RECORD OF PROCEEDINGS
AIR FORCE BOARD FOR CORRECTION OF MILITARY RECORDS
IN THE MATTER OF: DOCKET NUMBER: BC-2014-03866
COUNSEL: NONE
HEARING DESIRED: NO
APPLICANT REQUESTS THAT:
His mental health diagnosis be reviewed.
APPLICANT CONTENDS THAT:
The applicant makes no contentions, other than a request to review
his mental health diagnosis.
The applicants complete submission, with attachments, is at
Exhibit A.
STATEMENT OF FACTS:
On 3 Jul 03, the applicant entered the Regular Air Force this
period.
On 14 Dec 07, a Medical Evaluation Board (MEB) referred the
applicants diagnosis of Post Traumatic Stress Disorder (PTSD) to
an Informal Physical Evaluation Board (IPEB).
On 6 Nov 08, an MEB referred the applicants diagnoses of
Generalized Anxiety Disorder (GAD) and encephalopathy, alcohol
related and alcohol dependence to an IPEB.
On 23 Jan 08, the applicants MEB case was directed to be
reaccomplished due to lack of clear diagnosis.
On 21 Apr 09, the IPEB adjudicated the applicants conditions as
unfitting with a compensable rating of 10%, and recommended
permanent retirement. The applicant nonconcurred with the IPEB.
On 16 Jun 09, the Formal Physical Evaluation Board (FPEB)
adjudicated the applicants conditions as unfitting but not
compensable or ratable and recommended he be returned to duty.
The applicant concurred with these findings.
On 17 Jul 09, the applicant was found fit and returned to duty.
In January 2010, the applicant was relieved from active duty and
retired effective 1 Feb 10, and furnished an honorable discharge,
and was credited with 22 years 12 days of active service.
The remaining relevant facts pertaining to this application are
contained in the memorandum prepared by the Air Force office of
primary responsibility (OPR), which is attached at Exhibit C.
AIR FORCE EVALUATION:
The DoD Physical Disability Board of Review (PDBR) Special Review
Panel (SRP) recommends denial, indicating there is no evidence of
an error or an injustice. In accordance with Secretary of Defense
(SecDef) directive for a comprehensive review of Service members
who were referred to a disability evaluation process between
11 Sep 01 and 30 Apr 12 and whose Mental Health (MH) diagnoses
were changed or eliminated during that process, the applicants
case file was reviewed regarding diagnosis change, fitness
determination, and rating of unfitting MH diagnoses in accordance
with the Department of Veterans Affairs (DVA) Schedule for Rating
Disabilities (VASRD) §4.129 and §4.130. The applicants records
indicate a diagnosis of generalized anxiety disorder (GAD), not
otherwise specified (NOS), and history of posttraumatic stress
disorder (PTSD) was rendered during the Disability Evaluation
System (DES) processing. Because a MH diagnosis was changed to
the applicants possible disadvantage during that process, he met
the criteria of the SecDef MH review project. Only the MH
conditions were addressed by this review, and any other conditions
or requests were outside the SRP scope.
The applicant developed MH symptoms diagnosed as GAD NOS and
history of encephalopathy [disorder or disease of the brain]
around December 2006. The GAD NOS and encephalopathy conditions
could not be adequately rehabilitated to meet the requirements of
his Air Force Specialty so the applicant was issued a permanent
profile and referred for an MEB. The MEB identified GAD NOS,
encephalopathy, and history of PTSD, along with six non-MH
conditions; however, that MEB was rescinded by a later MEB, which
noted the MH diagnoses as only GAD and encephalopathy as not
meeting retention standards. His case was then referred to a PEB.
The PEB adjudicated the GAD NOS condition as unfitting and
rendered the applicant a 10% disability rating. The applicant
appealed to the Formal PEB, which negated the findings and
returned the applicant to duty. He subsequently retired in
February 2010.
The SRP reviewed the records for evidence of inappropriate changes
in diagnosis of the MH condition during processing through the
DES. The SRP noted PTSD diagnosis was listed without associated
PTSD symptoms, and the identifying neurologist indicated the
diagnosis had been based on a civilian neurologists chart review.
The SRP acknowledge the DVA Compensation and Pension (C&P)
FOR OFFICIAL USE ONLYPRIVACYACT OF 1974
examiners assessment and diagnosis of PTSD; however, there was
insufficient clinical evidence to support that DSM-IV (Diagnostic
and Statistical Manual of Mental Disorders, 4thEdition)
diagnostic criteria were met. The treating psychiatristspecifically noted the applicant did not have evidence for PTSDand had denied symptoms consistent with PTSD. Multiple clinicianstreated the applicantover a 2-yearperiod and none recordedevidence to support aPTSDdiagnosis.There was insufficient
evidence that the applicant met Criterion Astressor criteria.
All [SRP] Panelmembers agreed the preponderance of evidencedid
not support a PTSDdiagnosis.The SRPconcluded the diagnosis ofgeneralizedanxietyNOSwas the appropriate diagnosis at the timeof the decision to retain the applicant in the active duty status.
The SRP also considered whether any mental condition, regardlessof specificdiagnosis was unfitting for continued militaryservice. The SRP agreed thatevidence of the record reflectedminimal MHrelated symptoms. All of the mental status
examinationswere normal, he never reported suicidal ideations,
was notseen in the emergency room for suicidal thoughts, panic
attacks, or other anxiety related issuesand all of his global
assessments of functioningwere maintained in the mild range, even
at the DVA C&P examination. The applicant had a total of eight
visits with MHprior to being retained.The applicant, in hisrequestto remain in active duty, noted he had resolved all MHissues. The treating psychiatrist notedhis MHcondition was in
remission. TheMHcondition was never specifically profiled. Theapplicant continued with active duty, and there were no further MHencounters in evidence. The SRP therefore concluded that there
was insufficient evidence that any MHconditionrose to the levelof being unfitting at the time ofretirementand therefore nonewere subject todisability rating.
A complete copy of the PDBR SDPevaluation is at Exhibit C.
APPLICANT'S REVIEW OF AIR FORCE EVALUATION:
A copyof the Air Force evaluation was forwarded to the applicanton 31 Mar 15 for review and comment within 30 days (Exhibit D).
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 existinglaw or regulations.
2.The application was not timely filed; however, it is in the
interest of justice to excuse the failure to timely file.
FOR OFFICIAL USE ONLYPRIVACYACT OF 1974
3
3. Insufficient relevant evidence has been presented to
demonstrate the existence of an error or injustice. We took
notice of the applicants complete submission in judging the
merits of the case; however, we agree with the opinion and
recommendation of the A DoD Physical Disability Board of Review
Special Review Panel and adopt its rationale as the basis for our
conclusion the applicant has not been the victim of an error of
injustice. Specifically, we note their finding that there was
insufficient evidence of any mental health condition that rose to
the level of being unfitting at the time of retirement; therefore,
no mental health conditions were subject to a disability rating.
Therefore, in the absence of evidence to the contrary, we find no
basis to recommend granting the requested relief.
THE BOARD DETERMINES THAT:
The applicant be notified the evidence presented did not
demonstrate the existence of material error or injustice; the
application was denied without a personal appearance; and 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-2014-03866 in Executive Session on 30 Jun 15 under the
provisions of AFI 36-2603:
, Panel Chair
, Member
, Member
The following documentary evidence was considered:
Exhibit A. DD Form 149, dated 17 Mar 14, w/atchs.
Exhibit B. Applicant's Master Personnel Records.
Exhibit C. Memorandum, PBDR SRP, dated 31 Aug 14.
Exhibit D. Letter, SAF/MRBR, dated 22 Sep 14.
Exhibit E. Letter, SAF/MRBC, dated 31 Mar 15.
AF | BCMR | CY2014 | BC 2014 01247
On 21 January 2010, the applicant was relieved from active duty and placed on the TDRL, effective 26 February 2010, with a compensable disability rating of 40 percent. The IPEB determined her conditions appeared not likely to change over the next several years and therefore recommended she be permanently retired with a compensable disability rating of 40 percent. The remaining relevant facts pertaining to this application are described in the memoranda prepared by the Air Force office of...
AF | BCMR | CY2014 | BC 2014 02572
According to the AF Form 356 dated 25 Apr 12, the Informal Physical Evaluation Board (IPEB) reviewed the TDRL examination and recommended the applicant be permanently retired with a 30 percent disability for a compensable unfitting condition of PTSD (combat related). The IPEB found evidence of occasional decrease in work efficiency and intermittent periods of inability to perform occupational tasks and recommended permanent retirement with a disability rating of 30 percent In Accordance...
AF | BCMR | CY2014 | BC 2014 02668
The remaining relevant facts pertaining to this application are contained in the memorandum prepared by the Air Force office of primary responsibility (OPR), which is attached at Exhibit C. AIR FORCE EVALUATION: The Physical Disability Board of Review Special Review Panel (PDBR SRP) recommends denial indicating there is no evidence of an error or an injustice. On 8 Jun 11, during a TDRL evaluation, an Informal PEB (IPEB) found the applicants MH condition was unfitting but stabilized and...
ARMY | BCMR | CY2014 | 20140013531
The PDBR SRP conducted a comprehensive review of the applicant's submissions and records for evidence of inappropriate changes in the diagnosis of an MH condition during processing through the military disability system. The SRP reviewed the records for evidence of inappropriate changes in diagnosis of the applicant's MH condition during processing through the military Disability Evaluation System (DES). The SRP acknowledged the GAD diagnosis, but there was insufficient evidence for the...
ARMY | BCMR | CY2015 | 20150008679
The PDBR SRP conducted a comprehensive review of the applicant's submissions and records for evidence of inappropriate changes in the diagnosis of an MH condition during processing through the military disability system. The SRP reviewed the records for evidence of inappropriate changes in diagnosis of the MH condition during processing through the Disability Evaluation System. The SRP agreed that Physical Evaluation Board (PEB) adjudication of unfitting anxiety disorder NOS was supported...
ARMY | BCMR | CY2015 | 20150005863
The applicant submitted an application through the DOD Physical Disability Board of Review (PDBR) MH Special Review Panel (SRP). The PDBR SRP conducted a comprehensive review of the applicants submissions and records for evidence of inappropriate changes in the diagnosis of a MH condition during processing through the military disability system. The SRP reviewed the records for evidence of inappropriate changes in diagnosis of the applicant's MH condition during processing through the...
ARMY | BCMR | CY2014 | 20140014262
After a comprehensive review of the applicants case, the SRP determined by unanimous vote that there should no change in the physical evaluation board (PEB) adjudication of the temporary disability and permanent retirement determination. The SRP noted the neurology medical evaluation board (MEB) recorded the diagnosis of Post-Traumatic Stress Disorder (PTSD) and that the neuropsychological evaluation had not recorded a diagnosis of PTSD and PTSD had not appeared in any other clinical...
ARMY | BCMR | CY2014 | 20140014546
The SRP reviewed the records for evidence of inappropriate changes in a diagnosis of the MH condition during processing through the military Disability Evaluation System (DES). However, the PTSD diagnosis was not considered by the physical evaluation board (PEB) and, therefore, an MH diagnosis was eliminated to the applicants possible disadvantage during that process. The SRP noted the VA examination recorded the applicants report of symptoms that were inconsistent with the treatment record.
ARMY | BCMR | CY2014 | 20140000661
The applicant requests a review of the military disability evaluation pertaining to a mental health (MH) condition. The PDBR SRP conducted a comprehensive review of the applicants submissions and records for evidence of inappropriate changes in the diagnosis of an MH condition during processing through the military disability system. The SRP Panel deliberated on the IPEB descriptors and determined that all the MH conditions were listed, although not separately rated in accordance with...
ARMY | BCMR | CY2014 | 20140015997
The SRP next considered if the anxiety disorder, NOS was a diminution of a PTSD diagnosis and whether a preponderance of the evidence in record supported a recommendation for a change in the diagnosis of the MH condition. The SRP, having agreed that the MH condition was service ratable, next considered whether application of VASRD Section 4.129 was appropriate in this case. The SRP majority thereby recommended a 6-month period of constructive TDRL with a minimal rating of 50 percent for...