BOARD DATE: 10 September 2014 DOCKET NUMBER: AR20140013828 THE BOARD CONSIDERED THE FOLLOWING EVIDENCE: 1. Application for correction of military records (with supporting documents provided, if any). 2. Military Personnel Records and advisory opinions (if any). THE APPLICANT'S REQUEST, STATEMENT, AND EVIDENCE: 1. The applicant requests a review of the military disability evaluation pertaining to a mental health (MH) condition. 2. The applicant states, in effect, the case file should be reviewed in accordance with the Secretary of Defense directive for a comprehensive review of members who were referred for a disability evaluation between 11 September 2001 and 30 April 2012 and whose mental health diagnosis was changed during that process. 3. The applicant submitted an application through the DOD Physical Disability Board of Review (PDBR) Mental Health Special Review Panel (SRP). CONSIDERATION OF EVIDENCE: 1. The PDBR SRP conducted a comprehensive review of the applicant’s submissions and records for evidence of inappropriate changes in the diagnosis of a mental health condition during processing through the military disability system. 2. The Department of Defense memorandum, dated 27 February 2013, directed the Service Secretaries to conduct a review of mental health diagnoses for service members completing a disability evaluation process between 11 September 2001 and 30 April 2012 in order to determine if service members were disadvantaged by a changed diagnosis over the course of their physical disability process. 3. In the processing of this case, an advisory opinion was obtained from the PDBR SRP and the applicant was provided a copy. 4. The applicant did not respond to the advisory opinion. DISCUSSION AND CONCLUSIONS: 1. After a comprehensive review of the applicant’s case, the SRP determined by unanimous vote that there should be no change of the applicant’s Temporary Disability Retired List (TDRL) diagnosis or Service rating determination. 2. The SRP considers the appropriateness of changes (if any) in the MH diagnoses and provides remedial recommendations if it is judged that there were any elimination or unfavorable change in an MH diagnosis by the Service. The SRP further considered whether the provisions of the Department of Veterans Affairs Schedule for Rating Disabilities (VASRD) Section 4.129 were applicable to any unfitting MH condition (physical evaluation board (PEB) adjudicated or SRP recommended) and made rating recommendations in accordance with VASRD Section 4.130 (and VASRD Section 4.129 as appropriate). Since the service acknowledged and rated the Post-Traumatic Stress Disorder (PTSD) condition, with application of VASRD Section 4.129, there was no question regarding an unfavorable elimination or downgrading of an MH diagnosis. Therefore, the applicant’s case did not meet the inclusion criteria in the Terms of Reference of the MH Review Project. 3. The SRP’s charge in the applicant’s case was assessing the fairness of the TDRL rating for PTSD. The PEB assigned the minimum 50 percent rating allowed by VASRD Section 4.129, but the SRP must consider whether the VASRD Section 4.130 criteria for a 70 percent or 100 percent rating were reasonably satisfied by the evidence at TDRL placement. The SRP agreed that VASRD Section 4.130 criteria for a 100 percent rating (total occupational impairment) were not met and considered the 70 percent criteria, i.e., “occupational and social impairment, with deficiencies in most areas, such as work, school, family relations, judgment, thinking, or mood”; referencing typical symptoms of suicidal ideation, obsessional rituals, illogical speech, near continuous panic or depression, spatial disorientation, neglect of hygiene, and inability to establish relationships. At the time of temporary retirement the applicant remained occupationally functional; there was no serious impairment in “most areas” as dictated by the 70 percent rating description; and, most of the exampled typical features were not present; therefore, the minimum 50 percent rating allowed by VASRD Section 4.129 was applicable. 4. After due deliberation in consideration of the preponderance of the evidence, the SRP agreed, mindful of VASRD Section 4.3 (reasonable doubt), that there was insufficient cause to recommend a change in the PEB’s TDRL rating for PTSD. 5. The available evidence shows the SRP’s assessment should be accepted. BOARD VOTE: ________ ________ ________ GRANT FULL RELIEF ________ ________ ________ GRANT PARTIAL RELIEF ________ ________ ________ GRANT FORMAL HEARING __x______ _x_______ _x____ DENY APPLICATION BOARD DETERMINATION/RECOMMENDATION: The evidence presented does not demonstrate the existence of a probable error or injustice. Therefore, the Board determined that the overall merits of this case are insufficient as a basis for correction of the records of the individual concerned. ________x_______________ CHAIRPERSON I certify that herein is recorded the true and complete record of the proceedings of the Army Board for Correction of Military Records in this case. ABCMR Record of Proceedings (cont) AR20040003532 3 ARMY BOARD FOR CORRECTION OF MILITARY RECORDS RECORD OF PROCEEDINGS 1 ABCMR Record of Proceedings (cont) AR20140013828 2 ARMY BOARD FOR CORRECTION OF MILITARY RECORDS RECORD OF PROCEEDINGS 1