% VASRD, 1988 AR , 1990 VASRD, 1996 AR , 2006

Transcription

1 % VASRD, 1988 AR , 1990 VASRD, 1996 AR , The attitudes of all contacts except the most intimate are so adversely affected as to result in virtual isolation in the community. Totally incapacitating psychoneurotic, symptoms bordering on gross repudiation of reality with disturbed thought or behavioral processes associated with almost all daily activities such as fantasy, confusion, panic and explosions of aggressive energy resulting in profound retreat from mature behavior. Demonstrably unable to obtain or retain employment (1) Total at 100 (a) Usually mentally incompetent to handle financial affairs and to participate in PEB hospitalized, rarely in care of next-ofkin psychotic, totally out of contact with reality. constant supervision and care. (e) Significant potential to be harmful to self or (g) Incapable of any social Total occupational impairment, due to gross impairment in thought processes or communication; persistent delusions or hallucinations; grossly inappropriate behavior; persistent danger of hurting self or others; intermittent inability to perform activities of daily living (including maintenance of minimal personal hygiene); disorientation to time or place; memory loss for names of close relatives, own occupation, or own name (1) Total at 100 (a) Usually mentally incompetent to handle financial affairs and to participate in PEB hospitalized, rarely in care of next-of-kin or guardian. psychotic, totally out of contact with reality. constant supervision and care. (e) Significant potential to be harmful to self or (g) Incapable of any social

2 % VASRD, 1988 AR , 1990 VASRD, 1996 AR , Ability to establish and maintain effective or favorable people is severely impaired. The psychoneurotic symptoms are of such severity and persistence that there is severe impairment in the ability to obtain or retain employment (2) Severe at 70 (a) Usually financially mentally competent and capable of cooperating in PEB proceedings but occasionally may be incompetent. hospitalized, but often in care of nextof-kin psychotic, but may have intermittent contact with reality. supervision approximately 50 percent or more of the time. (e) Some potential to be harmful to self or (g) Minimal social, with deficiencies in most areas, such as work, school, family relations, judgment, thinking, or mood, due to suicidal ideation; obsessional rituals which interfere with routine activities; speech intermittently illogical, obscure, or irrelevant; nearcontinuous panic or depression affecting the ability to function independently, appropriately and effectively; impaired impulse control (such as unprovoked irritability with periods of violence); spatial disorientation; neglect of personal appearance and hygiene; difficulty in adapting to stressful circumstances (including work or a worklike setting); inability to establish and maintain effective relationships (2) Severe at 70 (a) Usually financially mentally competent and capable of cooperating in PEB proceedings but occasionally may be incompetent. hospitalized, but often in care of nextof-kin psychotic, but may have intermittent contact with reality. supervision approximately 50 percent or more of the time. (e) Some potential to be harmful to self or (g) Minimal social

3 % VASRD, 1988 AR , 1990 VASRD, 1996 AR , Ability to establish or maintain effective or favorable people is considerably impaired. By reason of psychoneurotic symptoms the reliability, flexibility and efficiency levels are so reduced as to result in considerable (3) Considerable at 50 (a) Mentally competent to handle financial affairs and to participate in PEB (b) Intermittent (c) Overtly displays some signs or symptoms of mental illness, such as: autism, ambivalence, inappropriate affect, dissociative thinking, delusions, hallucinations, hyperactivity, depression, lack of insight, poor judgment, bizarre behavior, disorientation, emotional lability, memory defects, unfounded somatic complaints, phobias, compulsion, decreasing IQ, personality changes, and so forth. constant medications or (e) Extreme job instability. (f) Significant social mal with reduced reliability and productivity due to flattened affect; circumstantial, circumlocutory, or stereotyped speech; panic attacks more than once a week; difficulty in understanding complex commands; impairment of short- and longterm memory (e.g., retention of only highly learned material, forgetting to complete tasks); impaired judgment; impaired abstract thinking; disturbances of motivation and mood; difficulty in establishing and maintaining effective work and social relationships (3) Considerable at 50 (a) Mentally competent to handle financial affairs and to participate in PEB (b) Intermittent (c) Overtly displays some signs or symptoms of mental illness, such as: autism, ambivalence, inappropriate affect, dissociative thinking, delusions, hallucinations, hyperactivity, depression, lack of insight, poor judgment, bizarre behavior, disorientation, emotional lability, memory defects, unfounded somatic complaints, phobias, compulsion, decreasing IQ, personality changes, and so forth. constant medications or (e) Extreme job instability. (f) Significant social mal

4 % VASRD, 1988 AR ,1990 VASRD, 1996 AR , Definite impairment in the ability to establish or maintain effective and wholesome people. The psychoneurotic symptoms result in such reduction in initiative, flexibility, efficiency and reliability levels as to produce definite (4) Definite at 30 (a) Does not require (b) Displays some signs or symptoms of mental illness on examination. (c) Usually requires medication and or (d) Usually there is job instability. (e) Borderline social with occasional decrease in work efficiency and intermittent periods of inability to perform occupational tasks (although generally functioning satisfactorily, with routine behavior, self-care, and conversation normal), due to depressed mood, anxiety, suspiciousness, panic attacks (weekly or less often), chronic sleep impairment, mild memory loss (such as forgetting names, directions, recent events) (4) Definite at 30 (a) Does not require (b) Displays some signs or symptoms of mental illness on examination. (c) Usually requires medication and or (d) Usually there is job instability. (e) Borderline social

5 % VASRD, 1988 AR ,1990 VASRD, 1996 AR , Less than criteria for the 30 percent, with emotional tension or other evidence of anxiety productive of mild social and 0 There are neurotic symptoms which may somewhat adversely affect relationships with others but which do not cause impairment of working ability (5) Mild at 10 (a) Displays minimal signs or symptoms with probing. (b) May require medication or psychotherapy, especially during times of stress. (c) Adequate job (d) Adequate social (6) Full remission at 0 (a) Symptom free. (b) No medication. (c) No medical supervision. (d) Work record acceptable or better. (e) Satisfactory social due to mild or transient symptoms which decrease work efficiency and ability to perform occupational tasks only during periods of significant stress, or; symptoms controlled by continuous medication A mental condition has been formally diagnosed, but symptoms are not 0 severe enough either to interfere with occupational functioning or to require continuous medication A mental condition has been formally diagnosed, but symptoms are not severe enough either to interfere with occupational functioning or to require continuous medication (5) Mild at 10 (a) Displays minimal signs or symptoms with probing. (b) May require medication or psychotherapy, especially during times of stress. (c) Adequate job (d) Adequate social (6) Full remission at 0 (a) Symptom free. (b) No medication. (c) No medical supervision. (d) Work record acceptable or better. (e) Satisfactory social