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.
Risk Factor: Suicidality
Suicidality refers to thoughts, behaviors, or tendencies related to suicide, including suicidal ideation and suicide attempts.
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
NMH8R0MGH-F14-7544
Patient presents for psychiatric evaluation in the setting of suicidal ideation and recurrent self-harm behaviors. Per nursing report, the patient has generally been calm but has repeatedly attempted to harm herself by scratching her arms. At times, her behaviors have escalated to lashing out at staff, requiring restraints to prevent further self-injury and maintain safety. Nursing reports that her parents have not been visiting because their presence appears to trigger increased emotional distress.
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.
PH-F14-7333
Recommending QRTP.
She presented to inpatient from the ED after increased SI and engaging in SIB via cutting. This is her 3rd psychiatric hospitalization.
Discharge Plan as of 9/9/2026:
Establish Residential Treatment Care
In State:
– PrairieCare , referral sent
– Avanti, requiring secondary county funding for placement
– Gerard, referral under review
– North Homes, referral under review
– Northwoods, not appropriate referral due to current two-year waitlist
Out of State:
– Altior, declined due to safety concerns related to ingestion
– Acadia, declined due to safety concerns related to ingestion
– Rosecrance in Illinois, declined due to safety concerns related to ingestion
– Rogers Behavioral Health in WI, declined due to safety concerns related to ingestion
– Embark Behavioral Health Utah, declined due to safety concerns related to ingestion
– Rolling Hills Ada, OK, declined due to safety concerns related to ingestion
– SunCloud in Illinois, declined due to safety concerns related to ingestion
– AMFM, referral sent by Acadia, declined due to safety concerns related to ingestion
– Kid Link Treatment Services, referral under review
– Perimeter Behavioral of Forrest City, AR, referral sent
– Lakeland Behavioral Health Springfield, MO, referral sent
– Springbrook in South Carolina, referral sent
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
MHF-F16-4834
Kiddo came to us on 11/7 from East Bethel PRTF. East Bethel has discharged reporting they are unable to meet his needs based on his ongoing SI and behaviors. They are completing a referral to CABHH. Has a long history of SI. There is currently no County involvement. Aunt is working on setting up CMH services, but County has reported they don’t have any placement options. Our team will be requesting County look at approval for out of state options once they are open due to limited options in MN for this level of care.
MHF-F15-7277
Youth came to our ED 8/27. This is her 3rd time boarding in our ER this month. She lives with Mom at home, however Mom does not want her to return. CMH is involved and offered Mom increased in home crisis services and she declined those. CMH is working on RTC. There is tentative acceptance at a program however its currently approx 3 weeks out- no admit date set yet. Mom has reported there is no family that pt can go with in the interim. Had a MNchoices last week, working on expediting SMRT.
PH-F16-7247
Recommending outpatient wraparound services.
16-year-old female who presented to PrairieCare after being brought to the emergency department from their group home after an increase in suicidal ideation after intervening twice with a peer’s suicide attempt in the group home.
Patient has a history of 5+ inpatient hospitalizations, group home and PRTF placement.
Children’s mental health case manager is pursuing RTC and group homes as an alternative to home. Referrals were sent to:
– Northwoods (PT has been on waitlist, anticipated timeline at least 1 year as of 07/29)
– Community Living Options
– Little Sands
– Nexus Gerard RTC
– Avanti
– PORT
– Acadia Healthcare
– South East Regional Crisis Center (SERCC)
– Boys Town RTC in Nebraska
– North Homes RTC
– Village Ranch