title: Gundhu Adolescent Wing: providing adolescent beds in a rural acute mental health unit.
abstract: OBJECTIVE
  To describe the evolution, structure and outcomes of Gundhu Adolescent Wing, Toowoomba, Queensland, which comprises six dedicated beds set aside during development of a new rural acute mental health unit.
  
  
  METHODS
  All adolescents discharged from Gundhu in its first 7 months were included in the study. Data pertaining to patient characteristics, model of service delivery, length of inpatient stay and outcome at 7 months were obtained.
  
  
  RESULTS
  Thirty-three adolescents with mental illness living in the rural area were discharged from Gundhu in the first 7 months. For the 23 adolescents who stayed on the unit <14 days, outcome at 7 months after discharge was generally favourable. Six adolescents with length of stay of >or=30 days did less well, but made similar progress to patients in tertiary units.
  
  
  CONCLUSIONS
  From the authors' experience, designating a small number of beds as adolescent within a rural acute mental health unit is an effective intervention for short-stay patients and is valued by adolescents and their families. Keeping the adolescent unit separate is beneficial even at the expense of foregoing access to space and facilities enjoyed by adult patients. Involving families early to provide off-ward fun, exercise and socialization with peers is important. Rural services tend to have high staff turnover. Involving rural general practitioners in follow-up plans may ensure better continuity of care after discharge.
authors.affiliation: Toowoomba District Mental Health Service, Toowoomba, Qld, Australia. tanee@ozemail.com.au
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Tan
authors.forename: Dominique
authors.initials: D
authors.lastname: Hannah
authors.forename: David
authors.initials: D
authors.lastname: Chant
authors.forename: Graham
authors.initials: G
authors.lastname: Martin
mesh_terms: D000293:Adolescent; D016497:Adolescent Health Services / Q000600:supply & distribution*; D004637:Emergency Services, Psychiatric / Q000600:supply & distribution*; D005260:Female; D006742:Hospital Bed Capacity / Q000706:statistics & numerical data*; D006778:Hospitals, Psychiatric / Q000706:statistics & numerical data; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology* / Q000628:therapy; D017063:Outcome Assessment, Health Care / Q000706:statistics & numerical data; D010348:Patient Care Team / Q000706:statistics & numerical data; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D010563:Personnel Turnover / Q000706:statistics & numerical data; D011567:Psychiatric Department, Hospital / Q000706:statistics & numerical data*; D011793:Queensland