IN THE CASE OF: BOARD DATE: 19 July 2016 DOCKET NUMBER: AR20160011288 BOARD VOTE: _________ _______ ________ GRANT FULL RELIEF ________ ________ ________ GRANT PARTIAL RELIEF ________ ________ ________ GRANT FORMAL HEARING ___x____ ___x____ ___x____ DENY APPLICATION 2 Enclosures 1. Board Determination/Recommendation 2. Evidence and Consideration IN THE CASE OF: BOARD DATE: 19 July 2016 DOCKET NUMBER: AR20160011288 BOARD DETERMINATION/RECOMMENDATION: The evidence presented does not demonstrate the existence of a probable error or injustice. Therefore, the Board determined 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. IN THE CASE OF: BOARD DATE: 19 July 2016 DOCKET NUMBER: AR20160011288 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 Service 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 Department of Defense (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 an MH condition during processing through the military disability system. 2. The DOD 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, 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. The medical evaluation board (MEB) narrative summary shows they considered post-traumatic stress disorder (PTSD), adjustment disorder and anxiety disorder as the MH conditions. These MH conditions were determined to be in remission. Thus, the applicant did not meet the diagnostic criteria for a Diagnostic and Statistical Manual of Mental Disorders diagnosis. There were 18 non-MH conditions. The shoulder condition was identified as not meeting retention standards and the MEB forwarded its recommendation to the physical evaluation board (PEB). This is the only health condition considered by the PEB. The PEB found him unfit and recommended separation based on his one unfitting condition. He appealed the findings and the PEB reconsidered and then affirmed its original findings and ratings. 4. The applicant received medical treatment for insomnia during his two operational deployments and in the continental United States. A 2007 sleep study indicated he had chronic insomnia without a specific pathology. The commander’s statement indicated the applicant, ?made reasonable decisions, including complex ones showed good judgment and character in decision making, mild difficulties completing tasks to standard, occasional interference with workplace interaction.? Concerning the anxiety, it was determined the applicant had a preexisting condition of attention deficit hyperactivity disorder. Concerning PTSD, he received a normal mental status evaluation with no diagnosis of PTSD. 5. During the Department of Veterans Affairs, Compensation and Pension examination, the examiner noted that PTSD, adjustment disorder, and anxiety disorder were resolved. The applicant’s insomnia condition was transient and mild, currently treated with medication. 6. The applicant received a copy of the advisory opinion. He did not respond. DISCUSSION: 1. After a comprehensive review of the applicant's case, the SRP determined by unanimous vote that there should be no change to the applicant's disability and separation determination. 2. The SRP reviewed the records for evidence of inappropriate changes in diagnosis of the MH condition during processing through the military pilot disability evaluation system (DES). The evidence in the available records show the diagnosis of insomnia was rendered during the DES process. The SRP agreed there were no inappropriate changes in diagnosis. Therefore, the applicant did not meet the inclusion criteria in the Terms of Reference of the MH Diagnosis Review Project. 3. The SRP agreed that evidence of the record reflected minimal MH related symptoms. An MH condition was never profiled. There was no clinical evidence that his insomnia condition caused significant impairment in social or occupational functioning. The SRP concluded that there was insufficient evidence that any MH condition rose to the level of being unfitting at the time of separation and therefore, none were subject to disability rating. //NOTHING FOLLOWS// ABCMR Record of Proceedings AR20150000953 Enclosure 1 ARMY BOARD FOR CORRECTION OF MILITARY RECORDS RECORD OF PROCEEDINGS ABCMR Record of Proceedings (cont) AR20160011288 2 ARMY BOARD FOR CORRECTION OF MILITARY RECORDS RECORD OF PROCEEDINGS Enclosure 1 ABCMR Record of Proceedings (cont) AR20160011288 3 ARMY BOARD FOR CORRECTION OF MILITARY RECORDS RECORD OF PROCEEDINGS Enclosure 2