Home   Package List   Routine Alphabetical List   Global Alphabetical List   FileMan Files List   FileMan Sub-Files List   Package Component Lists   Package-Namespace Mapping  
Routine: DVBCWEA5

DVBCWEA5.m

Go to the documentation of this file. 
  1. DVBCWEA5 ;BPOIFO/RLC - EATING DISORDERS WKS TEXT - 1 ; 12/26/06 14:00pm
  1.  ;;2.7;AMIE;**118**;Apr 10, 1995;Build 3
  1.  ;Per VHA Directive 10-92-142, this routine should not be modified
  1.  ;
  1. TXT ;
  1.  ;;
  1.  ;;The following health care providers can perform initial examinations for
  1.  ;;Eating Disorders:
  1.  ;;a board-certified or board "eligible" psychiatrist;
  1.  ;;a licensed doctorate-level psychologist;
  1.  ;;a doctorate-level mental health provider under the close supervision of a
  1.  ;;board-certified or board eligible psychiatrist or licensed doctorate-level
  1.  ;;psychologist;
  1.  ;;a psychiatry resident under close supervision of a board-certified or
  1.  ;;board eligible psychiatrist or licensed doctorate-level psychologist;
  1.  ;;or a clinical or counseling psychologist completing a one-year internship
  1.  ;;or residency (for purposes of a doctorate-level degree) under close
  1.  ;;supervision of a board-certified or board eligible psychiatrist or licensed
  1.  ;;doctorate-level psychologist.
  1.  ;;
  1.  ;;The following health care providers can perform review examinations for
  1.  ;;Eating Disorders:
  1.  ;;a board-certified or board "eligible" psychiatrist;
  1.  ;;a licensed doctorate-level psychologist;
  1.  ;;a doctorate-level mental health provider under the close supervision of a
  1.  ;;board-certified or board eligible psychiatrist or doctorate-level
  1.  ;;psychologist;
  1.  ;;a psychiatry resident under close supervision of a board-certified or 
  1.  ;;board eligible psychiatrist or licensed doctorate-level psychologist;
  1.  ;;a clinical or counseling psychologist completing a one year internship or
  1.  ;;residency (for purposes of a doctorate-level degree) under close
  1.  ;;supervision of a board-certified or board eligible psychiatrist or licensed
  1.  ;;doctorate-level psychologist;
  1.  ;;a licensed clinical social worker (LCSW) or
  1.  ;;a nurse practitioner, a clinical nurse specialist or physician assistant,
  1.  ;;if they are clinically privileged to perform activities required for C&P
  1.  ;;mental disorder examinations, under close supervision of a board-certified
  1.  ;;or board eligible psychiatrist or licensed doctorate-level psychologist.
  1.  ;;
  1.  ;;A. Review of Medical Records:
  1.  ;;
  1.  ;;
  1.  ;;B. Medical History (Subjective Complaints):
  1.  ;;
  1.  ;;   Comment on:
  1.  ;;
  1.  ;;   1. PAST MEDICAL HISTORY
  1.  ;;
  1.  ;;      a. Medical and occupational history from the time between the
  1.  ;;         last such rating examination and the present needs to be 
  1.  ;;         accounted for, UNLESS the purpose of this examination is to
  1.  ;;         ESTABLISH service connection, then a complete medical and
  1.  ;;         occupational history since discharge from military service is
  1.  ;;         required.
  1.  ;;      b. History of onset of eating disorder, course, and treatment.
  1.  ;;      c. Previous hospitalizations for parenteral nutrition or tube feeding.
  1.  ;;      d. Periods of incapacitation (during which bedrest and treatment
  1.  ;;         by a physician are required due to the eating disorder).
  1.  ;;         Describe the frequency and duration.
  1.  ;;
  1.  ;;   2. Present Medical, Occupational and Social History - over the past
  1.  ;;      one year.
  1.  ;;
  1.  ;;      a. Current status of eating disorder.
  1.  ;;      b. Current treatment, response, side effects.
  1.  ;;      c. Extent of time lost from work over the past 12 month period.
  1.  ;;         If employed, identify current occupation and length of time at
  1.  ;;         this job.
  1.  ;;      d. Describe any social impairment over the past 12 month period.
  1.  ;;
  1.  ;;   3. Subjective Complaints:
  1.  ;;
  1.  ;;      a. Describe fully any current symptoms.
  1.  ;;      b. Additionally, to allow evaluation by the rating specialist,
  1.  ;;         describe and fully explain the existence, frequency, and extent
  1.  ;;         of the following signs and symptoms and relate how they interfere
  1.  ;;         with employment:
  1.  ;;
  1.  ;;            -  Binge eating followed by self-induced vomiting
  1.  ;;               or other measures to prevent weight gain.
  1.  ;;
  1.  ;;            -  Measures taken to resist weight gain when weight is already
  1.  ;;               below expected minimum normal weight.
  1.  ;;
  1.  ;;C. Examination (Objective Findings):
  1.  ;;
  1.  ;;   Address each of the following and fully describe:
  1.  ;;
  1.  ;;   1. Mental status exam to confirm or establish diagnosis in 
  1.  ;;      accordance with DSM-IV.
  1.  ;; 
  1.  ;;   2. Additionally, please provide this specific information:
  1.  ;;
  1.  ;;      a. Current weight.
  1.  ;;      b. Expected minimum weight based on age, height, and body build.
  1.  ;;      c. Obtain weight history.
  1.  ;; 
  1.  ;;D. Diagnostic Tests (including psychological testing if deemed necessary):
  1.  ;; 
  1.  ;;   1. Provide specific evaluation information required by the rating 
  1.  ;;      board or on a BVA Remand. Diagnostic Tests (See the examination
  1.  ;;      request remarks for specifics.):
  1.  ;; 
  1.  ;;           a. CAPACITY TO MANAGE FINANCIAL AFFAIRS Mental competency, for
  1.  ;;              VA benefits purposes, refers only to the ability of the
  1.  ;;              veteran to manage VA benefit payments in his or her own best
  1.  ;;              interest, and not to any other subject.  Mental incompetency,
  1.  ;;              for VA benefits purposes, means that the veteran, because
  1.  ;;              of injury or disease, is not capable of managing benefit
  1.  ;;              payments in his or her best interest.  In order to assist
  1.  ;;              raters in making a legal determination as to competency,
  1.  ;;              please address the following:
  1.  ;;              - What is the impact of injury or disease on the veteran's ability
  1.  ;;                to manage his or her financial affairs, including consideration
  1.  ;;                of such things as knowing the amount of his or her VA benefit
  1.  ;;                payment, knowing the amounts and types of bills owed monthly,
  1.  ;;                and handling the payment prudently? Does the veteran handle
  1.  ;;                the money and pay the bills?
  1.  ;;
  1.  ;;              - Based on your examination, do you believe that the veteran is
  1.  ;;                capable of managing his or her financial affairs?
  1.  ;;                Please provide examples to support your conclusion.
  1.  ;;
  1.  ;;              - If you believe a Social Work Service assessment is needed before
  1.  ;;                you can give your opinion on the veteran's ability to manage his
  1.  ;;                or her financial affairs, please explain why.
  1.  ;;
  1.  ;;      b.  OTHER OPINION: Furnish any other specific opinion requested
  1.  ;;          by the rating board or BVA Remand, furnishing the complete 
  1.  ;;          rationale and citation of medical texts or treatise supporting 
  1.  ;;          opinion, if medical literature review was undertaken. If the
  1.  ;;          requested opinion is medically not ascertainable on exam or
  1.  ;;          testing, please state WHY. If the requested opinion cannot be
  1.  ;;          expressed without resorting to speculation or making improbable
  1.  ;;          assumptions say so, and explain why. If the opinion asks "...is
  1.  ;;          it at least as likely as not...", fully explain the clinical
  1.  ;;          findings and rationale for the opinion.
  1.  ;;
  1.  ;;  2.  Include results of all diagnostic and clinical tests conducted 
  1.  ;;      in the examination report.
  1.  ;;
  1.  ;;
  1.  ;;E. Diagnosis:
  1.  ;;
  1.  ;;
  1.  ;;Include your name; your credentials, (i.e., board certified psychiatrist,
  1.  ;;licensed psychologist; psychiatry resident or psychology intern,
  1.  ;;LCSW, or NP); and circumstances under which you performed the examination,
  1.  ;;if applicable (i.e., under the close supervision of an attending
  1.  ;;psychiatrist or psychologist); name of supervising psychiatrist or
  1.  ;;psychologist, if applicable.
  1.  ;;
  1.  ;;
  1.  ;;Signature:                                            Date:
  1.  ;;
  1.  ;;
  1.  ;;Signature of Supervising
  1.  ;;  Psychiatrist or Psychologist:                       Date:
  1.  ;;END