The Psychological Fitness-for-Duty Examination: What every police officer should know

By Laurence Miller, PhD
Police Psychologist

Part 1 of a 2-part series


My department has referred me for a psychological fitness-for-duty exam. What is that? What's the best way for me to approach this situation...and should I be concerned?


Although you should be cautious and concerned, there’s no need for anger or panic. If carried out correctly, the psychological FFD need not be unnecessarily adversarial or demoralizing.

On the other hand, this kind of evaluation should not be taken lightly because the results of an FFD may be brought before a court or a governmental commission and your entire career may hinge on the FFD’s conclusions.

To make some sense of this process, here are some things that you, your referring supervisor, and the examining psychologist should all know.


If you injure your knee or develop high blood pressure, this may affect your ability to perform your job as a law enforcement officer. Or it may not. If a supervisor or commanding officer has reason to believe that your limp or frequent headaches are interfering with your job performance, he or she may recommend you seek medical attention.

If the problem persists, you may be referred for a medical FFD. The examining doc may declare you medically fit to return to duty; recommend a course of treatment that will restore you to such fitness (a knee brace or surgery, antihypertensive medication or exercise); or declare you permanently unfit for duty.

Similarly, there may be cases where it is suspected that personal traits, disorders, or stress reactions are causing or contributing to problem behavior or substandard performance. If the usual channels of review, coaching, counseling, and discipline have failed to effect a substantial change, a formal psychological fitness for duty (FFD) evaluation may be ordered to:

1. determine if you are psychologically capable of remaining in your job as a police officer;

2. if not, then what measures, if any, are recommended to make you more effective and able to function up to the standards of the department; and

3. what kinds of reasonable accommodations, if any, must be in place to permit you to work in spite of residual disabilities.

The psychological FFD evaluation thus combines elements of risk management, mental health intervention, labor law, and departmental discipline.

In general, FFD referral questions should be as specific as possible,



    “Officer Jones seems to be depressed and this is interfering with his police work,”
but rather:
    “Officer Jones has been late to shift five times this past month. He has been observed on several occasions to be fatigued and in physical distress, as well as to behave in an absent-minded and distracted way. There have been three citizen complaints of abuse of force during the past evaluation period. These represent a deterioration from previous evaluation periods and reflect a pattern of substandard performance in this agency. Upon interview, Officer Jones denies any problem.”

Current guidelines by the International Association of Chiefs of Police (IACP) require that the evaluator be a licensed psychologist or board certified psychiatrist with law enforcement experience. The guidelines, however, do not specify how much experience is sufficient and there is as yet no generally accepted formal credentialing for police psychologists as a distinct professional specialty. Thus, the level of law enforcement training and/or experience of these clinicians may vary considerably from agency to agency.


As noted earlier, there’s probably no way you’re going to enjoy an FFD exam, but there are things you can do to help it to go as smoothly as possible and for the results to be as accurate as possible.

Here are some recommendations I would give you if you were coming to see me for an FFD.

Don’t assume the worst.

I’m not your enemy; for that matter, I’m not your friend either. Even if the FFD order comes in the context of a bitterly contentious departmental action, it’s not my job to pass judgment. My role is to objectively evaluate your mental status and relate it to the specific referral questions as to your fitness for duty.

Know your rights and responsibilities.

Not assuming the worst doesn’t mean being naive. Know what you’re in for. Either through your own research or in consultation with your legal representative, make sure you understand your rights and responsibilities with respect to the FFD exam. Again, the goal is not to be overly defensive and confrontational, but to protect yourself from unwarranted actions on the examiner’s part or illegitimate use of the evaluation results.

Come prepared.

Show up on time. If you were supposed to bring any records or materials, have them with you. Make sure you have your reading glasses. If the exam is scheduled for early afternoon, make sure you had lunch. Accordingly, I’ll make sure you are seen at the appointed time and that all my materials are ready when you arrive.

Read everything you sign.

At the outset, there’ll be a bunch of forms to sign. Read them. If you have any questions about what you’re signing, let me know.

Don’t be afraid to ask questions.

This is an extension of the above. If you have a question about something I ask you or a test I’m giving, let me know. A reasonable examiner won’t object to reasonable questions. Bear in mind, however, that I may not be able to answer many of the questions you ask me.

For example, I’ll almost never be able to respond to, “What’s that test result mean?” either because I need to score the test results against a normative table or because the actual results of the exam are “owned” by the department making the referral. That’s their rule, not mine. I understand that may tick you off, but I have to follow my protocols, too. If I can’t answer a particular question, I’ll tell you I can’t. Don’t be intimidated.

Be honest and do your best.

The entire validity of the FFD evaluation hinges on the accuracy of the information I obtain. Many interview protocols and psychological tests have controls for inconsistency and response manipulation. In other words, if you’re lying or faking test results, I’ll probably know about it. Then, even if the rest of your profile is clear and fine, I’ll have no choice but to report that you lied, and how do you think that’s going to look? So do us both a favor: Tell the truth and do your best job on the tests.

Expect to be treated courteously and behave accordingly.

Even though I’m not your enemy or your friend, you should expect me to act professionally. I should not demean or humiliate you and, even though I may have to ask you some tough questions, you shouldn’t have to feel like a criminal suspect. Remember, the more comfortable you feel during the examination, the better your memory will be and the more accurate will be the information I obtain. So I have nothing to gain by trying to make you squirm. By the same token, I ask that you try not to bust my chops more than necessary. I understand that you don’t want to be here and I also understand that you’ve had a whole life and career outside the narrow confines of this FFD case. You’re a professional and so am I; we both have a job to do so let’s do it.

Next: A look at the elements of the Psychological FFD Report itself and the uses of the results.

Ask the Doctor

Have a question, comment or topic you would like to see covered by Police Psychologist Dr. Miller? E-mail him directly or call him at: (561) 392-8881.

About the author

Laurence Miller, PhD is a clinical and forensic psychologist and law enforcement educator and trainer based in Boca Raton, Florida. Dr. Miller is the police psychologist for the West Palm Beach Police Department, a forensic psychological examiner for the Palm Beach County Court, and a consulting psychologist with several regional and national law enforcement agencies. Dr. Miller is an instructor at the Criminal Justice Institute of Palm Beach County and at Florida Atlantic University, and conducts continuing education and training seminars around the country.

He is the author of numerous books., his latest being Practical Police Psychology: Stress Management and Crisis Intervention for Law Enforcement (Charles C Thomas, 2006) and the forthcoming Mental Toughness Training for Law Enforcement and Street Psychology 101 from Looseleaf Law Publications .


Author’s disclaimer: This article is for informative purposes only and is not intended to provide specific clinical or legal advice.

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