ADHD: Impact on Prison Rehabilitation and Reoffending Debate

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Department: Ministry of Justice

ADHD: Impact on Prison Rehabilitation and Reoffending

Warinder Juss Excerpts
Tuesday 1st July 2025

(2 days, 2 hours ago)

Westminster Hall
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Tessa Munt Portrait Tessa Munt
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I agree with the hon. Gentleman and will come to that in a moment.

The impact of ADHD on rehabilitation and reoffending sits at the junction of many different interests. It seems likely that supporting people with ADHD could be a critical part of delivering the Government’s aim of rebuilding confidence in the criminal justice system. There is a clear link between ADHD and contact with the criminal justice system, and ADHD is significantly over-represented in prisons. While just 3% to 4% of people in the general population are currently identified as living with ADHD, the National Institute for Health and Care Excellence estimates that the proportion is up to 25% in the prison population. Up to a quarter of people in prison are living with ADHD, but studies show that 41% of women in UK prisons meet the criteria for an ADHD diagnosis.

Warinder Juss Portrait Warinder Juss (Wolverhampton West) (Lab)
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Prisoners often leave the prison system with just one week’s worth of medication, and they then have difficulty getting back into the healthcare system. Does the hon. Member agree that we need a holistic approach to the Probation Service that co-ordinates the health and social care system to act as a bridge between the criminal justice system and wider community services?

Tessa Munt Portrait Tessa Munt
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Indeed, I do agree. Our interaction with the NHS needs to be far better. I will come to that later.

In December 2020, the then Lord Chancellor and Secretary of State for Justice took the important step of commissioning an independent review into neurodiversity in the criminal justice system. The review was led by the chief inspector of prisons, Charlie Taylor; the chief inspector of probation, Justin Russell; and the chief inspector of constabulary and fire and rescue services, Sir Thomas Winsor. The resultant report concluded that when ADHD goes unrecognised or unsupported, the cycle of

“crime, arrest, court, prison, probation and reoffending”

will repeat itself. That is likely to be because the root cause driving that cycle of constant repetition is not currently being addressed in a structured or uniform way in the criminal justice system.

According to the report, the identification, support and management of neurodiverse individuals, including those with ADHD, is “patchy, inconsistent and uncoordinated”. It exposed

“serious gaps, failings and missed opportunities at every stage of the system.”

To put it simply, the report identified that the system was not adequately supporting neurodiverse individuals.

There are many elements of the prison environment that can cause distress to neurodiverse people, including busy and noisy wings, cell-sharing and frequent changes in daily routine. There is no consistent approach to screening for ADHD across prison services, and no single screening tool is used as a standard across the system. The lack of consistent screening means that people who come into the system with ADHD are not identified in a timely manner, or indeed at all.