VistA-WorldVistAEHR/r/AUTOMATED_MED_INFO_EXCHANGE.../DVBCWME8.m

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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