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.

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-M17-7527

Patient was residing at a group home when he became upset and verbally threatened peers due to a statement they made. Per staff, they were unable to deescalate and he began to punch walls and pushed staff. He is no longer able to return to this specific group home.

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.

C8SM8SP-F12-7511

Child presented to Children’s ED to receive a mental health evaluation after becoming dysregulated in foster home. Child was recently separated from grandmother’s house and sister. Pt made suicidal comments because she “misses her family”.