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Routine: DVBCWME8

DVBCWME8.m

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  1. DVBCWME8 ;BPOIFO/RLC - MENTAL DISORDERS (EXCEPT PTSD & EATING DISORDERS) ; 12/27/06 3:02pm
  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. ;;E. Diagnosis:
  1. ;;
  1. ;; Provide:
  1. ;;
  1. ;; 1. The Diagnosis must conform to DSM-IV and be supported by the findings
  1. ;; on the examination report.
  1. ;; 2. If the diagnosis is changed, explain fully whether the new diagnosis
  1. ;; represents a progression of the prior diagnosis or development of a new
  1. ;; and separate condition.
  1. ;; 3. If there are multiple mental disorders, delineate to the extent possible
  1. ;; the symptoms associated with each and a discussion of relationship.
  1. ;; 4. Evaluation is based on the effects of the signs and symptoms on
  1. ;; occupational and social functioning.
  1. ;;
  1. ;; NOTE: VA is prohibited by statute, 38 U.S.C. 1110, from paying compensation
  1. ;; for a disability that is a result of the veteran's own ALCOHOL OR DRUG
  1. ;; ABUSE. However, when a veteran's alcohol or drug abuse disability is
  1. ;; secondary to or is caused or aggravated by a primary service-connected
  1. ;; disorder, the veteran may be entitled to compensation. See Allen v.
  1. ;; Principi, 237 F.3d 1368, 1381 (Fed. Cir. 2001). Therefore, it is important
  1. ;; to determine the relationship, if any, between a service-connected disorder
  1. ;; and a disability resulting from the veteran's alcohol or drug abuse.
  1. ;; Unless alcohol or drug abuse is secondary to or is caused or aggravated
  1. ;; by another mental disorder, you should separate, to the extent possible,
  1. ;; the effects of the alcohol or drug abuse from the effects of the other
  1. ;; mental disorder(s). If it is not possible to separate the effects in
  1. ;; such cases, please explain why.
  1. ;;
  1. ;;F. Global Assessment of Functioning (GAF):
  1. ;;
  1. ;; NOTE: The complete multi-axial format as specified by DSM-IV may be
  1. ;; required by BVA REMAND or specifically requested by the rating specialist.
  1. ;; If so, include the GAF score and note whether it refers to current
  1. ;; functioning. A BVA REMAND may also request, in addition to an overall
  1. ;; GAF score, that a separate GAF score be provided for each mental disorder
  1. ;; present when there are multiple Axis I or Axis II diagnoses and not all
  1. ;; are service-connected. If separate GAF scores can be given, an explanation
  1. ;; and discussion of the rationale is needed. If it is not possible, an
  1. ;; explanation as to why not is needed. (See the above note pertaining to
  1. ;; alcohol or drug abuse.)
  1. ;;
  1. ;;G. Effects of the Mental Disorder on Occupational and Social Functioning:
  1. ;;
  1. ;;Evaluation of Mental Disorders is based on their effects on occupational
  1. ;;and social functioning. Select the appropriate assessment of the veteran
  1. ;;from the choices below:
  1. ;;
  1. ;; - Total occupational and social impairment due to Mental Disorder signs
  1. ;; and symptoms.
  1. ;;
  1. ;; Provide examples and pertinent symptoms, including those already reported
  1. ;;
  1. ;; OR
  1. ;;
  1. ;; - Mental Disorder signs and symptoms result in deficiencies in most of
  1. ;; the following areas: work, school, family relations, judgment,
  1. ;; thinking, and mood.
  1. ;;
  1. ;; Provide examples and pertinent symptoms, including those already reported
  1. ;; for each affected area.
  1. ;;
  1. ;; OR
  1. ;;
  1. ;; - There is reduced reliability and productivity due to Mental Disorder
  1. ;; signs and symptoms.
  1. ;;
  1. ;; Provide examples and pertinent symptoms, including those already reported.
  1. ;;
  1. ;; OR
  1. ;;
  1. ;; - There is occasional decrease in work efficiency or there are intermittent
  1. ;; periods of inability to perform occupational tasks due to Mental Disorder
  1. ;; signs and symptoms, but generally satisfactory functioning (routine
  1. ;; behavior, self-care, and conversation normal).
  1. ;;
  1. ;; Provide examples and pertinent symptoms, including those already reported.
  1. ;;
  1. ;; OR
  1. ;;
  1. ;; - There is Mental Disorder signs and symptoms that are transient or mild,
  1. ;; which decrease work efficiency and ability to perform occupational
  1. ;; tasks only during periods of significant stress.
  1. ;;
  1. ;; Provide examples and pertinent symptoms, including those already reported.
  1. ;;
  1. ;; OR
  1. ;;
  1. ;; - Mental Disorder symptoms require continuous medication.
  1. ;;
  1. ;; OR
  1. ;;
  1. ;; - Select all that apply:
  1. ;; - Mental Disorder symptoms are not severe enough to require continuous
  1. ;; medication.
  1. ;; - Mental Disorder symptoms are not severe enough to interfere with
  1. ;; occupational and social functioning.
  1. ;;
  1. ;;Include: your name; your credentials (i.e., board certified psychiatrist,
  1. ;;licensed psychologist, psychiatry resident or psychology intern,
  1. ;;LCSW, or NP); 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. ;;
  1. ;;Signature of Supervising
  1. ;; Psychiatrist or Psychologist: Date:
  1. ;;END