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1DVBCWME8 ;BPOIFO/RLC - MENTAL DISORDERS (EXCEPT PTSD & EATING DISORDERS) ; 12/27/06 3:02pm
2 ;;2.7;AMIE;**118**;Apr 10, 1995;Build 3
3 ;Per VHA Directive 10-92-142, this routine should not be modified
4 ;
5TXT ;
6 ;;E. Diagnosis:
7 ;;
8 ;; Provide:
9 ;;
10 ;; 1. The Diagnosis must conform to DSM-IV and be supported by the findings
11 ;; on the examination report.
12 ;; 2. If the diagnosis is changed, explain fully whether the new diagnosis
13 ;; represents a progression of the prior diagnosis or development of a new
14 ;; and separate condition.
15 ;; 3. If there are multiple mental disorders, delineate to the extent possible
16 ;; the symptoms associated with each and a discussion of relationship.
17 ;; 4. Evaluation is based on the effects of the signs and symptoms on
18 ;; occupational and social functioning.
19 ;;
20 ;; NOTE: VA is prohibited by statute, 38 U.S.C. 1110, from paying compensation
21 ;; for a disability that is a result of the veteran's own ALCOHOL OR DRUG
22 ;; ABUSE. However, when a veteran's alcohol or drug abuse disability is
23 ;; secondary to or is caused or aggravated by a primary service-connected
24 ;; disorder, the veteran may be entitled to compensation. See Allen v.
25 ;; Principi, 237 F.3d 1368, 1381 (Fed. Cir. 2001). Therefore, it is important
26 ;; to determine the relationship, if any, between a service-connected disorder
27 ;; and a disability resulting from the veteran's alcohol or drug abuse.
28 ;; Unless alcohol or drug abuse is secondary to or is caused or aggravated
29 ;; by another mental disorder, you should separate, to the extent possible,
30 ;; the effects of the alcohol or drug abuse from the effects of the other
31 ;; mental disorder(s). If it is not possible to separate the effects in
32 ;; such cases, please explain why.
33 ;;
34 ;;F. Global Assessment of Functioning (GAF):
35 ;;
36 ;; NOTE: The complete multi-axial format as specified by DSM-IV may be
37 ;; required by BVA REMAND or specifically requested by the rating specialist.
38 ;; If so, include the GAF score and note whether it refers to current
39 ;; functioning. A BVA REMAND may also request, in addition to an overall
40 ;; GAF score, that a separate GAF score be provided for each mental disorder
41 ;; present when there are multiple Axis I or Axis II diagnoses and not all
42 ;; are service-connected. If separate GAF scores can be given, an explanation
43 ;; and discussion of the rationale is needed. If it is not possible, an
44 ;; explanation as to why not is needed. (See the above note pertaining to
45 ;; alcohol or drug abuse.)
46 ;;
47 ;;G. Effects of the Mental Disorder on Occupational and Social Functioning:
48 ;;
49 ;;Evaluation of Mental Disorders is based on their effects on occupational
50 ;;and social functioning. Select the appropriate assessment of the veteran
51 ;;from the choices below:
52 ;;
53 ;; - Total occupational and social impairment due to Mental Disorder signs
54 ;; and symptoms.
55 ;;
56 ;; Provide examples and pertinent symptoms, including those already reported
57 ;;
58 ;; OR
59 ;;
60 ;; - Mental Disorder signs and symptoms result in deficiencies in most of
61 ;; the following areas: work, school, family relations, judgment,
62 ;; thinking, and mood.
63 ;;
64 ;; Provide examples and pertinent symptoms, including those already reported
65 ;; for each affected area.
66 ;;
67 ;; OR
68 ;;
69 ;; - There is reduced reliability and productivity due to Mental Disorder
70 ;; signs and symptoms.
71 ;;
72 ;; Provide examples and pertinent symptoms, including those already reported.
73 ;;
74 ;; OR
75 ;;
76 ;; - There is occasional decrease in work efficiency or there are intermittent
77 ;; periods of inability to perform occupational tasks due to Mental Disorder
78 ;; signs and symptoms, but generally satisfactory functioning (routine
79 ;; behavior, self-care, and conversation normal).
80 ;;
81 ;; Provide examples and pertinent symptoms, including those already reported.
82 ;;
83 ;; OR
84 ;;
85 ;; - There is Mental Disorder signs and symptoms that are transient or mild,
86 ;; which decrease work efficiency and ability to perform occupational
87 ;; tasks only during periods of significant stress.
88 ;;
89 ;; Provide examples and pertinent symptoms, including those already reported.
90 ;;
91 ;; OR
92 ;;
93 ;; - Mental Disorder symptoms require continuous medication.
94 ;;
95 ;; OR
96 ;;
97 ;; - Select all that apply:
98 ;; - Mental Disorder symptoms are not severe enough to require continuous
99 ;; medication.
100 ;; - Mental Disorder symptoms are not severe enough to interfere with
101 ;; occupational and social functioning.
102 ;;
103 ;;Include: your name; your credentials (i.e., board certified psychiatrist,
104 ;;licensed psychologist, psychiatry resident or psychology intern,
105 ;;LCSW, or NP); circumstances under which you performed the examination,
106 ;;if applicable, (i.e., under the close supervision of an attending
107 ;;psychiatrist or psychologist); name of supervising psychiatrist or
108 ;;psychologist, if applicable.
109 ;;
110 ;;
111 ;;Signature: Date:
112 ;;
113 ;;
114 ;;
115 ;;Signature of Supervising
116 ;; Psychiatrist or Psychologist: Date:
117 ;;END
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