Off-rolling is common in mental health services and disproportionally affects those most vulnerable and marginalised. The first is prematurely discharging patients from secondary mental health services such as community mental health teams. Traditionally, one could expect better care if one had moderate to severe mental health difficulties, as opposed to mild problems, as funding was based on clinical need. Patients with serious mental health problems are discharged in a way that was unthinkable five, let alone 15 years ago, sometimes without warning. Carers, activists, police and GPs are often left desperately trying to link the person back into mental health services.

Source: The Guardian May 14, 2019 09:01 UTC