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Decision Text

ARMY | BCMR | CY2015 | 20150005638
Original file (20150005638.txt) Auto-classification: Denied

		IN THE CASE OF:	  

		BOARD DATE:	  12 May 2015

		DOCKET NUMBER:  AR20150005638 


THE BOARD CONSIDERED THE FOLLOWING EVIDENCE:

1.  Application for correction of military records (with supporting documents provided, if any).

2.  Military Personnel Records and advisory opinions (if any).


THE APPLICANT'S REQUEST, STATEMENT, AND EVIDENCE:

1.  The applicant requests a review of the military disability evaluation pertaining to a mental health (MH) condition.

2.  The applicant states, in effect, the case file should be reviewed in accordance with the Secretary of Defense directive for a comprehensive review of members who were referred for a disability evaluation between 11 September 2001 and 
30 April 2012 and whose MH diagnosis was changed during that process.

3.  The applicant submitted an application through the DOD Physical Disability Board of Review (PDBR) MH Special Review Panel (SRP).

CONSIDERATION OF EVIDENCE:

1.  The PDBR SRP conducted a comprehensive review of the applicant’s submissions and records for evidence of inappropriate changes in the diagnosis of a MH condition during processing through the military disability system.  

2.  The Department of Defense memorandum, dated 27 February 2013, directed the Service Secretaries to conduct a review of MH diagnoses for service members completing a disability evaluation process between 11 September 2001 and 30 April 2012 in order to determine if service members were disadvantaged by a changed diagnosis over the course of their physical disability process.

3.  In the processing of this case, an advisory opinion was obtained from the PDBR SRP and the applicant was provided a copy.

4.  The applicant did not respond to the advisory opinion. 

DISCUSSION AND CONCLUSIONS:

1.  After a comprehensive review of the applicant’s case, the SRP determined by unanimous vote that there be no change in the physical evaluation board (PEB) adjudication of the temporary disability retirement determination. 

2.  The SRP reviewed the records for evidence of inappropriate changes in
diagnosis of the applicant's MH condition during processing through the Disability Evaluation System (DES).  The evidence of the available records showed the diagnoses of anxiety disorder, not otherwise specified (NOS), post-traumatic stress disorder (PTSD) and major depressive disorder (MDD) were rendered during processing through the DES.  An Independent Medical Review (IMR) determined that anxiety disorder, NOS was not correct and the diagnosis of PTSD was recorded as the appropriate diagnosis.  The SRP agreed that this applicant did not appear to meet the inclusion criteria in the Terms of Reference of the MH Review Project. 

3.  The SRP agreed, based on the evidence, the diagnoses of PTSD and MDD were supported. The PEB determined the conditions were unfitting and application of the provisions of Department of Veterans Affairs  Schedule for Rating Disabilities (VASRD) Section 4.129 was correct (Mental disorders due to traumatic stress).

4.  The SRP considered if there was evidence for a VASRD Section 4.130 rating higher than 50 percent at time of placement on the Temporary Disability Retired List (TDRL).   Available treatment records at the time leading up to TDRL entry recorded no history of suicidal attempts, no psychiatric hospitalizations and no visits to the emergency room for panic attacks or other MH concerns.  There was no evidence of impairment in thinking or judgment recorded in any of the mental status examination.

5.  After due deliberation in consideration of the preponderance of the evidence, the SRP consider the record best supported the 50 percent rating for TDRL entry and there was insufficient reasonable doubt (in accordance with (IAW) VASRD Section 4.3) for recommending a 70 percent TDRL entry rating.  There was no evidence of TDRL removal.

6.  The available evidence shows the SRP’s assessment should be accepted.


BOARD VOTE:

________  ________  ________  GRANT FULL RELIEF 

________  ________  ________  GRANT PARTIAL RELIEF 

________  ________  ________  GRANT FORMAL HEARING

____X____  ____X____  ___X_____  DENY APPLICATION

BOARD DETERMINATION/RECOMMENDATION:

The evidence presented does not demonstrate the existence of a probable error or injustice.  Therefore, the Board determined that the overall merits of this case are insufficient as a basis for correction of the records of the individual concerned.  




      ____________X___________
       	   CHAIRPERSON
      
I certify that herein is recorded the true and complete record of the proceedings of the Army Board for Correction of Military Records in this case.


ABCMR Record of Proceedings (cont)                                         AR20040003532



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ABCMR Record of Proceedings (cont)                                  AR20150005638



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ARMY BOARD FOR CORRECTION OF MILITARY RECORDS

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