Minnesota
Minnesota mental health patients stay 25 hours longer than necessary in ER because of shortages
When patients in mental health crises get stuck in Minnesota’s emergency rooms, they stay 25 hours longer on average than necessary — taking up hospital space as well as the time of doctors and nurses, who could otherwise focus on the next emergencies.
Researchers documented the length of these delays by studying patient activity over 14 days last fall at more than 30 Minnesota hospitals, but they also provided vital evidence about which patients were most likely to suffer delays, and why.
Knowing which patients are at risk can help the state come up with treatments that target this population and prevent mental health crises and hospital visits, said Kristin Dillon, a coauthor from Wilder Research, which released the report on Monday along with the Minnesota Department of Health.
Delays for patients “in a hospital setting when they can be discharged is harmful to patients, caregivers, hospital staff and the health care system,” she said. “However, we cannot take steps to effectively address these discharge delays without understanding the underlying reasons behind the delays.”
Monday’s findings were presented to an advisory council created last year to reduce delays in care and the worsening problem of ER and hospital overcrowding in Minnesota.
Staffing and bed shortages at nursing homes and rehabilitation centers have worsened since the COVID-19 pandemic, leaving hospitals stuck with frail, elderly patients on their inpatient floors. Twin Cities ERs have treated patients in hallway gurneys at peak times when they have run out of beds. But these delays in many ways just compounded the longstanding problem of patients in mental health crises being boarded in ERs with nowhere to go.
Hospital inpatient psychiatric units were largely full during the study, and they couldn’t take new patients from ERs until they found space to discharge their existing patients to residential or outpatient treatment programs. The study observed 182 patients in hospital psychiatric units whose discharges were delayed, and on average it took 8 days longer than necessary to move them.
The problem was more complex than patients waiting for openings in treatment programs, though. One in five patients stuck in inpatient units was delayed by court decisions over civil commitments, or decisions over their eligibility for insurance benefits or waiver programs, the study showed.
Among patients stuck in ERs, only six in 10 needed inpatient hospital care. The rest were stuck for other reasons, including delays in arranging transportation home or in getting outpatient care lined up. A third of the delayed patients went straight home from the ERs.
M Health Fairview has been confronting the problem, opening a so-called EmPATH unit at its hospital in Edina that provides a relaxed environment and transitional care for patients who can be moved from the ER. The health system also is partnering with for-profit Acadia Healthcare to reopen the Bethesda Hospital campus in St. Paul as a psychiatric facility next year.
In some ways, the delays published in the report underestimated the problem. Delays were only calculated for patients who were discharged during the two-week study. About 5% of the ER patients had yet to be discharged by the end, and some spent the entire two weeks in care. Some hospitals have endured extreme cases, such as the boarding of a child with behavioral problems for months at Ridgeview Medical Center in Waconia.
State lawmakers were so concerned by the delays in 2022 that they waived Minnesota’s hospital construction moratorium through 2027 for any provider looking to add psychiatric capacity. However, the study makes it clear that the greatest need is in community and preventive treatment programs that keep people from crises, said Dr. Will Nicholson, vice president of medical affairs for Fairview’s East Metro hospitals.
“We can take better care of people when we can prevent illness, we can get upstream,” he said.
Minnesota has been locked for two decades in a chicken-egg debate about whether to spend limited dollars on more inpatient beds, or preventive programs to try to reduce the need for those beds. State health economists blocked a proposal in 2008 by then-named Prairie St. John’s to build a psychiatric hospital in Woodbury, based largely on the argument that prevention programs were needed more. The provider later became known as PrairieCare and built and expanded a pediatric psychiatric hospital in Brooklyn Park.
More beds aren’t the only solution at a time of workforce shortages, said Sue Abderholden, who directs the Minnesota chapter of the National Alliance on Mental Illness. Minnesota previously tackled the mental health treatment shortage by creating a stepdown level of care called intensive residential treatment services to ease the pressure on hospitals. The state has about 60 of them operating, but many can’t find enough staff and are operating well below their 16-bed capacities, she said.
The legislature this year OKed funding for counselors who could check on patients who were showing the first signs of struggling — perhaps by skipping medication doses or appointments, Abderholden said. “We’re trying to get way before a crisis, before you need an ER, before you need a crisis team.”
A dangerous social media trend is circulating online, and Minnesota health experts are warning parents it involves allergy medication.
Doctors say the so-called Benadryl challenge involves teens taking large amounts of the medication and record themselves as the effects kick in.
“Our goal here at Children’s Minnesota is if a trend causes any sort of physical harm or mental harm to make sure that we’re taking care of our patients,” said Dr. Nita Gupta, a pediatric emergency medicine physician at Children’s Minnesota.
According to the Minnesota Department of Health, the trend first gained attention in 2020 when there were 184 reported cases tied to intentional misuse of the allergy medication. Cases continued to rise the years but dipped in 2024 and then more than doubled in 2025, reaching nearly 400 cases. Most of the cases involved teens ages 15 to 19.
Dr. Gupta believes the main draw is the hallucinogen aspect of it, but says there are so many other negative consequences that can happen.
Health experts say the allergy medication can become dangerous when taken in large doses. Symptoms can escalate quickly and may include agitation, blurred vision, seizures and in severe cases, death.
“The second the parent knows that their child consumed this is a reason to come in or at least call poison control, don’t even wait for the symptoms to start,” Dr. Gupta said.
Experts say the resurgence of this dangerous challenge shows how quickly trends can return, and they urge parents to talk to their children about what they are seeing online.
Dr. Gupta believes early conversations at home may help prevent serious injury.
The Minnesota Regional Poison Center is open 24 hours a day, seven days a week for anyone with questions. The organization’s phone number is 1-800-222-1222.
Trading LaMelo Ball to the Minnesota Timberwolves will make the Charlotte Hornets worse in 2026-27. There is no denying that.
Ball was the lone driver of Charlotte’s top-five offense, speeding the Hornets’ fast-paced attack up and down and all around the floor to create open looks for himself and his talented teammates. LaMelo’s Gastonia shooting range, unorthodox handles, eagle-eyed passing, and his ability to heat up in a moment’s notice just simply cannot be aggregated in the interim.
With Ball on the floor, Charlotte’s offensive rating jumped by 11.6 points per 100 possessions, good for the 99th percentile among guards in the NBA. Kon Knueppel’s three-point percentage increased by 10.3 points when he shared the floor with Ball, and Brandon Miller shot 20.5% better at the rim (an area where he struggles) with LaMelo helping create looks for him.
Everyone who plays alongside LaMelo Ball gets better — the proof is in any publicly available number you can find.
Charlotte’s historically efficient offense cratered when LaMelo hit the bench, and trading him now, no matter what they got in return, will immediately set back the Hornets’ push to become the premier NBA franchise they aspire to be.
But what if I told you this move does make some sense in the Hornet’s long-term team build? And that Charlotte is justified to sell-high on their All-NBA caliber point guard? I’m not sure I believe it, so I’m going to try and convince myself as I attempt to convince you.
Justifying Charlotte’s Decision to Trade LaMelo Ball
I can understand some trepidation about building the whole plane out of LaMelo Ball. He only played a total of 105 games in the three seasons prior to 2025-26, and until that becomes the exception, not the norm, it will always be dangerous to have him as the centerpiece of a franchise.
LaMelo Ball played 72 games in 2025-26, the second-highest number of his young NBA career. The Hornets were cautious about over-taxing their star creator, only playing him 28 minutes per game, a career-low, and crafting a roster that was built to ease LaMelo’s burden.
Last summer, Charlotte targeted Tre Mann (which looks bad in hindsight), Collin Sexton, and Spencer Dinwidde to provide supplementary ball handling and lower the league-high 37.1% usage rate Ball racked up in 2024-25. Championships are won on the margins, and if you have to allocate extra resources to your point guard room as a parachute for a player like LaMelo, there’s a chance you’re missing out on some impact on the fringes of your roster.
Also, the skill sets of Ball, Knueppel, and Miller are quite redundant. They are all perimeter-focused offensive options who struggle to score in the paint. Charlotte could believe that it was necessary to move one of them in an attempt to diversify their offensive attack, and due to Kon and Brandon’s contract situation and LaMelo’s long-term health outlook (which the Hornets would know better than anybody, by the way), they decided that the time to sell-high on Ball was now.
How high would the ceiling of a fully-formed, maxed-out contractually Ball, Knueppel, and Miller trio even be? A second round exit assuming everything goes right? By trading Ball now, adding a talented front court piece in Naz Reid, creating the largest trade exception in league history, and setting yourself up to be a real player in trade talks about any disgruntled superstar, Jeff Peterson just created a number of avenues to rebuild this team around its burgeoning stars.
Could the package have been more robust? Sure. But there’s no guarantee another team with more assets to spare than Minnesota would have even registered more than nominal interst in LaMelo Ball. The market is the market. Peterson said last summer that he’ll push the chips in when the time is right, and if nothing else, he just added a few more to his stash.
There is also a chance that the Timberwolves look radically different when these swaps and picks are ready to convey. Minnesota’s asset reserves are bone dry, starting center Rudy Gobert is on the back-nine of his NBA career, and the Western Conference has a couple of well-positioned juggernauts that the Wolves will have to navigate every year that they employ Anthony Edwards and Ball.
And what if Edwards becomes disillusioned with his standing in Minnesota and forces his way out before his five-year, $244M contract expires in 2028-29? Or what if he leaves that summer in free agency? The Hornets will have the opportunity to pick up the pieces and feast off of the wreckage in Minnesota in that nightmare scenario for the Timberwolves.
There has to be more bubbling underneath the surface for Charlotte to be willing to take the massive PR hit of trading LaMelo Ball just weeks after the franchise played some of the best basketball in the league for an extended period. There is an argument to be made that this deal says more about Charlotte’s lack of belief in the ceiling of a LaMelo-led team than anything else.
And there is merit to that.
Ball has played in four Play-In Tournament games and struggled mighitly in three of them. When the game slows down and becomes increasingly more physical, Ball has failed to hold up. The Hornets must be projecting that Ball’s postseason struggles will continue in Minnesota, capping the long-term ceiling of the Timberwolves.
This is a bet against a couple of things: LaMelo Ball’s long-term health, the viability of a back court duo of Ball and Edwards, and Minnestoa’s asset-poor state. I’m not sure if it’s a bet I would have been willing to make, but it is the one Jeff Peterson and the Hornets decided to.
And whether you like it or not, the dice have been thrown.
There is now more pressure than ever on the shoulders of Jeff Peterson. He somehow pulled off the rare feat of making his team worse in the short term while sending the expectations of his fanbase through the roof. There has to be more moves coming from Charlotte. There has to.
Which is why I’m calling on you to holster your torches and pitchforks for now. In a vacuum, this deal is a tough one to swallow. LaMelo Ball brought unquantifiable joy to the city of Charlotte and spearheaded a run that awoke the long dormant basketball-crazed city. Not only did his impact on winning supersede the narratives around him, his impact on the franchise’s bottom line did as well. The city loved LaMelo, and it is a shame that he was sent packing just as things were starting to percolate for the first time in his Hornets career.
However, if it is a part of a larger plan that reshapes the Hornets’ roster into a group that can compete at a high level in the NBA playoffs, then I will tip my cap to Peterson and his team. Winning does cure all at the end of the day, right?
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Minnesota leaders are sending photos that highlight the state’s landmarks and culture to the U.S. Capitol for a special time capsule.
The time capsule gives each state and territory delegation an opportunity to provide a snapshot of time in 2026 as America celebrates its 250th birthday.
Photos from all eight Minnesota congressional districts were sent to the Capitol.
They include Lake Superior, the State Fair, the loon, Prince’s Purple Rain and the National Eagle Center.
The capsule will be sealed inside the Capitol Visitor Center until America’s 500th birthday on July 4, 2276.
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