DVBCWME8 ;BPOIFO/RLC - MENTAL DISORDERS (EXCEPT PTSD & EATING DISORDERS) ; 12/27/06 3:02pm
;;2.7;AMIE;**118**;Apr 10, 1995;Build 3
;Per VHA Directive 10-92-142, this routine should not be modified
;
TXT ;
;;E. Diagnosis:
;;
;; Provide:
;;
;; 1. The Diagnosis must conform to DSM-IV and be supported by the findings
;; on the examination report.
;; 2. If the diagnosis is changed, explain fully whether the new diagnosis
;; represents a progression of the prior diagnosis or development of a new
;; and separate condition.
;; 3. If there are multiple mental disorders, delineate to the extent possible
;; the symptoms associated with each and a discussion of relationship.
;; 4. Evaluation is based on the effects of the signs and symptoms on
;; occupational and social functioning.
;;
;; NOTE: VA is prohibited by statute, 38 U.S.C. 1110, from paying compensation
;; for a disability that is a result of the veteran's own ALCOHOL OR DRUG
;; ABUSE. However, when a veteran's alcohol or drug abuse disability is
;; secondary to or is caused or aggravated by a primary service-connected
;; disorder, the veteran may be entitled to compensation. See Allen v.
;; Principi, 237 F.3d 1368, 1381 (Fed. Cir. 2001). Therefore, it is important
;; to determine the relationship, if any, between a service-connected disorder
;; and a disability resulting from the veteran's alcohol or drug abuse.
;; Unless alcohol or drug abuse is secondary to or is caused or aggravated
;; by another mental disorder, you should separate, to the extent possible,
;; the effects of the alcohol or drug abuse from the effects of the other
;; mental disorder(s). If it is not possible to separate the effects in
;; such cases, please explain why.
;;
;;F. Global Assessment of Functioning (GAF):
;;
;; NOTE: The complete multi-axial format as specified by DSM-IV may be
;; required by BVA REMAND or specifically requested by the rating specialist.
;; If so, include the GAF score and note whether it refers to current
;; functioning. A BVA REMAND may also request, in addition to an overall
;; GAF score, that a separate GAF score be provided for each mental disorder
;; present when there are multiple Axis I or Axis II diagnoses and not all
;; are service-connected. If separate GAF scores can be given, an explanation
;; and discussion of the rationale is needed. If it is not possible, an
;; explanation as to why not is needed. (See the above note pertaining to
;; alcohol or drug abuse.)
;;
;;G. Effects of the Mental Disorder on Occupational and Social Functioning:
;;
;;Evaluation of Mental Disorders is based on their effects on occupational
;;and social functioning. Select the appropriate assessment of the veteran
;;from the choices below:
;;
;; - Total occupational and social impairment due to Mental Disorder signs
;; and symptoms.
;;
;; Provide examples and pertinent symptoms, including those already reported
;;
;; OR
;;
;; - Mental Disorder signs and symptoms result in deficiencies in most of
;; the following areas: work, school, family relations, judgment,
;; thinking, and mood.
;;
;; Provide examples and pertinent symptoms, including those already reported
;; for each affected area.
;;
;; OR
;;
;; - There is reduced reliability and productivity due to Mental Disorder
;; signs and symptoms.
;;
;; Provide examples and pertinent symptoms, including those already reported.
;;
;; OR
;;
;; - There is occasional decrease in work efficiency or there are intermittent
;; periods of inability to perform occupational tasks due to Mental Disorder
;; signs and symptoms, but generally satisfactory functioning (routine
;; behavior, self-care, and conversation normal).
;;
;; Provide examples and pertinent symptoms, including those already reported.
;;
;; OR
;;
;; - There is Mental Disorder signs and symptoms that are transient or mild,
;; which decrease work efficiency and ability to perform occupational
;; tasks only during periods of significant stress.
;;
;; Provide examples and pertinent symptoms, including those already reported.
;;
;; OR
;;
;; - Mental Disorder symptoms require continuous medication.
;;
;; OR
;;
;; - Select all that apply:
;; - Mental Disorder symptoms are not severe enough to require continuous
;; medication.
;; - Mental Disorder symptoms are not severe enough to interfere with
;; occupational and social functioning.
;;
;;Include: your name; your credentials (i.e., board certified psychiatrist,
;;licensed psychologist, psychiatry resident or psychology intern,
;;LCSW, or NP); circumstances under which you performed the examination,
;;if applicable, (i.e., under the close supervision of an attending
;;psychiatrist or psychologist); name of supervising psychiatrist or
;;psychologist, if applicable.
;;
;;
;;Signature: Date:
;;
;;
;;
;;Signature of Supervising
;; Psychiatrist or Psychologist: Date:
;;END
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HDVBCWME8 5508 printed Apr 09, 2024@20:57:16 Page 2
DVBCWME8 ;BPOIFO/RLC - MENTAL DISORDERS (EXCEPT PTSD & EATING DISORDERS) ; 12/27/06 3:02pm
+1 ;;2.7;AMIE;**118**;Apr 10, 1995;Build 3
+2 ;Per VHA Directive 10-92-142, this routine should not be modified
+3 ;
TXT ;
+1 ;;E. Diagnosis:
+2 ;;
+3 ;; Provide:
+4 ;;
+5 ;; 1. The Diagnosis must conform to DSM-IV and be supported by the findings
+6 ;; on the examination report.
+7 ;; 2. If the diagnosis is changed, explain fully whether the new diagnosis
+8 ;; represents a progression of the prior diagnosis or development of a new
+9 ;; and separate condition.
+10 ;; 3. If there are multiple mental disorders, delineate to the extent possible
+11 ;; the symptoms associated with each and a discussion of relationship.
+12 ;; 4. Evaluation is based on the effects of the signs and symptoms on
+13 ;; occupational and social functioning.
+14 ;;
+15 ;; NOTE: VA is prohibited by statute, 38 U.S.C. 1110, from paying compensation
+16 ;; for a disability that is a result of the veteran's own ALCOHOL OR DRUG
+17 ;; ABUSE. However, when a veteran's alcohol or drug abuse disability is
+18 ;; secondary to or is caused or aggravated by a primary service-connected
+19 ;; disorder, the veteran may be entitled to compensation. See Allen v.
+20 ;; Principi, 237 F.3d 1368, 1381 (Fed. Cir. 2001). Therefore, it is important
+21 ;; to determine the relationship, if any, between a service-connected disorder
+22 ;; and a disability resulting from the veteran's alcohol or drug abuse.
+23 ;; Unless alcohol or drug abuse is secondary to or is caused or aggravated
+24 ;; by another mental disorder, you should separate, to the extent possible,
+25 ;; the effects of the alcohol or drug abuse from the effects of the other
+26 ;; mental disorder(s). If it is not possible to separate the effects in
+27 ;; such cases, please explain why.
+28 ;;
+29 ;;F. Global Assessment of Functioning (GAF):
+30 ;;
+31 ;; NOTE: The complete multi-axial format as specified by DSM-IV may be
+32 ;; required by BVA REMAND or specifically requested by the rating specialist.
+33 ;; If so, include the GAF score and note whether it refers to current
+34 ;; functioning. A BVA REMAND may also request, in addition to an overall
+35 ;; GAF score, that a separate GAF score be provided for each mental disorder
+36 ;; present when there are multiple Axis I or Axis II diagnoses and not all
+37 ;; are service-connected. If separate GAF scores can be given, an explanation
+38 ;; and discussion of the rationale is needed. If it is not possible, an
+39 ;; explanation as to why not is needed. (See the above note pertaining to
+40 ;; alcohol or drug abuse.)
+41 ;;
+42 ;;G. Effects of the Mental Disorder on Occupational and Social Functioning:
+43 ;;
+44 ;;Evaluation of Mental Disorders is based on their effects on occupational
+45 ;;and social functioning. Select the appropriate assessment of the veteran
+46 ;;from the choices below:
+47 ;;
+48 ;; - Total occupational and social impairment due to Mental Disorder signs
+49 ;; and symptoms.
+50 ;;
+51 ;; Provide examples and pertinent symptoms, including those already reported
+52 ;;
+53 ;; OR
+54 ;;
+55 ;; - Mental Disorder signs and symptoms result in deficiencies in most of
+56 ;; the following areas: work, school, family relations, judgment,
+57 ;; thinking, and mood.
+58 ;;
+59 ;; Provide examples and pertinent symptoms, including those already reported
+60 ;; for each affected area.
+61 ;;
+62 ;; OR
+63 ;;
+64 ;; - There is reduced reliability and productivity due to Mental Disorder
+65 ;; signs and symptoms.
+66 ;;
+67 ;; Provide examples and pertinent symptoms, including those already reported.
+68 ;;
+69 ;; OR
+70 ;;
+71 ;; - There is occasional decrease in work efficiency or there are intermittent
+72 ;; periods of inability to perform occupational tasks due to Mental Disorder
+73 ;; signs and symptoms, but generally satisfactory functioning (routine
+74 ;; behavior, self-care, and conversation normal).
+75 ;;
+76 ;; Provide examples and pertinent symptoms, including those already reported.
+77 ;;
+78 ;; OR
+79 ;;
+80 ;; - There is Mental Disorder signs and symptoms that are transient or mild,
+81 ;; which decrease work efficiency and ability to perform occupational
+82 ;; tasks only during periods of significant stress.
+83 ;;
+84 ;; Provide examples and pertinent symptoms, including those already reported.
+85 ;;
+86 ;; OR
+87 ;;
+88 ;; - Mental Disorder symptoms require continuous medication.
+89 ;;
+90 ;; OR
+91 ;;
+92 ;; - Select all that apply:
+93 ;; - Mental Disorder symptoms are not severe enough to require continuous
+94 ;; medication.
+95 ;; - Mental Disorder symptoms are not severe enough to interfere with
+96 ;; occupational and social functioning.
+97 ;;
+98 ;;Include: your name; your credentials (i.e., board certified psychiatrist,
+99 ;;licensed psychologist, psychiatry resident or psychology intern,
+100 ;;LCSW, or NP); circumstances under which you performed the examination,
+101 ;;if applicable, (i.e., under the close supervision of an attending
+102 ;;psychiatrist or psychologist); name of supervising psychiatrist or
+103 ;;psychologist, if applicable.
+104 ;;
+105 ;;
+106 ;;Signature: Date:
+107 ;;
+108 ;;
+109 ;;
+110 ;;Signature of Supervising
+111 ;; Psychiatrist or Psychologist: Date:
+112 ;;END
