IN THE CASE OF: BOARD DATE: 10 December 2014 DOCKET NUMBER: AR20140019042 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) entry and separation disability determination for the MH condition. 2. The SRP reviewed the records for evidence of inappropriate changes in The diagnosis of the MH condition during processing through the military Integrated Disability Evaluation System (IDES) Program. The evidence of the available records shows the diagnoses of Post-Traumatic Stress Disorder (PTSD) and mood disorder due to Traumatic Brain Injury (TBI) were rendered during processing through the DES. The SRP agreed that the MH diagnoses were not changed in the disability evaluation. Therefore, the applicant did not meet the inclusion criteria in the Terms of Reference of the MH Review Project. 3. The SRP noted that the provisions of the Department of Veterans Affairs Schedule for Rating Disabilities (VASRD) Section 4.129 (mental disorders due to traumatic stress) were appropriately applied in this case. The SRP considered if there was evidence for a VASRD Section 4.130 rating higher than 50 percent at the time of TDRL entry. The higher 70 percent rating was for “Occupational and social impairment, with deficiencies in most areas.” There were no further psychiatric hospitalizations, no emergency department visits, no impairment in thought processes, and no suicidal or homicidal ideation. The SRP concluded the record in evidence did not support a higher than 50 percent rating at TDRL entry and there was insufficient reasonable doubt for recommending a 70 percent TDRL entry rating. 4. The SRP agreed at the time of permanent retirement that the record adequately demonstrated that the applicant continued to meet the diagnostic criteria for PTSD. He remained symptomatic, but controlled with medications. There was no reported history of persistent suicidal or homicidal thoughts, plan, intent, or attempts. There was no indication of a pattern of alcohol abuse. There was no report of legal problems. There was no report of domestic violence or violence outside of the home. His mental status examination recorded no impairment in judgment, noted no evidence of psychosis, and no issues in orientation or hygiene. Although there was a call documented to the suicide hotline in June 2012, the records evidenced that the applicant’s symptoms had stabilized with no hospitalizations and no recorded visits to the emergency room for mental health issues. 5. After due deliberation in consideration of VASRD Section 4.3, the SRP concluded there was insufficient cause to recommend a change in the PEB adjudication of the applicant’s permanent retirement rating of 50 percent for the mental health condition. 6. 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) AR20140019042 2 ARMY BOARD FOR CORRECTION OF MILITARY RECORDS RECORD OF PROCEEDINGS 1