RECORD OF PROCEEDINGS
AIR FORCE BOARD FOR CORRECTION OF MILITARY RECORDS
IN THE MATTER OF: DOCKET NUMBER: BC-2010-00550
COUNSEL: NONE
HEARING DESIRED: NO
_________________________________________________________________
APPLICANT REQUESTS THAT:
His honorable discharge be changed to a medical discharge.
_________________________________________________________________
APPLICANT CONTENDS THAT:
There was enough medical and psychological evidence to warrant a
medical discharge.
In support of his appeal, the applicant provides extract copies
from his medical records, a letter to his Congressman, his
Department of Veterans Affairs (DVA) disability rating decisions
and an article on Post Traumatic Stress Disorder (PTSD).
The applicants complete submission, with attachments, is at
Exhibit A.
_________________________________________________________________
STATEMENT OF FACTS:
The applicant enlisted in the Regular Air Force on 4 January 2001
and was discharged on 3 January 2007 in the grade of staff
sergeant due to completion of required active service. He served
six years of active military service.
The applicants medical records reflect he received an evaluation
and ongoing treatment for anxiety and panic attacks. The
applicant continued in another series of care episodes for
anxiety, panic attacks, with agoraphobia and the addition
diagnosis of PTSD, from January 2006 through July 2006. The
evaluating mental health providers rendered the applicant non-
worldwide qualified.
On 17 July 2009, a Memorandum from the Office of the Under
Secretary of Defense directed the Physical Disability Board of
Review (PDBR) in reviewing prior disability ratings to disregard
any Military Department guidelines that were inconsistent with
the Veterans Administration Schedule for Rating Disabilities
(VASRD). While reliance on section 4.130, rather than section
4.129, was arguably consistent with the VASRD, the PDBR has
concluded that equity favors giving applicants the benefit of
section 4.129. Consultations with the BCMRs indicate recognition
of the desirability of consistency among the BCMRs and PDBR in
adjudicating these cases. The VASRD has two applicable sections.
Section 4.129 calls for a temporary rating of not less than
50 percent, followed by an examination within 6 months of
discharge for an individually assessed rating. Section 4.130
provides standards for a mental health examination to assess the
degree of impairment for the members continuing rating.
Historically, the practice of Military Department disability
agencies was to complete the comprehensive section 4.130 mental
health assessment prior to the members separation, and therefore
to dispense with 4.129.
Therefore, as a matter of policy, the PDBR and all three BCMRs
will apply VASRD section 4.129 to PTSD unfitting conditions for
applicants discharged after 11 September 2001, and in such cases,
where a grant of relief is appropriate, assign a disability
rating of not less than 50 percent for PTSD unfitting conditions
for an initial period of six month following separation, with
subsequent fitness and PTSD ratings based on the applicable
evidence.
The remaining facts pertaining to this application, extracted
from the applicant's military records, are contained in the
letter prepared by BCMR Medical Consultant (Exhibit C).
_________________________________________________________________
AIR FORCE EVALUATION:
The BCMR Medical Consultant recommends approval. The Medical
Consultant states the applicant was diagnosed with a medical
condition that should have triggered a Medical Evaluation Board
(MEB); or as a minimum, a review in-lieu of MEB, if his health
care providers believed the applicant viable for retention and
follow-up evaluation in one year. The fact that the applicant was
lost to follow-up, does not remove the responsibility of the
Military Department to execute proper administrative options
available. The facts of the record shows the applicant to be
disqualified for service, at least for PTSD, with the presumption
that had he undergone a MEB and his case was timely referred to a
Physical Evaluation Board (PEB), he would have been found unfit
and placed on the TDRL with a 50 percent disability rating for a
period of six months; at which time a re-evaluation would have
been conducted to determine the final rating.
The Medical Consultant states the record should be amended to
reflect the applicant was placed on the Temporary Disability
Retired List (TDRL) with a 50 percent disability rating for PTSD,
effective 3 January 2007, followed by a timely reevaluation by a
psychiatrist, upon which a determination of the applicants
fitness to serve and the disability rating would be determined by
the Informal Physical Evaluation Board (IPEB).
The complete Medical Consultant evaluation is at Exhibit C.
_________________________________________________________________
APPLICANT'S REVIEW OF AIR FORCE EVALUATION:
On 14 October 2010, a copy of the Air Force evaluation was sent
to the applicant for review and comment. As of this date, this
office has not received a response (Exhibit D).
_________________________________________________________________
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 error or injustice warranting
relief. We note the requirements set forth in the policy
memorandum issued by the Office of the Under Secretary of Defense
regarding disability ratings for PTSD and the comments provided
by the BCMR Medical Consultant. We agree with the opinion and
recommendation of the BCMR Medical Consultant and adopt his
rationale as the basis for our conclusion that the applicant has
been the victim of an error or injustice. Therefore, we
recommend the applicants records be corrected as indicated
below.
_________________________________________________________________
THE BOARD RECOMMENDS THAT:
The pertinent military records of the Department of the Air Force
relating to APPLICANT, be corrected to show that:
a. On 3 January 2007, the applicant was found unfit to
perform the duties of his office, rank, grade, or rating by
reason of physical disability, incurred while he was entitled to
receive basic pay; that the diagnosis in his case was Post
Traumatic Stress Disorder, a condition which is rated at a
compensable percentage of 50%; that the degree of impairment was
permanent; that the disability was not due to intentional
misconduct or willful neglect; that the disability was not
incurred during a period of unauthorized absence; and that the
disability was received in the line of duty as a direct result of
armed conflict or caused by an instrumentality of war.
b. On 4 January 2007, his name was placed on the Temporary
Disability Retired List (TDRL), with a compensable disability
rating of 50 percent.
c. He be immediately reevaluated by a psychiatrist,
following which a determination of his fitness to serve and final
disposition be made by the Informal Physical Evaluation Board
(IPEB).
_________________________________________________________________
The following members of the Board considered Docket Number BC-
2010-00550 in Executive Session on 7 December 2010, under the
provisions of AFI 36-2603:
Panel Chair
Member
Member
All members voted to correct the record, as recommended. The
following documentary evidence was considered:
Exhibit A. DD Form 149, dated 3 Feb 10, w/atchs.
Exhibit B. Applicant's Master Personnel Records.
Exhibit C. Letter, Medical Consultant, dated 11 Oct 10.
Exhibit D. Letter, SAF/MRBR, dated 14 Oct 10.
Panel Chair
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