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Concern is growing over the decline of services for disturbed young people, expressed in the correspondence columns of the  British Medical Journal , in professional journals (Vanstraelen &amp; Cottrell, 1994; Saunders, 1993), and in literature from the Royal College of Psychiatrists (Pearce, 1994) among others. There has been a gradual loss of beds in adolescent psychiatric units, amounting in one survey of 60 units to nearly 20%. At least seven units have closed all their beds, and others are threatened with closure.

Adolescent units–wither on the vine? A meeting with the Under-secretary for State