RECORD OF PROCEEDINGS
AIR FORCE BOARD FOR CORRECTION OF MILITARY RECORDS
IN THE MATTER OF: DOCKET NUMBER: BC-2004-02704
INDEX CODE: 110.00
COUNSEL: NONE
HEARING DESIRED: NO
MANDATORY CASE COMPLETION DATE: 6 MAR 06
_________________________________________________________________
APPLICANT REQUESTS THAT:
His DD Form 214, Certificate of Release or Discharge from Active Duty,
Block 28, Narrative Reason for Separation be changed or deleted.
_________________________________________________________________
APPLICANT CONTENDS THAT:
He disputes the military’s contention that his disability was
preexisting. He was never treated nor diagnosed for the condition
prior to entering the military. He is applying for Veterans Affairs
benefits and the Air Force’s characterization of a preexisting
condition will jeopardize his chances to receive benefits.
Applicant's complete submission is attached at Exhibit A.
_________________________________________________________________
STATEMENT OF FACTS:
The applicant enlisted in the Regular Air Force (RegAF) on 26 May 1981
as an airman basic (AB) for a period of four years serving as a
apprentice law enforcement specialist.
Prior to enlisting, on 26 January 1981, the applicant initialed Air
Force (AF) Form 2030, USAF Drug Abuse Certificate, acknowledging he
never “illegally used or possessed dangerous drugs, narcotics, LSD or
any hallucinogens and that he never has been arrested by police for
possession or use of other substances.”
On 3 February 1981, the applicant checked “yes” on Standard Form (SF)
93, Report of Medical History, to the following questions, “Depression
or excessive worry, Nervous trouble of any sort” The
examining physician noted “Depression, reactive, no suicidal attempt,
Nervous trouble - not serious enough to seek medical attention.”
On 6 January 1982, based on statements the applicant made to a
coworker/supervisor regarding his prior drug use an investigation was
initiated into his use and possession of controlled substances.
On 6 January 1982, the applicant was hospitalized via a referral from
the Mental Health Clinic with a chief complaint of “I think I am
really addicted to drugs, and want to get this worked out.”
The applicant underwent a psychiatric evaluation and was diagnosed as
having bipolar affective disorder, manic, chronic with episodes of
acute exacerbations, moderate, in remission and mixed substance abuse
(reportedly including marijuana, hashish, cocaine, amphetamines,
downers, LSD and others.)
On 29 January 1982, the applicant, following his hospitalization,
completed a SF 93 and wrote “My present health has not been better
since Dec 80. My medication is lithium bicarbonate and Navane. They
both calm me down and slow my thought from racing.”
The applicant underwent a medical evaluation board (MEB) on
23 February 1982. The MEB diagnosed the applicant as bipolar
affective disorder, manic, chronic with episodes of acute
exacerbations, moderate, in remission; manifested by increased
activity, loquaciousness, flight of ideas, irritability, and loss of
concentrating ability. Stress: None. Predisposition: Severe,
family history of bipolar affective disorder in his natural mother.
Degree of Impairment: Marked for military duty, and slight for social
and vocational rehabilitation. The MEB recommended the applicant to a
Physical Evaluation Board (PEB).
On 4 June 1982, the Informal Physical Evaluation Board (IPEB)
diagnosed the applicant with bipolar affective disorder, manic,
chronic with slight impairment of social and industrial adaptability;
Existed prior to service (EPTS) without service aggravation. They
recommended the applicant be discharged under other than Chapter 61,
10 United States Code (USC).
On 24 March 1982, the applicant’s commander initiated administrative
discharge action for misconduct, fraudulent entry due to the
applicant’s failure to reveal preservice drug use with a
recommendation that the applicant be discharged with an under other
than honorable conditions (UOTHC) discharge.
In the recommendation for discharge, the commander cited the following
derogatory information:
The applicant received Letters of Counseling (LOC) on
23 November 1981, 27 November 1981, 6 December 1981, 31 December 1981
and 5 January 1982. The applicant also received a Letter of Reprimand
(LOR) on 6 January 1982.
The commander advised applicant of his right to consult legal
counsel; present his case to an administrative discharge board; be
represented by legal counsel at a board hearing; submit statements
in his own behalf in addition to, or in lieu of, the board hearing;
or waive the above rights after consulting with counsel.
After consulting with counsel, applicant offered a conditional
waiver to an administrative discharge board contingent on his
receiving a general (under honorable conditions) discharge.
On 9 April 1982, a legal review was conducted in which the staff
judge advocate recommended the applicant’s waiver be accepted and he
be separated from the Air Force with a general discharge.
On 30 April 1982, the execution of the applicant’s approved discharge
was deferred pending dual action processing.
On 7 July 1982, the applicant’s case was processed by the Secretary of
the Air Force Personnel Council (SAFPC) as a dual action case with a
determination that the applicant be discharged with a disability that
EPTS.
On 9 August 1982, the applicant was discharged in the grade of airman
with an under honorable conditions (general) discharge due to a
disability that existed prior to service. He served 1 year, 2 months
and 14 days of active duty service.
_________________________________________________________________
AIR FORCE EVALUATION:
The Medical Consultant, AFBCMR, states bipolar disorder is an illness
characterized by periods of sustained disruption of mood, associated
with distortions of perception, somatic functioning, and impairment in
social functioning. There is a hereditary predisposition for the
condition and the age of onset is typically between 15 and 30 years of
age. The mood disorder includes periods of mania, a state of
elevated, expansive, or irritable mood lasting at least a week, and
periods of depressed mood or even episodes of major depression and is
classified according to the predominant mood pattern. Manic episodes
are characterized by inflated self esteem, decreased need for sleep,
excessive talkativeness, racing of thoughts, increased goal directed
activity, easy distractibility, and excessive pursuit of pleasurable
activities without the normal regard for the consequences of excess
(spending money, sexual encounters, etc.)
The most common behavioral symptoms associated with manic episodes
include pressured speech, hyperverbosity, physical hyperactivity,
agitation, decreased need for sleep, hypersexuality and extravagance.
Impaired slight insight is a frequent component of the manic episode.
Bipolar disorder is a chronic illness that often evolves over a
prolonged period of time (months, years) before diagnosis, is marked
by a course of relapses and remissions, is frequently associated with
substance abuse, with a high rate of suicide attempt (25-50%) and
successful suicide (15%). Prior to treatment with mood stabilizing
medications, individuals with this disorder experience 4 episodes over
10 years, however treatment with medication significantly reduces the
frequency and severity of episodes. The majority of individuals with
bipolar disorder return to a fully functional level between episodes.
However, some display inter-episode mood lability and interpersonal or
occupational difficulties and some have incomplete inter-episode
recovery.
The Medical Consultant further states the applicant alleges he was
never diagnosed or treated for bipolar disorder prior to entering
military service. Although he was never formally diagnosed and
treated for bipolar disorder before entering military service, the
preponderance of the evidence of record clearly indicates the
applicant was manifesting symptoms of the evolving condition prior to
entering active duty service. The in-service worsening of the
condition is the expected natural course of the condition and
treatment placed him in remission such that he reported he had not
felt better since before December 1980, five months before he entered
the Air Force.
Furthermore, a determination of service connectedness for purposes of
the Department of Veterans Affairs (DVA) compensation is made by the
DVA not the Department of Defense (DoD). The Air Force Board for
Correction of Military Records (AFBCMR) may correct errors in military
records and has no jurisdiction over decisions and documentation made
by the DVA and does not have the authority to render a determination
of service connectedness for the purposes of DVA disability
determinations under Title 38. The fact that the service has made a
determination that a condition exited prior to service does not
automatically mean the DVA will deny benefits since the DVA makes its
own assessment of the medical evidence regarding service connection,
when the condition was incurred and whether there was a permanent
service aggravation. Therefore, based on the information above the
Medical Consultant recommends the requested relief be denied.
A copy of the Air Force evaluation is attached at Exhibit C.
_________________________________________________________________
APPLICANT'S REVIEW OF AIR FORCE EVALUATION:
A copy of the Air Force evaluation was forwarded to the applicant on
13 April 2005, for review and response. As of this date, no response
has been received by this office.
_________________________________________________________________
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 of timely file.
3. Insufficient relevant evidence has been presented to demonstrate
the existence of an error or injustice. The applicant contends the
narrative reason for his discharge is preventing him from receiving
disability benefits from the DVA. After careful consideration of the
circumstances of this case and the evidence provided by the applicant,
we are not persuaded the narrative reason for separation the applicant
received was in error or unjust. Applicant’s contentions are duly
noted; however, we agree with the opinion and recommendation of the
AFBCMR Medical Consultant and adopt his rationale as the basis for our
conclusion that the applicant has not been the victim of an error or
injustice. In this respect, it appears the applicant’s case was
properly processed through the Secretary of the Air Force Personnel
Council as a dual action case where a determination was made that he
be discharged for a disability which EPTS, rather than discharging him
for misconduct. The applicant contends he was never treated or
diagnosed as having this medical condition. As noted by the Medical
Consultant although the applicant was not formally diagnosed and
treated for bipolar disease prior to entering active duty, evidence of
record indicates he was manifesting symptoms of the evolving condition
prior to entering the Air Force. By his own admission, he stated he
experienced symptoms of the medical condition and used illegal drugs
before entering active duty. The applicant provides no persuasive
evidence the decision made regarding the reason for his discharge is
inaccurate or unjust. With respect to his contention regarding DVA
disability entitlements, it should be noted the DVA not DOD,
determines the service connection of a medical condition for the
purposes of receiving DVA disability compensation. The fact the Air
Force made a determination that the applicant’s condition existed
prior to service does not automatically mean the DVA will deny him
benefits. The DVA makes its own assessment of the medical evidence
regarding service connection, when the condition was incurred and
whether there was permanent service aggravation. Therefore, in view
of the above
and in the absence of evidence to the contrary, we find no compelling
basis to recommend 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-
2004-02704 in Executive Session on 19 May 2005 under the provisions of
AFI 36-2603:
Mr. Richard A. Peterson, Panel Chair
Ms. Dorothy P. Loeb, Member
Ms. Marcia Jane Bachman, Member
The following documentary evidence was considered:
Exhibit A. DD Form 149, dated 27 Aug 04.
Exhibit B. Applicant's Master Personnel Records.
Exhibit C. Letter, AFBCMR Medical Consultant, dated
13 Apr 05.
Exhibit D. Letter, AFBCMR, dated 13 Apr 05.
RICHARD A. PETERSON
Panel Chair
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