- 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 Feb 18, 2025@23:19:05 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