RECORD OF PROCEEDINGS
AIR FORCE BOARD FOR CORRECTION OF MILITARY RECORDS
IN THE MATTER OF: DOCKET NUMBER: BC-2012-03087
COUNSEL:
HEARING DESIRED: YES
_________________________________________________________________
APPLICANT REQUESTS THAT:
1. She be medically retired and placed on the Permanent
Disability Retired List (PDRL) as of the date of her separation.
2. She be awarded a disability rating of 30 percent for her
condition of chronic depression.
3. She receive retirement pay since her date of separation,
offset by the separation pay she previously received as a result
of her medical separation.
4. Her DD Form 214, Certificate of Release or Discharge from
Active Duty, be changed to reflect a medical retirement.
_________________________________________________________________
APPLICANT CONTENDS THAT:
The Formal Physical Evaluation Boards (FPEB) findings that her
condition of chronic depression was mild impairment and
evaluated at a ten percent disability rating, is unsupported by
the clinical record. At the date of the FPEB, she met the
criteria for a 30 percent disability and a medical retirement.
The applicants complete submission, with attachments, is at
Exhibit A.
_________________________________________________________________
STATEMENT OF FACTS:
The applicant is a former member of the Regular Air Force who
entered active duty on 21 November 1996.
The applicant was referred to a Medical Evaluation Board (MEB)
for recurring patterns of psychological and interpersonal
difficulties in both military and civilian settings; and, her
inability to achieve a satisfactory score on her fitness test in
2009. The MEB, conducted on 16 February 2010, identified chronic
depression as the unfitting condition and recommended referral to
the Informal Physical Evaluation Board (IPEB).
The IPEB reviewed the applicants case on 25 May 2010, for
Depression Associated with Anxiety and Obstructive Sleep Apnea
(OSA) requiring use of a Continuous Positive Airway Pressure
(CPAP) device. The IPEB recommended the applicant be returned to
duty noting: the commander notes her condition does not prevent
her from serving in her primary AFSC in future assignments
her
military impairment is mild with occupational/social impairment
due to mild or transient symptoms which decrease work efficiency
and ability to perform occupational tasks only during periods of
significant stress. The OSA has responded well to CPAP.
On 4 June 2010, the applicant non-concurred with the IPEB
findings and requested a formal hearing with counsel, contending
she was unfit for duty and should receive a 30 percent disability
rating for her Depression with Anxiety and another 30 percent for
migraine headaches for a combined disability rating of 50 percent
and a permanent retirement.
An addendum to the initial MEB mental health assessment was
conducted on 2 August 2010. The assessment conducted by a
clinical psychologist described the applicant as having numerous
stressors that have increased her depressive and anxious
symptoms. The reports described details of substantial mental
health challenges resulting in inadequate work performance,
impaired social functioning, and in-patient psychiatric
hospitalization for suicidal ideation. At this time, the
applicants depression and anxiety was assessed to result in a
moderate degree of military and social/industrial impairment.
The FPEB considered the applicants case on 10 August 2010 and
recommended discharge with severance pay with a disability rating
of ten percent for depression associated with anxiety. The FPEB
considered her OSA as a condition that could be unfitting but was
not currently compensable or ratable at the time of the board.
The FPEB noted: After a review of the medical records and the
members testimony, the board does not find evidence of
occupational & social impairment with occupational tasks, which
would be necessary for a rating of 30%.
On 12 August 2010, the applicant concurred with the FPEB
recommendation. She was honorably discharged with severance pay
effective 24 December 2010 after serving 11 years, 1 month, and
4 days on active duty.
_________________________________________________________________
AIR FORCE EVALUATION:
AFPC/DPSD recommends denial. DPSD states the preponderance of
evidence reflects that no error or injustice occurred during the
applicants disability processing. The documentation submitted
by the applicant, through her counsel, is the same medical
documentation that was reviewed by both the IPEB and FPEB during
her disability processing. She did not submit any new
documentation for consideration.
The complete DPSD evaluation is at Exhibit C.
The BCMR Individual Mobilization Augmentee (IMA) Medical Advisor
recommends approval and states, in part, that based on the
evidence of the applicants mental health assessment at the time
of her separation, a moderate level of military and
social/industrial impairment is more likely than not an accurate
description of her mental health. Based on the MEB mental health
addendum in August 2010, there was sufficient progression in the
applicants mental health signs and symptoms to warrant an
increased service connection at the 30 percent rating. It
remains unclear as to whether the addendum to the MEB was
considered in the 10 percent final rating decision. However, the
conclusion that a 30 percent service connection is more
appropriate based on the mental health state at the time of
separation in addition to the history of prior psychiatric
interventions and the progressive nature of the applicants signs
and symptoms of chronic depression.
A complete copy of the BCMR IMA Medical Advisors evaluation is
at Exhibit D.
_________________________________________________________________
COUNSEL'S REVIEW OF THE EVALUATIONS:
He and his client are in full accord with the BCMR IMA Medical
Advisors opinion and urge the Board to accept the wisdom of his
conclusion.
_________________________________________________________________
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 an injustice to warrant relief.
After considering the totality of the evidence before us, we
agree with the opinion and recommendation of the BCMR IMA Medical
Advisor that the applicants condition of Chronic Depression was
moderate, rather than mild, at the time of her separation,
warranting a 30 percent disability rating. Therefore, in view of
the foregoing and based on the applicants concurrence of the
recommended relief, we recommend her records be corrected as
indicated below.
4. The applicant's case is adequately documented and it has not
been shown that a personal appearance with or without counsel
will materially add to our understanding of the issues involved.
Therefore, the request for a hearing is not favorably considered.
_________________________________________________________________
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 10 August 2010, the diagnosis in her case was Chronic
Depression, with a moderate degree of military and
social/industrial impairment, VASRD Code 9434, rated at 30
percent.
b. Her name was placed on the Permanent Disability Retired
List, effective 25 December 2010.
c. Her election of Survivor Benefit Plan option(s) will be
corrected in accordance with her expressed preferences and/or as
otherwise provided for by law or the Code of Federal Regulations.
_________________________________________________________________
The following members of the Board considered AFBCMR Docket
Number BC-2012-03087 in Executive Session on 16 April 2013, under
the provisions of AFI 36-2603:
Panel Chair
Member
Member
All members voted to correct the records, as recommended. The
following documentary evidence for AFBCMR Docket Number BC-2012-
03087 was considered:
Exhibit A. DD Form 149, dated 11 Jul 12, with atchs.
Exhibit B. Applicant's Master Personnel Records.
Exhibit C. Letter, AFPC/DPSD, dated 9 Oct 12.
Exhibit D. Letter, BCMR IMA Medical Advsr, dated 10 Jan 13.
Exhibit E. Letter, SAF/MRBC, dated 11 Jan 13.
Exhibit F. Letter, Counsel, dated 25 Jan 13.
Panel Chair
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