RECORD OF PROCEEDINGS AIR FORCE BOARD FOR CORRECTION OF MILITARY RECORDS IN THE MATTER OF: DOCKET NUMBER: BC-2013-05637 COUNSEL: NONE HEARING DESIRED: NO APPLICANT REQUESTS THAT: His honorable discharge be changed to a medical discharge. APPLICANT CONTENDS THAT: He has Post-Traumatic Stress Disorder (PTSD) and other problems and needs an exit physical. His misconduct and separation was related to his PTSD. In support of his request, the applicant provides copies of his DD Form 214, Certificate of Release or Discharge from Active Duty; DD Form 293, Application for the Review of Discharge from the Armed Forces of the United States, and AF Form 100, Request and Authorization for Separation. The applicant’s complete submission, with attachments, is at Exhibit A. STATEMENT OF FACTS: On 18 Jan 01, the applicant enlisted in the Regular Air Force. On 6 May 05, the applicant pulled his weapon on a fellow military member while in a deployed environment. For this misconduct, he received non-judicial punishment under the provisions of Article 15, Uniform Code of Military Justice (UCMJ), reduction in grade to airman first class, which was to be suspended through 26 Nov 05, after which time it would be remitted without further action, unless sooner vacated, forfeiture of $300 pay per month for 2 months and 14 days extra duty, and a reprimand. On 10 May 05, the applicant was given a commander-directed mental health evaluation for self-mutilation and inappropriate gesture/drawing of his fire arm. On 23 Nov 05, the applicant was diagnosed by a clinical psychologist with an Adjustment Disorder with Depressed Mood, Resolved. The evaluation reflected an absence of any mental health disorder that should have been adjudicated in a Medical Evaluation Board (MEB). Further, it was noted that a recommendation for an administrative separation for mental health reasons may not be considered because no disorder was present that would affect the applicant’s ability to function effectively in a military environment. On 22 May 06, the applicant’s Air Force Specialty Code (AFSC) (3P0X1, Security Forces) was permanently withdrawn. On 11 Sep 06, the applicant was notified by his commander of his intent to recommend his discharge from the Air Force for Misconduct: Other Serious Offenses and for Unsatisfactory Performance: Failure to perform duties properly under the provisions of AFI 36-3208, Administrative Discharge of Airmen, Chapter 5, paragraphs 5.52.3 and 5.26.1.1. Before recommending discharge the commander noted he reviewed the positive and negative aspects of the applicant’s entire military record. However, based on the severity of the charge he believed the applicant’s separation was in the best interest of the Air Force. The applicant acknowledged receipt of the notification of discharge. On 12 Sep 06, after consulting with legal counsel, the applicant waived his right to submit a statement on his own behalf. On 15 Sep 06, the Acting Staff Judge Advocate (SJA) reviewed the case and found it legally sufficient to support discharge and recommended to the wing commander that the applicant be discharged for both misconduct and unsatisfactory performance and that he receive a general (under honorable conditions) discharge without the offer of probation or rehabilitation. The discharge authority approved the applicant’s discharge. On 21 Sep 06, the applicant was discharged for Misconduct with service characterized as general (under honorable conditions) in the grade of senior airman. He served five years, eight months and three days of total active service. On 22 Sep 06, the Department of Veterans Affairs (DVA) granted him service-connection for PTSD (claimed as depression with associated sleep disorder, insomnia) with a compensable disability rating of 30 percent. On 26 Jun 07, his PTSD disability rating was increased to 100 percent. On 21 Jan 09, the applicant submitted a DD Form 293, requesting he be separated under physical disability provisions. On 4 Mar 09, the Air Force Discharge Review Board (AFDRB) notified the applicant that based on his request, a review by the AFDRB was inappropriate and that he should submit his application to the AFBCMR. Further, the AFDRB informed the applicant that should he elect to proceed with his application, he needed to amend his DD Form 293 and request that his narrative reason for separation be changed. On 26 Mar 13, the applicant submitted a DD Form 293 for an upgrade of discharge to honorable. According to AFHQ Form 0-2077, AFDRB Hearing Record dated 2 Aug 13, the applicant was offered, but declined, a personal appearance before the board and requested that the review be completed based on the available service record. The AFDRB considered and granted the applicant’s appeal. The AFDRB found mitigating evidence that the applicant was suffering from PTSD related to three deployments and several untimely deaths in his family. The AFDRB concluded the applicant’s mental health condition was serious enough to impair his ability to conform to military standards and found it inequitable that he received a discharge for misconduct. The AFDRB concluded that the applicant’s overall quality of service is more accurately reflected by an honorable discharge and the reason for the discharge is more accurately described as Secretarial Authority under the provisions of Title 10, United States Code (USC), 1553. On 30 Aug 13, the applicant was notified by the DVA of their intent to reduce his PTSD disability rating from 100 percent to 70 percent. AIR FORCE EVALUATION: The BCMR Medical Consultant recommends denial. The Medical Consultant opines that competent military mental health providers determined the applicant did not have a mental disorder warranting a MEB, in accordance with AFI 48-123, Medical Examinations and Standards; nor did he have a mental disorder warranting administrative discharge under AFI 36-3208, at the time of his release from service. Nevertheless, the evidence indicated the applicant was diagnosed with an Adjustment Disorder with Depressed Mood and Bereavement in May 05, and that he carried this diagnosis at least until 21 Sep 05, when the first of the two was determined “Resolved.” During the applicant’s discharge physical examination, conducted nearly a year later, he made no reference to an existing mental disorder. In addition, the profile restrictions assigned to him while under the care for Adjustment Disorder with Depressed Mood and Bereavement were lifted in Nov 05, and he was returned to worldwide qualified status; at which time his mental health providers concluded he had “No Diagnosis” to depict his final mental health assessment. Further, there was no evidence the applicant required or received military mental health care through Calendar Year 2006 (CY 2006). Even though the Department of Veteran’s Affairs (DVA) has granted the applicant service-connection and compensation for a number of medical conditions, but particularly PTSD, the evidence does not reflect PTSD was an unfitting condition at the time of the applicant’s release from military service. Moreover, even though the DVA has assigned service-connection and compensation for PTSD, effective the day after the applicant’s date of discharge, the Board is reminded that operating under Title 38, USC, the DVA is authorized to offer compensation for any medical condition determined service-incurred or aggravated, without regard to its demonstrated or proven impact upon a service members retainability, fitness to serve, narrative reason for discharge, or length of intervening time since discharge. Finally, the consultant is aware that several mental disorders share overlapping signs and symptoms, some which are compensable and some which are not. The Medical Consultant is not in a position to declare that the applicant was issued an errant diagnosis during his military service or that his pattern of behavior should have been attributed to a compensable mental disorder. Nevertheless, the Medical Consultant concedes the merits of a medical separation warrants further discussion, i.e., a de facto “dual-action’ review, noting that the AFDRB upgraded the applicant’s discharge characterization with a stated position that PTSD caused him to pull the weapon on a fellow service member; which contributed to the discharge action. Although considered mitigating by the AFDRB for this particular serious act, the Medical Consultant found the service evidence insufficient to declare the existence of a mental disorder that was unfitting prior to the applicant’s release from service. The complete Medical Consultant evaluation is at Exhibit C. APPLICANT'S REVIEW OF AIR FORCE EVALUATION: A copy of the Air Force evaluation was forwarded to the applicant on 27 Jun 14, for review and comment within 30 days (Exhibit D). As of this date, this office has not received a response. THE BOARD CONCLUDES THAT: 1. The applicant has exhausted all remedies provided by existing law or regulations. 2. The application was not timely filed; however, it is in the interest of justice to excuse the failure to timely file. 3. Insufficient relevant evidence has been presented to demonstrate the existence of an error or injustice. We took notice of the applicant’s complete submission in judging the merits of the case and do not find that it supports a determination that the applicant was improperly discharged. The applicant has not provided sufficient evidence which would lead us to believe that at the time of his discharge, a physical condition existed that was determined by competent medical authority to be a physical disability which specifically rendered him unfit for continued military service. Therefore, we agree with the opinion and recommendation of the BCMR Medical Consultant and adopt the rationale expressed as the basis for our conclusion the applicant has not been the victim of an error or injustice. Therefore, in in the absence of evidence to the contrary, we find no basis to granting the relief sought in this application. THE BOARD DETERMINES THAT: The applicant be notified that the evidence presented did not demonstrate the existence of material error or injustice; that the application was denied without a personal appearance; and that the application will only be reconsidered upon the submission of newly discovered relevant evidence not considered with this application. The following members of the Board considered AFBCMR Docket Number BC-2013-05637 in Executive Session on 28 Aug 14, under the provisions of AFI 36-2603: Panel Chair Member Member The following documentary evidence was considered: Exhibit A. DD Form 149, undated, w/atchs. Exhibit B. Applicant's Master Personnel Records. Exhibit C. Letter, BCMR Medical Consultant, dated 10 Jun 14. Exhibit D. Letter, SAF/MRBR, dated 27 Jun 14. 5