attempted to force another youth to perform oral sex on him
10/10-10/13: JDC
10/14-10/18: CADI crisis home
10/18-today (10/22): various hospitals
PH-F16-7411
Recommendation is now for group home. Patient presented to the hospital from the ED for acute safety concerns related to self-injurious behaviors and suicidality following an assault on patient by other residents in a shelter. Patient has a history of multiple inpatient hospitalizations and residential treatment.