Archives: Cases

Post Type Description

PH-F15-5177

Patient is currently inpatient and are unable to move further with discharge planning due to not having a County of Financial Responsibility. Stearns County and Wadena County have both been consulted and neither have accepted responsibility at this time.

Discharge Plan:
Establish PRTF; referral made to Nexus East Bethel, INTAKE SCHEDULED 3/3/25
Establish Level 6 Program; referral made to Bar None Haven
Establish County Support/Funding; assigned for CMHCM at VOA

Continue with established outpatient providers:
-PCP: Lakewood Health System
-MM: Lakewood Health System
-Therapy: Lakewood Health System

MHF-F15-5270

Kiddo came to our ED on 2/11 from Rebound after altercation. Rebound initially stated they would not take pt back then, but we have not received confirmation if they are terminating. She had been there for 2 weeks, and prior to that was in JDC. Court determined she was incompetent for charges that led to JDC. County has temp custodianship but Mom still remains involved ongoing and makes decisions/signs. No waiver currently.

HCMCH-F15-1627

15 y.o. female with history of childhood sexual abuse and more recent sexual exploitation in 2023 with concern for victim of sex trafficking. Presents with suicidal ideation, self-harm behaviors including substance abuse. During this admission drug screen positive for fentanyl and methamphetamine. Patient transferred from HCMC to Sacred Hearth Inpatient Behavioral Health Unit 8/23/23; long term recommendation is residential care. Substance use and placing self in high risk social situations occurs in the context of her trauma history.

MFIUP-F14-5242

Presented to ED for verbal agitation, physical aggression, significant behavior chance, suicidal ideation. Patient has also been engaging in SIB. Aggression has been ongoing for over a year and has intensified. Aggression comes on suddenly/does not seem to be predictable. Mom feels she has no control. Has an IEP for low IQ and learning difficulties. Refuses medications. Strained relationships with mother, father, and older siblings. Patient reports not having many close friends. Has engaged in lots of community and outpatient treatment options including individual therapy, family therapy, case management, school counseling, child protection, primary care, psychiatric medication management, day treatment. Has been hospitalized before at PrairieCare.

MHF-M16-5234

Kiddo came to us on 2/2 following suicidal behaviors. Plan was originally for inpatient however while waiting for bed he stabilized in the ED and became a boarder on 2/10. Was in SUD residential treatment, but they are declining to have him return, explaining that his needs are more mental health based than what their program can provide. He has a tentative acceptance at a residential program, just waiting for them to process more paperwork and identify a discharge date. Currently under temp custodianship with Ramsey County but Mom is involved ongoing.

CH-F17-5216

Presents from home. Patient is known to our facility having previously boarded. Patient lives with aunt and uncle. There are issues with their relationship, and it has been increasingly difficult for aunt and uncle to manage, and they do not want patient to return home.

MHF-M14-5199

Kiddo was previously boarding on our IPMH unit from 10/30/24-12/11/24, then discharged to hotel crisis respite. He came to the ED multiple times end of January for behavior at the hotel crisis placement. Upon driving home from ED on 2/1, pt became aggressive in the car and was brought back to the ED again. The provider now indicated that he is unable to return to their crisis program. He has been accepted at Chelida in WI, however its reportedly a long wait list, and they may not be able to admit him until this summer. He is also on the wait list for CABHHS but it’s reported they would not have a bed for him for several months. Needing an interim crisis placement while awaiting placement at Chelida. Referral is being made for Nexus YCT to assist with placement coordination. He is suspected to have autism however the full assessment has not been completed for diagnosis. Has previously denied at Grafton, Leo Hoffman, Mille Lacs/Gerard.

MCR-M15-5209

He completed day treatment on 1/23/25 but has been dysregulated off and on during that time, residing at foster home and eloping. Prior to presentation, eloped and was away from home for 12+ hours, sleeping outside in someone’s truck (not running) in zero degree temperatures. Nobody feels he can be maintained safely in the community.