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Routine: DVBCST1

DVBCST1.m

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  1. DVBCST1 ;ALB/JEH SOCIAL AND INDUSTRIAL SURVEY WKS TEXT - 1 ; 24 MAY 2004
  1.  ;;2.7;AMIE;**70**;Apr 10, 1995
  1.  ;
  1.  ;
  1. TXT ;
  1.  ;;A. Demographic & Information and Sources  
  1.  ;;   -------------------------------------
  1.  ;;
  1.  ;;     1. Note the location of the interview/exam. 
  1.  ;;
  1.  ;;     2. List demographic data, including age, gender, marital status, and other
  1.  ;;        relevant data.
  1.  ;;
  1.  ;;     3. List service connected disabilities.
  1.  ;;
  1.  ;;     4. Discuss capacity to manage financial affairs (if an issue). 
  1.  ;;
  1.  ;;     5. Verify accuracy of veteran's name, address, phone number. 
  1.  ;;
  1.  ;;     6. List informants or sources of information, such as claims folder,
  1.  ;;        medical record, veteran, family members, employers, neighbors, friends,
  1.  ;;        physician, or other persons. 
  1.  ;;
  1.  ;;     7. If S&I Survey is done in the community, list the collaterals residing in
  1.  ;;        the home, their ages and relationship to the veteran, a brief 
  1.  ;;        description at the household appearance and overall home environment.
  1.  ;;
  1.  ;;
  1.  ;;B. Appearance & Response to Interview  
  1.  ;;   ----------------------------------
  1.  ;;
  1.  ;;     1. Appearance - Describe the veteran's size, build, general physical 
  1.  ;;        appearance and dress, noting any distinguishing features or
  1.  ;;        characteristics.
  1.  ;;
  1.  ;;     2. Indicate if s/he was alone or interviewed with others.  
  1.  ;;
  1.  ;;     3. Make personal observations as to attitude, openness to interview,
  1.  ;;        reality testing, physical or mental difficulties in communicating.  Does
  1.  ;;        s/he find the interview stressful or threatening?  Is s/he cooperative
  1.  ;;        and friendly or guarded and withdrawn?  Observe eye contact, facial
  1.  ;;        expressions, and attention span during interview.
  1.  ;;
  1.  ;;
  1.  ;;C. Disabilities
  1.  ;;   ------------
  1.  ;;
  1.  ;;     1. Include disabilities listed on Form 2507 for which the exam is
  1.  ;;        requested and any other complaints or conditions expressed by the
  1.  ;;        veteran.
  1.  ;;
  1.  ;;     2. List of current medications.
  1.  ;;
  1.  ;;
  1.  ;;D. Brief Pre-Military Social History
  1.  ;;   ---------------------------------
  1.  ;;
  1.  ;;     Include where the veteran was born, his/her family configuration,
  1.  ;;     education, etc.
  1.  ;;
  1.  ;;
  1.  ;;E. Military History  
  1.  ;;   ----------------
  1.  ;;
  1.  ;;     1. Date the veteran entered military service and branch of service. 
  1.  ;;
  1.  ;;     2. Where s/he completed basic training.
  1.  ;;
  1.  ;;     3. Military occupation(s).
  1.  ;;
  1.  ;;     4. Primary assignments and where stationed.
  1.  ;;
  1.  ;;     5. Any special training received in military.
  1.  ;;
  1.  ;;     6. Combat experiences.
  1.  ;;
  1.  ;;     7. Sexual trauma while in military.
  1.  ;;
  1.  ;;     8. Injuries or illness incurred while in military.
  1.  ;;
  1.  ;;     9. If claim is for PTSD, include a detailed account of the traumatic
  1.  ;;        experience(s).
  1.  ;;
  1.  ;;    10. Relationships with peers, superiors, subordinates, etc.
  1.  ;;
  1.  ;;
  1.  ;;F. Prisoner of War (POW) Data  (if applicable)
  1.  ;;   --------------------------
  1.  ;;
  1.  ;;    1. Capture Data  
  1.  ;;       ------------ 
  1.  ;;
  1.  ;;       a. Injuries/wounds incurred when captured and any treatment received. 
  1.  ;;
  1.  ;;       b. Captors - Date and place captured.
  1.  ;;
  1.  ;;       c. Internment - List names of camps where interred and dates of
  1.  ;;          internment, psychological conditions, physical conditions, methods
  1.  ;;          used to control prisoners.
  1.  ;;
  1.  ;;       d. Work - Physical & psychological conditions of work. 
  1.  ;;
  1.  ;;       e. Diet - Daily meals, including types of food, quantities, regularity
  1.  ;;          of meals.
  1.  ;;
  1.  ;;       f. Illnesses or Injuries incurred when captured or while imprisoned
  1.  ;;          and any treatment received.
  1.  ;;
  1.  ;;    2. Information from Veteran's Significant Other(s) 
  1.  ;;       ----------------------------------------------- 
  1.  ;;
  1.  ;;       a. The significant other's relationship to the veteran.
  1.  ;;
  1.  ;;       b. Whether s/he knew veteran before or after capture.
  1.  ;;
  1.  ;;       c. Any changes observed.
  1.  ;;
  1.  ;;       d. General comments on impact of POW experience.
  1.  ;;