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  • Medical Conditions That May Require A Psychiatric MEB (AR 40-501, Chapter 3)

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    CREW
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    On April 17, 2009 Citizens for Responsibility and Ethics in Washington (CREW) filed a Freedom of Information Act (FOIA) request with the Department of the Army, seeking records related to guidance given to army staff and contractors regarding the diagnosis of post traumatic stress disorder (PTSD). CREW seeks these records to raise public awareness about the process behind the diagnosis of PTSD and the pressure being placed on doctors to diagnose related anxiety disorders as a cost-cutting measure. The request was filed after Salon.com obtained a June 2008 taped conversation between an Army staff sergeant and an Army psychologist, in which the psychologist revealed he had been pressured not to diagnose PTSD. On July 31, 2009, CREW filed a lawsuit against the Army, CREW v. Dep't of the Army, challenging the Army's failure to produce records in response to CREW's FOIA request seeking documentation of Army guidance that discourages diagnoses of post traumatic stress disorder (PTSD). The Veterans Affairs has issued similar guidance that CREW also is seeking to document through a FOIA request that is also the subject of pending litigation.

    Original Title

    CREW v. U.S. Department of the Army: Regarding PTSD Diagnoses: 5/24/2011 - Part 13

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    On April 17, 2009 Citizens for Responsibility and Ethics in Washington (CREW) filed a Freedom of Information Act (FOIA) request with the Department of the Army, seeking records related to guidance given to army staff and contractors regarding the diagnosis of post traumatic stress disorder (PTSD). CREW seeks these records to raise public awareness about the process behind the diagnosis of PTSD and the pressure being placed on doctors to diagnose related anxiety disorders as a cost-cutting measure. The request was filed after Salon.com obtained a June 2008 taped conversation between an Army staff sergeant and an Army psychologist, in which the psychologist revealed he had been pressured not to diagnose PTSD. On July 31, 2009, CREW filed a lawsuit against the Army, CREW v. Dep't of the Army, challenging the Army's failure to produce records in response to CREW's FOIA request seeking documentation of Army guidance that discourages diagnoses of post traumatic stress disorder (PTSD). The Veterans Affairs has issued similar guidance that CREW also is seeking to document through a FOIA request that is also the subject of pending litigation.

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    21 views2 pages

    Medical Conditions That May Require A Psychiatric MEB (AR 40-501, Chapter 3)

    Uploaded by

    CREW
    On April 17, 2009 Citizens for Responsibility and Ethics in Washington (CREW) filed a Freedom of Information Act (FOIA) request with the Department of the Army, seeking records related to guidance given to army staff and contractors regarding the diagnosis of post traumatic stress disorder (PTSD). CREW seeks these records to raise public awareness about the process behind the diagnosis of PTSD and the pressure being placed on doctors to diagnose related anxiety disorders as a cost-cutting measure. The request was filed after Salon.com obtained a June 2008 taped conversation between an Army staff sergeant and an Army psychologist, in which the psychologist revealed he had been pressured not to diagnose PTSD. On July 31, 2009, CREW filed a lawsuit against the Army, CREW v. Dep't of the Army, challenging the Army's failure to produce records in response to CREW's FOIA request seeking documentation of Army guidance that discourages diagnoses of post traumatic stress disorder (PTSD). The Veterans Affairs has issued similar guidance that CREW also is seeking to document through a FOIA request that is also the subject of pending litigation.

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    Medical Conditions That May Require a

    Psychiatric MEB (AR 40-501, Chapter 3)


    • Psychotic Disorders (Ch 3, paragraph 31)
    • Mood Disorders (3-32)
    • Anxiety, Somatoform, or Dissociative Disorders (3-33)
    • Dementia and Other Cognitive D/Os (3-34)
    • Eating Disorders (3-37)
    • Cognitive Disorder NOS (e.g. Postconcussional cognitive
    deficits often referred to as "lBI") (3-30j)
    But, remember: for most treatable conditions (other than
    psychosis and Bipolar Disorder) you can write 90 day profiles
    and extend for up to a year before MEB required
    (psychologists can write 30 day profiles..or have psychiatrist
    sign 90 day profiles)
    4
    Indications for Psychiatric MEB:
    How impaired does SM have to be?
    • There is significant room for interpretation of the
    regulation. From AR 40-501:
    • Psychotic D/Os: "gross impairment in reality testing
    resulting in interference with duty or social
    adjustment"
    • Mood/Anxiety/Somatoform/Dissociative D/Os:
    "extended or recurrent hospitalization OR require
    (permanent) limitations on duty or duty in protected
    environment OR interfere with effective military
    performance"
    5

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