Mental Health Collaboration Hub
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.
Psychiatric Diagnosis: Autism Spectrum/PDD
Autism Spectrum/PDD encompasses a range of neurodevelopmental disorders characterized by difficulties in social interaction and communication, as well as restricted and repetitive behaviors. Autism is considered a spectrum because it can vary in severity and presentation.
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.
MHF-M16-7539
Youth came to our ER on 10/9. He had eloped from his home last week, police found him and when brought home he physically aggressed toward his mother, so police brought him to JDC, they reported they could not keep him because Mom was not pressing charges so he was brought to the Bridge shelter, where he was discharged from for exposing himself to others and was then brought to the ER. Mom is refusing to pick him up. He has autism and selective mutism. There is a recommendation for PRTF and RTC from June however the County has not yet screened via JST. There is not a current waiver, though waiver placements are starting to be explored to rush that assessment if identified. Has previously been denied by Hoffman Center and Grafton.
C8SM8SP-F12-7502
Child presented to Children’s after becoming dysregulated and aggressive towards other while at a funeral. Family was in town from up north. 911 was called when child began becoming physically aggressive towards foster mother. She has a history of aggressive behavior; history of foster placements.
MCR-F16-7399
16 year old female who has multiple in state and out of state residential placements, and currently on the waitlist for CABS. Family is unable to meet her needs, and she is boarding in the ED. She is in need of residential placement until she is accepted to CABS.
C8SM8SP-M14-7394
Child presented to Children’s ED after becoming dysregulated at group home; he wanted to leave, became upset and began throwing staff’s badges across the room. GH called EMS and child was transported to ED-Saint Paul. He is no longer able to return to GH after this incident. Child has a long history of foster care since he was three years old.
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.
MHF-F13-7342
Youth came to our ER 9/1 from a 35 day assessment program in WI. They will not allow her to return. It’s reported that they will likely be recommending higher level of care and possibly a locked facility. The County is meeting with the program on 9/10 to get their official recommendations. She has history of aggression toward staff, but not toward peers. There is no waiver currently and a MNchoices assessment has been requested.
MHF-F13-7240
This youth presented to the hospital after eloping from her foster residence. She had been on the run for over a month and was brought in by EMS after attempting to enter a youth shelter. She was admitted to the hospital for medical needs and determined to be appropriate for discharge. The foster residence is unable to take her back at this time due to needed home repairs and working on increasing staffing from 1:1 to 2:1.
MHF-M15-7120
Youth came into our ED on 7/20. Came straight from another hospital. Has previously been in hotel crisis respite however due to history of property destruction was not allowed to return to the hotel location and provider has not been able to identify another hotel that pt can go to. Is on waiver and team is working toward a single site home, however waiting for DHS to give provider their UMPI# before they can take pt, unclear how long that could be. Parents are refusing to take youth home in the interim.