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Routine: DVBCST2

DVBCST2.m

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DVBCST2 ;ALB/JEH SOCIAL AND INDUSTRIAL SURVEY WKS TEXT - 2 ; 24 MAY 2004

 ;;2.7;AMIE;**70**;Apr 10, 1995

 ;

 ;

TXT ;

 ;;G. Chronological History of Adjustment Prior to Service or Stressor

 ;;   ----------------------------------------------------------------    

 ;;

 ;;    1. Any evidence of disorder in infancy, childhood, or adolescence,

 ;;       especially antisocial behavior (reference DSM-IV).

 ;;

 ;;    2. Activity patterns Friendships and social relationships.

 ;;

 ;;    3. Family Describe relationships.

 ;;

 ;;    4. Significant issues in school, community, or work area.

 ;;

 ;;    5. Pre-military traumatic events Provide details, if possible.

 ;;

 ;;

 ;;H. Chronological History of Adjustment After Service or Stressor  

 ;;   -------------------------------------------------------------

 ;;

 ;;    1. Changes in personality or interpersonal relationships.

 ;;

 ;;    2. Work performance.

 ;;

 ;;    3. Emotional difficulties: Describe onset and details, including time,

 ;;       nature, and severity.

 ;;

 ;;    4. Onset of any other type of symptoms, such as physical.

 ;;

 ;;    5. Legal issues, such as involvement with authorities or courts. 

 ;;

 ;;    6. Substance abuse history Describe use of drugs, alcohol,

 ;;       prescription medications, and tobacco. 

 ;;

 ;;    7. Psychiatric treatment history.

 ;;

 ;;

 ;;I. Post-Military Social Adjustment  

 ;;   -------------------------------

 ;;

 ;;    1. Describe all marriages and divorces, loss of spouse or significant other

 ;;       through death, and birth (and death if applicable) of all children.

 ;;

 ;;    2. Describe nature of friendships and social relationships, including

 ;;       group memberships.

 ;;

 ;;    3. Describe the veteran's living situation.  

 ;;

 ;;    4. Note any significant post-military adjustment problems, including

 ;;       illness or injury.

 ;;

 ;;

 ;;J.  Industrial Adjustment  

 ;;    ---------------------

 ;;

 ;;    1. Veteran's occupation(s).

 ;;

 ;;    2. All education and training.

 ;;

 ;;    3. List all employers and positions, including: 

 ;;          a. Earnings

 ;;          b. Dates of change(s) in employment

 ;;          c. Length of time with specific employers

 ;;          d. Periods of unemployment

 ;;          e. Relationship with co-workers, supervisors, and subordinates

 ;;

 ;;    4. Highest paid position. 

 ;;

 ;;    5. Attitude toward employment. 

 ;;

 ;;    6. Is the veteran working at an occupation or position that is below

 ;;       his/her education and training level?

 ;;

 ;;    7. Is there evidence that the veteran's pre-traumatic level of

 ;;       performance was above his/her post-traumatic level of performance?

 ;;       What is the documentation of this?

 ;;

 ;;    8. Is there evidence service connected disability(ies) impacted the

 ;;       veteran's decision to retire? Discuss. (For example, did the

 ;;       veteran choose to take an early retirement with financial loss in

 ;;       order to reduce the stress experienced in the work environment

 ;;       because the stress was aggravating the service connected

 ;;       disability(ies)?)

 ;;

 ;;    9. Has an employer made official or unofficial  accommodations to handle

 ;;       veterans disabilities? Document any evidence of internal transfers,

 ;;       re-assignments, etc.

 ;;

 ;;K. Present Social Functioning 

 ;;   --------------------------

 ;;

 ;;    1. Identify Stressors in any of the following categories:

 ;;

 ;;        a. Primary support system or group

 ;;

 ;;        b. Social environment 

 ;;

 ;;        c. Educational problems 

 ;;

 ;;        d. Occupational problems

 ;;

 ;;        e. Housing problems 

 ;;

 ;;        f. Economic problems 

 ;;

 ;;        g. Problems accessing health care 

 ;;

 ;;        h. Legal system or criminal problems

 ;;

 ;;        i. Other

 ;;

 ;;    2. Appearance: Describe dress, speech, mannerisms, scars, facial

 ;;       expressions, and body movements (assessment based on observation

 ;;       listed above).

 ;;

 ;;    3. Relationships: Describe all relationships, including with whom

 ;;       and duration of relationship. Describe physical intimacy, including

 ;;       frequency, level of satisfaction, problems with intimacy, and any

 ;;       impact of medical or psychiatric conditions on performance.

 ;;

 ;;    4. Lifestyle: Describe how the veteran spends his/her time, including

 ;;       interests, hobbies, employment, typical day and week, and eating and

 ;;       sleeping patterns.

 ;;

 ;;    5. Mental Status: Describe, including evidence of confusion, memory

 ;;       problems, thought processes or disorders, and mood/affect.

 ;;       Describe the veteran's functioning in the areas of cognitive,

 ;;       emotional (mood) and judgment.

 ;;

 ;;    6. GAF Score (if available)

 ;;

 ;;L.  Capacity to manage financial affairs (if an issue)

 ;;    ------------------------------------

 ;;

 ;;NOTE:  Mental competency, for VA benefits purposes, refers only to the ability

 ;;       of the veteran to manage VA benefit payments in his or her own best

 ;;       interest, and not to any other subject. Mental incompetency, for VA

 ;;       benefits purposes, means that the veteran, because of injury or disease,

 ;;       is not capable of managing benefit payments in his or her best interest.

 ;;       In order to assist raters in making a legal determination as to

 ;;       competency, please address the following: 

 ;;

 ;;       1. What is the impact of injury or disease on the veteran's ability to

 ;;          manage his or her financial affairs, including consideration of

 ;;          such things as knowing the amount of his or her VA benefit payment,

 ;;          knowing the amounts and types of bills owed monthly, and handling the

 ;;          payment prudently?

 ;;

 ;;       2. Does the veteran handle the money and pay the bills himself or

 ;;          herself?

 ;;

 ;;       3. Based on your examination, do you believe that the veteran is capable

 ;;          of managing his or her financial affairs? Please provide examples to

 ;;          support your conclusion.

 ;;

 ;;M. Summary & Conclusions

 ;;   ---------------------

 ;;

 ;;       1.  Summarize the specific effect of disabilities and the impact on

 ;;           employment.

 ;;

 ;;       2.  Summarize the specific effect of disabilities and the impact on

 ;;           social functioning.

 ;;

 ;;

 ;;

 ;;NOTE:  Refer to medical, psychiatric and/or neuro-psychiatric report(s), as

 ;;       appropriate.

 ;;

 ;;

 ;;

 ;;__________________________                    ___________

 ;;SIGNATURE OF SOCIAL WORKER                    DATE

 ;;END