178 lines
6.5 KiB
Mathematica
178 lines
6.5 KiB
Mathematica
DVBCST2 ;ALB/JEH SOCIAL AND INDUSTRIAL SURVEY WKS TEXT - 2 ; 24 MAY 2004
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;;2.7;AMIE;**70**;Apr 10, 1995
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TXT ;
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;;G. Chronological History of Adjustment Prior to Service or Stressor
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;; ----------------------------------------------------------------
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;;
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;; 1. Any evidence of disorder in infancy, childhood, or adolescence,
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;; especially antisocial behavior (reference DSM-IV).
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;;
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;; 2. Activity patterns Friendships and social relationships.
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;;
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;; 3. Family Describe relationships.
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;;
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;; 4. Significant issues in school, community, or work area.
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;;
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;; 5. Pre-military traumatic events Provide details, if possible.
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;;
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;;
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;;H. Chronological History of Adjustment After Service or Stressor
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;; -------------------------------------------------------------
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;;
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;; 1. Changes in personality or interpersonal relationships.
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;;
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;; 2. Work performance.
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;;
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;; 3. Emotional difficulties: Describe onset and details, including time,
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;; nature, and severity.
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;;
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;; 4. Onset of any other type of symptoms, such as physical.
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;;
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;; 5. Legal issues, such as involvement with authorities or courts.
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;;
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;; 6. Substance abuse history Describe use of drugs, alcohol,
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;; prescription medications, and tobacco.
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;;
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;; 7. Psychiatric treatment history.
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;;
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;;
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;;I. Post-Military Social Adjustment
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;; -------------------------------
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;;
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;; 1. Describe all marriages and divorces, loss of spouse or significant other
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;; through death, and birth (and death if applicable) of all children.
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;;
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;; 2. Describe nature of friendships and social relationships, including
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;; group memberships.
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;;
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;; 3. Describe the veteran's living situation.
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;;
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;; 4. Note any significant post-military adjustment problems, including
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;; illness or injury.
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;;
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;;
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;;J. Industrial Adjustment
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;; ---------------------
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;;
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;; 1. Veteran's occupation(s).
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;;
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;; 2. All education and training.
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;;
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;; 3. List all employers and positions, including:
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;; a. Earnings
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;; b. Dates of change(s) in employment
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;; c. Length of time with specific employers
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;; d. Periods of unemployment
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;; e. Relationship with co-workers, supervisors, and subordinates
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;;
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;; 4. Highest paid position.
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;;
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;; 5. Attitude toward employment.
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;;
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;; 6. Is the veteran working at an occupation or position that is below
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;; his/her education and training level?
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;;
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;; 7. Is there evidence that the veteran's pre-traumatic level of
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;; performance was above his/her post-traumatic level of performance?
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;; What is the documentation of this?
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;;
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;; 8. Is there evidence service connected disability(ies) impacted the
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;; veteran's decision to retire? Discuss. (For example, did the
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;; veteran choose to take an early retirement with financial loss in
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;; order to reduce the stress experienced in the work environment
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;; because the stress was aggravating the service connected
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;; disability(ies)?)
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;;
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;; 9. Has an employer made official or unofficial accommodations to handle
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;; veterans disabilities? Document any evidence of internal transfers,
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;; re-assignments, etc.
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;;
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;;K. Present Social Functioning
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;; --------------------------
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;;
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;; 1. Identify Stressors in any of the following categories:
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;;
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;; a. Primary support system or group
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;;
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;; b. Social environment
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;;
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;; c. Educational problems
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;;
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;; d. Occupational problems
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;;
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;; e. Housing problems
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;;
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;; f. Economic problems
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;;
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;; g. Problems accessing health care
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;;
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;; h. Legal system or criminal problems
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;;
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;; i. Other
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;;
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;; 2. Appearance: Describe dress, speech, mannerisms, scars, facial
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;; expressions, and body movements (assessment based on observation
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;; listed above).
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;;
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;; 3. Relationships: Describe all relationships, including with whom
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;; and duration of relationship. Describe physical intimacy, including
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;; frequency, level of satisfaction, problems with intimacy, and any
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;; impact of medical or psychiatric conditions on performance.
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;;
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;; 4. Lifestyle: Describe how the veteran spends his/her time, including
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;; interests, hobbies, employment, typical day and week, and eating and
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;; sleeping patterns.
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;;
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;; 5. Mental Status: Describe, including evidence of confusion, memory
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;; problems, thought processes or disorders, and mood/affect.
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;; Describe the veteran's functioning in the areas of cognitive,
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;; emotional (mood) and judgment.
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;;
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;; 6. GAF Score (if available)
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;;
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;;L. Capacity to manage financial affairs (if an issue)
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;; ------------------------------------
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;;
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;;NOTE: Mental competency, for VA benefits purposes, refers only to the ability
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;; of the veteran to manage VA benefit payments in his or her own best
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;; interest, and not to any other subject. Mental incompetency, for VA
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;; benefits purposes, means that the veteran, because of injury or disease,
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;; is not capable of managing benefit payments in his or her best interest.
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;; In order to assist raters in making a legal determination as to
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;; competency, please address the following:
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;;
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;; 1. What is the impact of injury or disease on the veteran's ability to
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;; manage his or her financial affairs, including consideration of
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;; such things as knowing the amount of his or her VA benefit payment,
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;; knowing the amounts and types of bills owed monthly, and handling the
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;; payment prudently?
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;;
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;; 2. Does the veteran handle the money and pay the bills himself or
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;; herself?
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;;
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;; 3. Based on your examination, do you believe that the veteran is capable
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;; of managing his or her financial affairs? Please provide examples to
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;; support your conclusion.
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;;
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;;M. Summary & Conclusions
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;; ---------------------
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;;
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;; 1. Summarize the specific effect of disabilities and the impact on
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;; employment.
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;;
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;; 2. Summarize the specific effect of disabilities and the impact on
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;; social functioning.
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;;
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;;
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;;
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;;NOTE: Refer to medical, psychiatric and/or neuro-psychiatric report(s), as
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;; appropriate.
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;;
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;;
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;;
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;;__________________________ ___________
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;;SIGNATURE OF SOCIAL WORKER DATE
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;;END
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