Psychiatric Diagnosis: Anxiety

Anxiety disorders are a group of psychiatric diagnoses that involve excessive and persistent worry or fear. These disorders can significantly impact daily life and well-being.

MHF-F14-7666

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.

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-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.

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.

PH-F15-7244

Recommendation is now for group home
Patient presented to PrairieCare Inpatient Hospital after suicide attempt by hanging on two consecutive days while at Avanti Center for Girls Residential. She has been at 3 different residential treatments (North Homes, Bar None Haven, and Avanti). This is her 4th psychiatric inpatient hospitalization.

Discharge Plan:
Establish QRTP/PRTF:
-Avanti (discharged d/t suicide attempts and elopement concerns)
-PrairieCare Residential (declined d/t suicide attempts and elopement concerns at Avanti)
-Grafton (referral sent)

Outpatient Providers:
Red Lake Ombimindwaa Gidinawemaaganinaadog (OMBI) Program: Outpatient therapy
Sagent Behavioral Health: Medication Management/ Psychiatry Services

C8SM8SP-F9-7516

Child presented to Children’s to receive mental health evaluation due to homicidal ideation. Patient has a history of aggressive behavior and dysregulation that leads her to the ED for mental health evaluations. Patient had run away from her home and went into a neighbor’s home where she stole a firearm that was loaded. She pointed the gun at her mother, family, county social worker and police. Child cannot return home at this time.

MHF-M15-7373

This youth came into our ER 9/13 from Grandparents home, who are custodians. He was just in our inpatient unit until 9/11. He came in for suicidal ideation and was cleared for discharge. It’s reported by his team that ongoing he uses suicidal threats to get out of unpreferred activities, and if that doesn’t result in what he wants, he escalates further. He had safety planned with our team for discharge, but when Grandma called him on 9/14 to discuss, he was making suicidal statements to avoid returning home and Grandma then refused to get him. Grandma tried to get him again 9/16 but when she showed up to the ED he escalated and threw an object at her and she left the ED. It’s reported he’s been struggling since the death of his great grandma early last month. Currently there is no recommendation for residential or higher level of care. He’s done PHP in the past and is currently set up with CTSS, DBT, Individual therapy, family therapy and psychiatry at home, but has been in the hospital a lot so hasn’t gotten a lot of these services, and uses suicidal statements to get out of participating in some of them. The County is not exploring any out of home placements at this time. Bereavement counseling and respite were discussed, but those can’t begin until he is discharged. He has endorsed that he enjoys the hospital setting and ambulance rides.

M8SAS-M12-7346

Has been living with aunt for 6 weeks while mom is in treatment. Aunt no longer willing/able for patient to remain with her due to behaviors. history sexually inappropriate talk, interest, and behavior. He has been observed watching pornographic content and then wanting similar aged peers to watch it with him and act out the scenes. He has been through a few placements at boy’s homes and is not welcome back to those facilities due to such behavior. He has a history of “destroying” the kitchen & bathroom of his aunt’s home by pouring out all the soaps/shampoos/conditioners/etc onto the floors. He recently stuck a sock in his aunt’s toilet causing some water damage at her house. He has been observed closely facing the wall and talking to himself; unsure if this is true hallucinations or behavior. He has a history of self-injurious behavior with sharp objects, so risky items were removed from his access at his aunt’s house. He has a history of swearing at staff at facilities where he has been before. Several referrals have been made while at aunts house and patient has mostly been declined.

PH-F15-7329

Recommendation is for QRTP.
Patient presented to Inpatient from the ED after disclosing suicidal thoughts to her outpatient therapist with a plan to overdose on her prescription medication she had been saving. This is her 2nd psychiatric hospitalization in 2026.

Discharge Plan as of 9/9/26:
-North Homes: Referral sent, guardian declined to pursue further
-Gerard: Referral sent, guardian declined to pursue further
-Newport: Patient declined for admission due to continued endorsement of SI/SIB and recent self-harm
-PrairieCare: Admission was available on 8/31, guardian declined in favor of pursuing Avanti
-Avanti: Accepted, awaiting admission timeline