Me, myself, the Met and ADHD

As this year’s Neurodiversity Celebration Week begins, we share a blog by DC Daley Jones in which he talks candidly about how ADHD has shaped his life

My name is Daley Jones, and I am a Detective Constable in the Metropolitan Police Service (MPS). I’m 37 years old. At the age of 36 I was diagnosed with combined ADHD.

I am going to try to put into words my life’s experience of ADHD, including my childhood, academic career, and my experience working with the condition as a police officer for 14 years. I am still learning about the condition, and how it affects me. I am by no means an expert and am wholly aware that one person’s experience with ADHD is totally different to someone else’s.

Childhood and academia
When I look back now, at my childhood, it is apparent that I struggled with ADHD at school. My wife recently discovered a load of old school report cards when we were clearing a cupboard at my mum’s house – the words ‘lack of attention’, ‘fidgety’, ‘messing around’ and ‘interrupting’ frequently appear. I regret there not being greater awareness back then, as diagnosis earlier in life would no doubt have helped me in managing school. It is apparent to me as an adult that this lack of awareness in the education system is still a major issue. I’ve met parents of children with ADHD who have terrible experiences of how their children have been treated at school. A large proportion of the common traits of ADHD will present as naughty behaviour. Awareness of neurodivergent conditions is not mandatory for a teacher’s training.

However, I also consider myself lucky. I had a stable childhood with loving parents. They may not have been aware of my ADHD but worked hard to make sure I got all the support I needed to succeed academically. It is apparent to me that this is often not the case for children and young adults growing up. The lack of awareness and diagnosis goes some way to explaining the massive prison population with undiagnosed ADHD.

As a child I learned to develop my own coping mechanisms. (I know this now, armed with a diagnosis; at the time these behaviours just helped me, but I didn’t know why I did them.) For as long as I can remember I have had either a straw, or a small plastic cotton bud stick with the cotton wool removed – I roll this between my fingers frequently. It’s my way of dealing with my hyperactive impulses. People with ADHD will develop their own ways of dealing with these urges. Me, my parents and my partners always thought this behaviour odd, but diagnosis brings understanding. I still do it now, frequently but with less shame – if you meet me, ask to see it!

As a child I’ve always struggled to follow instructions. This is especially prevalent when the instructions are around something practical. In the Scouts I was seemingly incapable of tying the knots, securing the guide ropes, or putting together tents. Although these things are seemingly innocuous, they build up. You get to a point where you ask yourself “Why can’t I do these tasks? The rest of the group are doing it, perfectly. You are clearly an idiot or stupid.” This issue has persisted into my adult life, and has led to a crippling self-doubt and self-loathing. (People with neurodivergent conditions will often also have dyslexia, dyspraxia or dyscalculia.)

When immersed in subjects I enjoy or have an interest in, I could talk for hours. In history at school and university I would answer every question, read everything put in front of me, and seek out and watch hours of documentaries. On the flip side, tasks that didn’t interest me, or tasks that had a low priority were seemingly ignored or forgotten about. Coursework and revision have always presented a struggle.

At university I’d be set an essay. I’d eagerly run to the library to get the material I needed for research, sit down, open my books and then… NOTHING. My brain is saying: “Daley, you have six weeks to do this. There is no priority. There is no immediacy. Do something you’ll enjoy. Go to the pub. Play some Championship Manager. Hang out with friends.” It was, and remains, a nightmare.

Cue several days prior to the deadline: I am now a frantic ball of activity. In bed by 10pm, up at 5am. Working every moment I could. Pressure, thrill, dopamine: these are the things my brain needs to work. The work would almost always be done… Even if it involved me sprinting to the history department, my latest essay on a floppy disc, to be handed in five minutes prior to the deadline. As you can imagine, it’s not the best way to work. Trying to explain this to someone who is neurotypical is a challenge… People do not understand.

Relationships
Maintaining relationships with ADHD is often a struggle. With friends I frequently interrupt conversation. I’m not trying to be rude, I possess a very poor short term memory. There’s a very real chance if I don’t say what’s on my mind, I will forget it. This also explains why ADHD-ers often lose things – our brains do not develop the ‘memory’ of where we placed the keys/phone/baby bottle/Ark of the Covenant.

My inattentiveness and distractibility will present as rudeness to the uninitiated. “I’m talking to you about something important, why are you looking at the TV/your phone/the picture on the wall?” Given these issues, it is easy to see how arguments can start. I also have RSD (Rejection Sensitive Dysphoria) – in simple terms, this means that I will often perceive as criticism something said innocently. It will cause me extreme (seemingly irrational) hurt, and unsurprisingly can often lead to a strong defensive reaction. Again, this has proved an issue in my relationships, arguments created from misunderstanding. My first marriage was a failure (there were other factors at play for sure) but my undiagnosed ADHD certainly didn’t help. However, inadvertently it did lead me to diagnosis. I’ve suffered my entire life with low self-esteem (not understanding things the entire room understand). This, coupled with the failure of my first significant relationship, led me to seek help. I was lucky enough to have a good GP, who put me in touch with a counsellor. I can’t recommend counselling enough. I’ve never had an issue talking about my feelings and sharing my emotions, but the way in which counselling allowed me to find the answers for myself was immensely helpful.

In 2014, my counsellor stopped me before I left a session and said “I think you might have ADHD.” I was given some paperwork, and a light bulb went on in my head. Suddenly all my struggles and feelings of inadequacy made sense. I can say hand on heart, it was one of the best moments of my life. My only regret is that I did not follow this up with a formal diagnosis. My mindset at the time was “This is enough. I now know why I’m different.” Little did I know then, that there was so much more to learn about my condition, and more help I could receive.

Working in the MPS
Given the thrill, and compassion I feel, it is probably no surprise I ended up working for the police. Joining seemed an impulse decision. The MPS was at a graduate fair – I put my name on the mailing list, filled in the application, and passed the assessment day. I passed the fitness test… and there I was, 12th February 2007, at the gates of Hendon ready for 17 weeks of training!

I struggled during my probation and my time in uniform. Looking back now, I needed someone to nurture me, put an arm around me, and understand how my brain works. What I got was a portion of tough love, a ‘sink or swim’ mentality. This isn’t a complaint, I learnt a lot – and it’s a tactic that’ll work for many. It’s just not what I needed. I needed a more structured working environment, and so I gravitated towards CID.

CID work, and prisoner processing, unbeknownst to me at the time give me exactly what my ADHD mind craves: structure. Your day starts at X. You will be assigned a prisoner. You are to work on this case until a disposal decision. It also speaks to the thrill seeking part of my brain: you have to deal with this prisoner – in 24 hours! Clock’s ticking, get those tasks done… quick quick quick. It was when that case was bailed that the problems would begin…

As with my brain’s academic mindset, a case with no immediacy is a struggle for me. My brain struggles to fire into gear. I know the task is important; I know completing the task will directly benefit me; I have the time and means to complete the task. But my brain will just say “No, not important, not interested, what’s in it for me?” This inevitably leads to stress at work, and a feeling that you are lazy or incompetent – feelings that need no encouragement from others. Diagnosis has allowed me to understand that I’m none of those things. There’s a reason why you struggle, let’s think of a way to manage this.

I left the MPS in 2017 for a job in the private sector. I won’t go into too much detail, but needless to say I failed miserably. It is apparent to me today that the reasons I failed are directly related to my ADHD: lack of organisation, a struggle with grammar, and deadlines for “boring work”. Losing what I thought was my dream job was a real blow to my mental health, and was something that took me a while to recover from. Needless to say, I re-joined the MPS in 2018, and remain grateful to the organisation for taking me back!

“Harnessed correctly, ADHD brains are a beautiful commodity”

Diagnosis and the future
Towards the end of 2019, several friends of mine on Facebook announced they had been formally diagnosed with ADHD. Given my past struggles, and the relative ease in which my friends had been diagnosed, I decided to look into it.

The route I took is called “right to choose” – in short, private companies are paid by the NHS to diagnose ADHD. I spoke to my GP, who was initially unaware of the scheme – he referred me to a company called Psychiatry UK. I completed various paperwork tests (including the Harvard ADHD screening test) and was given an appointment with a psychiatrist.

On the 6th April 2021, following an hour-long appointment in which I discussed all of the above, I was formally diagnosed as having “combined ADHD”. A short while after I received a letter explaining my diagnosis. The letter recommended treatment using medication.

After a delay, I started taking medication in July 2021. The drug I was prescribed goes by the brand name of Elvanse. Chemically it is referred to as Lisdexamfetamine. Given that the drug is an amphetamine, it comes as little surprise to me that many young adults start to self-medicate with illegal drugs, further pushing them into the criminal justice system.

I went through a process called “titration” – during this period, the dosage of my medication was slowly increased. I reported back to my nurse the effects of the drug on my ADHD symptoms (inattentiveness, hyperactivity etc.) whilst also reporting back on any side effects. I also gave my weight and blood pressure readings at the same time. It’s a powerful drug that can restrict appetite and potentially cause raised heart rate.

Through time, my nurse and I have worked to a point where I am comfortable with the dosage I am on. I had a few interesting moments with splitting doses (for example taking 30mg of the drug in the morning and another 30mg in the afternoon) before eventually settling on a fixed 60mg dose taken first thing.

How does it help you, I hear you cry!

I actually struggle to put this into words. In short, the drugs have helped me immeasurably. In the past I would get a million thoughts a day, but I now seem to be able to step back and focus on one thing at a time. I make lists of the things I have to do, and I am seemingly able to prioritise actions. As you can imagine, this has helped my working life a great deal.

At home, my wife tells me I’m more thoughtful, less forgetful and able to complete tasks at home that involve coordination and organisation (I enjoy cooking now – I’m no Gordon Ramsay, but recently cooked for six people with no drama or fuss.)

I am alert and able to perform at work for longer. Pre-diagnosis, I would be a sleepy mess by the afternoon. (There were times I had to sneak off for power naps.)

However, the biggest benefit of my diagnosis has been understanding. My wife and I have read about the condition together. As well as many light bulb moments we had between us – “Ah, that’s why I do that!” – we are now aware of the myriad of other effects of my condition, especially on the emotional side of things. This has strengthened our relationship tenfold. My wife is an immensely patient woman, but her willingness to understand me, and my condition, has been the biggest blessing in my life.

At work, I now know I’m less suited to longer term work. I value the need for structure. It’s not always easy given the demands of my profession, however, I am lucky enough to have management who understand my condition. A willingness to listen and try to understand has been the biggest benefit to me in my working day. Understanding how you work, and trying to get yourself in a role that works to your strengths is key. (There are resources available that tell your employer about ADHD and suggest reasonable adjustments.)

The interesting side effect of diagnosis is that you be acutely aware of how the condition permeates every fibre of your existence. I’m not saying that I’m nothing without my ADHD, but it is a part of me. I am, with time, learning to love my condition. Many of the negative effects I have mentioned are also the parts of my character that my friends and family love the most: I’m loud, I’m silly, I want to have fun, and I want to learn. I want to stimulate my brain and want to understand everything I see and do. Harnessed correctly, ADHD brains are a beautiful commodity.

What’s next? Well my “treatment” will only extend as far as diagnosis and medication, and I am seeking further help. ADHD counselling and coaching exist, but they aren’t cheap – I have an application with the DWP asking for funding to help me with these. I’m 37 – a lot of these behaviours I’ve developed have been coping mechanisms I’ve adapted to my life to help me get through. It would be nice to learn more strategies and hopefully be in a position to combat my negative traits.

I have daughter who, most likely, will have ADHD. The hereditary link is 85% (it’s as common a link as height and eye colour). I need to learn more to be able to be her advocate growing up. As I said before, awareness in schooling is still woefully inadequate – it will be my job to fight for her rights.

Most overwhelmingly though, is my desire to help others. Since my diagnosis I have been as vocal as I possibly can be. I regularly post on my social media channels. It’s been heart-warming to have several people approach me privately, thinking that they also have ADHD. It is with immense satisfaction I talk to them about my experiences and try and point them in the direction of help.

I am pushing, desperately, for greater awareness. I’ve already alluded to the staggering numbers of undiagnosed people in prison. There is also a massive issue with undiagnosed girls, for whom ADHD often presents differently to boys – girls tend to have the inattentive “day dreamy” attention deficit disorder, rather than the boyish madcap hyperactivity.

I want the MPS to roll out training to all staff around ADHD, and other neurodivergent conditions. Through awareness, we can better deal with those we meet daily with these conditions. I’m not suggesting we will be in a position to diagnose them, but awareness will allow our staff to treat them with the compassion and care they deserve. And maybe, just maybe, we can point a few of these children and young adults down the right path to help and a better life. ∎

This blog was originally published on the Metropolitan Police Service intranet – it is reproduced here with kind permission of the author

Autistic defendants are being failed by the criminal justice system

A survey of lawyers by the Autism Research Centre at the University of Cambridge has revealed that an overwhelming majority of their autistic clients were not provided with adequate support or adjustments

Researchers conducted a survey of 93 defence lawyers about autistic people they represented in the last five years, to find out about their defendants’ experiences of navigating the CJS. Lawyers from 12 nations were consulted, with the UK predominantly represented in the client sample.

The study revealed that:

  • Only half of autistic people (52%) were considered by the police to be vulnerable adults, even though UK law recognises all autistic people as vulnerable
  • Over a third (35%) of autistic defendants were not given an appropriate adult during police investigations, even though their diagnosis was known to police, and despite all autistic people being entitled under the law to have an appropriate adult present when being interviewed by the police
  • In just under half of the cases that included a trial by jury (47%), the jury was not informed that the defendant was autistic

The study follows an Equality and Human Rights Commission report in June 2020 that warned that the CJS is failing those with learning disabilities and autistic people.

Professor Sir Simon Baron-Cohen, Director of the ARC and a member of the research team, commented: “There’s an urgent need across the criminal justice system for increased awareness about autism. The police, lawyers, judges and jurors should be given mandatory training to be aware of how autism affects an individual’s behaviour, so that autistic defendants are treated fairly within the criminal justice system.”

Funding for the project was provided by the Autism Centre of Excellence.

As a national support network for autistic and neurodivergent police officers and staff, the NPAA advocates and shares best practice for police forces working with the autistic community, such as always providing autistic people with an appropriate adult in police custody.

Links for further reading:

Firearms and neurodiversity

Ministry of Defence Police Inspector Dan Harris argues that a ‘one size fits all’ approach to training is preventing officers with neurodivergent conditions such as autism and ADHD from entering firearms and other specialised roles

Can neurodivergent (ND) conditions ever be compatible with firearms or other specialist policing roles, such as those requiring advanced driving skills?

For those with lived experience or with connections to ND, there would likely be a resounding Yes: you might think that each person should be judged and supported based on their individual merits, but how can this ever be applied fairly when a ‘one size fits all’ approach is unknowingly applied by many organisations to the selection in specialist policing roles? In this blog I will dissect current approaches and present a credible argument as to why certain processes need to be abandoned to level the playing fields within specialist roles and allow those of us who think and present differently to be given an equitable chance to fulfil our career aspirations. After all, why should someone who thinks in a different way be excluded any more than someone who has an overt difference such as their ethnicity or sexual orientation? To exclude the latter or allow practices that create disadvantage would rightly provoke mass disapproval, so why is it being allowed to happen to ND officers?

Whether you like it or not, if you were to present yourself to a firearms training team and disclose you are ADHD or autistic during selection, there would be immediate preconceptions drawn regarding your ability to successfully pass the necessary assessments, and likely prejudgements made regarding some of the perceived common symptoms affiliated to these conditions. At best you might have a situation where the instructors were indifferent and knew very little about your difference, but this might not make things any easier for you. If you think this can’t happen, you are wrong: I successfully negotiated assessments for the Marine Unit and Operational Firearms Commander role, only to have my authorisation cancelled because of my ADHD diagnosis.

So is there a problem, and if so where does it lie? I will present here some personal views and I welcome dialogue around these areas.

I work for a policing organisation where 98% of officers are armed. We are the largest armed policing organisation in the UK, and I can categorically state that as an organisation we are failing to address this issue appropriately, from my own experience and as noted by the NPCC and the College of Policing. There is a disparity across the UK amongst all policing organisations as to how stringent selection is for officers to pursue careers in firearms. Some organisations have a steady stream of volunteers seeking this career choice, and this not only creates competition but also generates an elitist attitude amongst those who represent the department. None of this bodes well if you are reporting being ND, and I suspect many attempting this training would avoid disclosing their difference for fear of it diminishing their chances of success.

I have conducted significant research into why policing organisations are struggling to give appropriate support to officers seeking specialist policing roles. The NPCC and College of Policing have previously highlighted the medical model of disability in their studies (more on this below), but I feel they have only merely skimmed over this topic and have failed to identify why it plays a significant part in creating disadvantage to ND officers when in direct competition with others for so few posts. Little has been done as yet to make wholesale changes which would likely generate a positive cultural shift.

It’s well-known that persons who wish to pursue firearms careers will be subjected to several assessments which include medicals and fitness tests. If successful, these officers will then be subjected to training and subsequent firearms assessments to determine suitability. In those forces where selection processes are competitive, only the best will succeed. This is where many ND applicants will fall by the wayside. Firearms training is notoriously challenging and requires full focus and attention as well as the ability to rapidly make calculated judgements. None of this is beyond those of us who present with ND difference, but I would suggest these factors can conspire against us and create challenges that others don’t have to endure.

Most forces continue to follow the medical model of disability – this is perhaps more an unconscious awareness, but few look at the ramifications of doing so when considering ND in isolation. Controversially, there will be differences in opinion even amongst our community, and research in my own organisation has exposed this. A proportion of us (I include myself in this) will not be comfortable with the label of ‘disabled’, and in my organisation, many respondents to my research reported an aversion to this label whilst still expressing experiencing difficulties in their working environments. Think about your own organisations and how ND is viewed: for most this will be treated fundamentally under disability processes, and thus the only way to evoke any kind of support is by identifying as disabled, which ordinarily requires diagnosis. Enter the medical model of disability, which seeks to label a condition and then to cure all the elements that are perceived to be negative: where a condition cannot be cured, then the person is ‘disabled’ and labelled in a manner which suggests inadequacy. I would argue that this negativity permeates into selection processes, as disability is viewed by some as being incompatible with the elite role of firearms or the high levels of driving skills needed for some specialist roles. The medical model presents perfect environmental conditions for unconscious bias to influence selection processes; for those who brave them without disclosing their conditions, the very least they can expect is extreme challenges in overcoming their differences.

“As a neurodivergent officer, I need better training, not easier assessments”

The social model of disability was first penned during the mid-nineties and was driven by an online movement, predominantly from the autistic community .This group of like-minded people vehemently refused to accept the label of disability, and the concept of ND was born. The problem was that most organisations still followed the medical model of disability, meaning that if you wanted support for a ND condition, engaging in this process was realistically the only way you could get it.

Most specialist roles including firearms and higher levels of driving will require training and then a subsequent assessment, but this is where things go wrong for those who present as ND. The training is often tailored to meet the needs of the majority and it is designed to be delivered in a limited time. Many organisations will see this time pressure as the ultimate tool in weeding out those who cannot reach the required standards. Firearms and driving instructors will argue that assessments should not be adjusted, but what might surprise them is that most ND candidates would agree. The problem does not lie in the assessments themselves, but in the teaching leading up to the assessments. More thought is needed by qualified trainers as to how training can be adapted to meet the needs of individual learners, which is a fundamental part of adult pedagogy and a skill most trainers need to possess. The other issue however is the mistrust that is generated through the medical model of disability, which will lead to some fearing disclosure of their difference. Then of course there are our colleagues who may be unaware they are ND: for the record I would argue these persons are predominantly from underrepresented groups. As psychologist Dr Nancy Doyle pointed out, having a diagnosis for a ND difference these days is a privilege that not all are fortunate to attain. Universal adjustments can address this issue, but that’s a separate discussion. The medical model not only harbours potential unconscious bias, but it also generates fear and mistrust amongst those with ND conditions.

Policing organisations need to move away from the medical model of disability, and I would agree with Dr Doyle that the social model in isolation is not the answer either. This approach suggests those who have ND should be encouraged to live with the difference rather than seeking medication or a label to highlight their difference, but this fails to consider how environments can sometimes be difficult for the individual to adapt to. This is where specialist courses have the maximum negative effect on ND people, as the teaching and time constraints challenge those of us within the ND world. We are never prepared for the subsequent assessments in the same way neurotypical people are.

Dr Doyle presents an alternative concept known as the biopsychosocial model, which encourages focus on several environmental elements when structuring policies and processes. ND should not be shoehorned under the auspice of disability once diagnosed; however, elements of the medical model need to be accepted for diagnosis. Support needs to be catered around the individual and not the perceived condition or its effects, as universally applied via the medical model. The biopsychosocial model acknowledges the uses of the medical approach to diagnose a difference, but calls for organisations to treat ND individuals according to their individual needs. The organisational needs should be balanced against the individuals in consideration of the social model approach, and when considering policies and processes I would predicate that recognising the uniqueness and incompatibility of ND within the medical model approach would be a great help towards making cultural shifts within our organisations.

When considering the Public Sector Equality duty, policing organisations need to understand that over 15% of the adult population will be ND, and the medical model of disability which underpins most organisational approaches will create inequitable practices when applying it to ND. If we want to encourage ND officers to pursue specialist policing careers and to successfully negotiate the relevant assessments, then greater care and attention is needed to support the individual according to their needs. As ND officer, I need better training, not easier assessments. ∎