RECORD OF PROCEEDINGS
AIR FORCE BOARD FOR CORRECTION OF MILITARY RECORDS
IN THE MATTER OF: DOCKET NUMBER: 98-00462
COUNSEL: NONE
HEARING DESIRED: NO
_________________________________________________________________
APPLICANT REQUESTS THAT:
The narrative reason for her separation be changed from personality
disorder to medical.
_________________________________________________________________
APPLICANT CONTENDS THAT:
She was diagnosed with epilepsy immediately after discharge and that
was the reason for her personality problems. Her condition was
misdiagnosed by military doctors.
In support of her request, the applicant submits a statement from her
civilian doctor and additional documents associated with the issues
cited in her contentions (Exhibit A).
_________________________________________________________________
STATEMENT OF FACTS:
Applicant's military personnel records reflect that she enlisted in
the Regular Air Force on 19 November 1997 for a period of four years.
On 10 Dec 97, the applicant was notified that she was being
recommended for discharge by her commander for a condition that
interferes with military service, mental disorders (adjustment
disorder with depressed mood). Applicant waived her right to consult
legal counsel and to submit statements in her own behalf. On 12 Dec
97, the discharge authority approved the recommendation for an entry
level separation for personality disorder. She received an
uncharacterized, entry level separation, on 12 Dec 97, under the
provisions of AFI 36-3208 (personality disorder). She had completed a
total of 24 days of active duty service.
The relevant facts pertaining to this application are contained in the
letter prepared by the AFBCMR Medical Consultant (Exhibit C).
Accordingly, there is no need to recite these facts in this Record of
Proceedings.
_________________________________________________________________
AIR FORCE EVALUATION:
The AFBCMR Medical Consultant stated that three weeks into basic
training, on 26 November 1997, the applicant suffered what was
determined to be an orthostatic syncopal episode (fainted when she
assumed upright position). She was admitted to Wilford Hall Medical
Center where a thorough neurological evaluation was performed. After
resolution of her symptoms, she was returned to duty. On 5 December
1997, she was referred for mental health evaluation after she had
expressed some suicidal thoughts. This evaluation resulted in a
diagnosis of “Adjustment Disorder with Mixed Anxiety and Depressed
Mood.” She was recommended for involuntary separation under
provisions of AFI 36-3208, paragraph 5.11.1, Mental Disorders.
Subsequent to her separation, the applicant has had further follow-up
in the civilian sector and has been diagnosed with post-traumatic
epilepsy (secondary to the head trauma in May 1997, prior to her
enlistment) and reiteration of the Adjustment Disorder diagnosis.
The AFBCMR Medical Consultant stated that the applicant experienced
considerable difficulty adjusting to an entirely new environment and
that her retention would have been problematic, at best.
Additionally, the head trauma suffered prior to her enlistment has
resulted in an epileptiform disorder for which medication has been
prescribed and which would render her ineligible for military service.
The current Air Force Instruction regulating separations for these
types of mental health problems does not allow coding for other than
“Personality Disorder,” an entirely different DSM-IV code sequence
from what the applicant was diagnosed with. The AFBCMR Medical
Consultant is of the opinion that, in order to correct an injustice of
improperly labeling the applicant's disorder, the applicant's
narrative reason for separation should be changed to read:
“Secretarial Authority,” with the corresponding separation designator
(SPD) code of KFF (Exhibit C).
The Separation Branch, HQ AFPC/DPPRS, stated that provided HQ
AFPC/DPPD determines the applicant’s reason for separation should
remain administrative and not medical, they concur with the AFBCMR
Medical Consultant’s recommendation that her narrative reason for
separation should be changed as recommended (Exhibit D).
The Physical Disability Division, HQ AFPC/DPPD, reviewed the
application and verify that the applicant was never referred to or
considered by the Air Force Disability Evaluation System under the
provisions of AFI 36-3212. The decision to conduct a Medical
Evaluation Board (MEB) is made by the medical treatment facility
providing care to the member. DPPD recommended denial of the
applicant’s request for a disability discharge. The applicant has not
submitted any material or documentation to show that she was unfit due
to a physical disability under the provisions of Title 10, USC, at the
time of her involuntary administrative discharge (Exhibit E).
_________________________________________________________________
APPLICANT'S REVIEW OF AIR FORCE EVALUATION:
The applicant disagrees with the advisory opinion from HQ AFPC/DPPD.
She requests that the Board disregard this opinion and grant the
change in discharge and disability (Exhibit G).
_________________________________________________________________
THE BOARD CONCLUDES THAT:
1. The applicant has exhausted all remedies provided by existing law
or regulations.
2. The application was timely filed.
3. Sufficient relevant evidence has been presented to demonstrate the
existence of probable error or injustice. Although there is no
indication that the applicant’s discharge was erroneous or that her
medical condition diagnosed subsequent to her separation met the
criteria set forth in the law for a disability separation, there is
evidence presented which warrants some relief. After thoroughly
considering the documentation pertaining to this appeal, we agree with
the opinion and recommendation of the AFBCMR Medical Consultant. The
medical diagnosis of “Adjustment Disorder with Mixed Anxiety and
Depressed Mood,” assigned to the applicant at the time, appears to be
inconsistent with the medical diagnosis entered on her DD Form 214 as
the reason for her separation. Therefore, in order to correct an
injustice of improperly labeling the applicant’s disorder, we
recommend the applicant’s reason for separation be changed to
“Secretarial Authority,” with a corresponding separation code of
“KFF.”
_________________________________________________________________
THE BOARD RECOMMENDS THAT:
The pertinent military records of the Department of the Air Force
relating to APPLICANT be corrected to show that, in conjunction with
her entry level separation on 12 December 1997, she was issued a
separation program designator code of “KFF” and a narrative reason of
“Secretarial Authority” rather than “Personality Disorder.”
_________________________________________________________________
The following members of the Board considered this application in
Executive Session on 14 January 1999, under the provisions of AFI 36-
2603:
Ms. Martha Maust, Panel Chair
Ms. Ann L. Heidig, Member
Mr. Jackson A. Hauslein, Member
All members voted to correct the records, as recommended. The
following documentary evidence was considered:
Exhibit A. DD Form 149, dated 16 Mar 98, w/atchs.
Exhibit B. Applicant's Master Personnel Records.
Exhibit C. Letter, AFBCMR Medical Consultant, dated 4 Jun 98.
Exhibit D. Letter, HQ AFPC/DPPRS, dated 16 Jul 98.
Exhibit E. Letter, HQ AFPC/DPPD, dated 23 Jul 98.
Exhibit F. Letter, SAF/MIBR, dated 10 Aug 98.
Exhibit G. Letter from applicant, undated.
MARTHA MAUST
Panel Chair
AFBCMR 98-00462
MEMORANDUM FOR THE CHIEF OF STAFF
Having received and considered the recommendation of the Air
Force Board for Correction of Military Records and under the authority
of Section 1552, Title 10, United States Code (70A Stat 116), it is
directed that:
The pertinent military records of the Department of the Air
Force relating to APPLICANT be corrected to show that, in conjunction
with her entry level separation on 12 December 1997, she was issued a
separation program designator code of “KFF” and a narrative reason of
“Secretarial Authority” rather than “Personality Disorder.”
JOE G. LINEBERGER
Director
Air Force Review Boards Agency
AF | BCMR | CY1999 | BC-1998-00462
The relevant facts pertaining to this application are contained in the letter prepared by the AFBCMR Medical Consultant (Exhibit C). This evaluation resulted in a diagnosis of “Adjustment Disorder with Mixed Anxiety and Depressed Mood.” She was recommended for involuntary separation under provisions of AFI 36-3208, paragraph 5.11.1, Mental Disorders. The Separation Branch, HQ AFPC/DPPRS, stated that provided HQ AFPC/DPPD determines the applicant’s reason for separation should remain...
On 19 May 97, an MEB found the applicant not world-wide qualified and recommended she be referred to an Informal Physical Evaluation Board (IPEB). He diagnosed her as having a personality disorder, not otherwise specified, and recommended administrative separation. On 9 Nov 98, the IPEB found her fit with an adjustment disorder which existed prior to service (EPTS) at the USAFA and recommended she be returned to duty.
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