IN THE CASE OF: BOARD DATE: 11 April 2023 DOCKET NUMBER: AR20220007721 APPLICANT REQUESTS: to change his narrative reason for separation from “Condition, not a Disability” to something “Service-Connected Disability.” APPLICANT'S SUPPORTING DOCUMENT(S) CONSIDERED BY THE BOARD: * DD Form 149 (Application for Correction of Military Record) * DD Form 214 (Certificate of Release or Discharge from Active Duty) * Department of Veterans Affairs Summary of Benefits FACTS: 1. The applicant did not file within the 3-year time frame provided in Title 10, U.S. Code, section 1552(b); however, the Army Board for Correction of Military Records (ABCMR) conducted a substantive review of this case and determined it is in the interest of justice to excuse the applicant's failure to timely file. 2. The applicant states he was awarded 100% service-connection while on active duty. He would like his DD Form 214 corrected to show he was separate due to service- connection. 3. Review of the applicant’s service records shows: a. He enlisted in the Regular Army on 5 March 2013. He held military occupational specialty 11B, Infantryman. He was assigned to Schofield Barracks, Hawaii. b. The DA Form 3822 (Report of Mental Status Evaluation) that diagnosed him with a mental/behavioral disorder is not available for review. Likewise, the DD Form 2808 (Report of Medical Examination) that would have diagnosed him with any physical issues is also not available for review. c. It appears at some point, a determination was made that the applicant would be recommended for separation in accordance with Army Regulation (AR) 635-200 (Active Duty Enlisted Administrative Separations), Chapter 5-17 (Other Designated Physical or Mental Conditions). d. The immediate commander’s notification of separation memorandum is not available. If it were, it would show that the applicant's immediate commander notified the applicant of his intent to separate him from the Army in accordance with AR 635-200 chapter 5-17 (Other Designated Physical or Mental Conditions). The notification memorandum would have also listed the specific reason for action and the character of service being recommended. e. The applicant’s acknowledgement memorandum and election of rights memorandum is also not available. If it were, it would show that the applicant The acknowledged receipt of the foregoing notice from his commander. He would have consulted with counsel and indicated he had advised of the contemplated action to separate him for an Other Designated Physical or Mental Condition under Chapter 5-17, AR 635-200, and he had been informed of the rights available to him under the regulation. * he would have indicated his understanding that he was not entitled to an administrative separation board (he had less than 6 years of total military service) * he would have indicated whether a statement in his own behalf would be submitted f. On 1 April 2014, a Judge Advocate General (JAG) officer conducted a legal review of separation under AR 635-200, chapter 5-17, Other Designated Physical or Mental Conditions, pertaining to the applicant. The JAG officer indicate that the separation is legally sufficient and that both the Company and Battalion Commanders have both recommended an Honorable discharge. g. On 4 April 2014, the separation authority reviewed the separation packet on the applicant, and after careful consideration of all matters, he directed the applicant be separated from the Army prior to the expiration of current term of service. h. The applicant was accordingly discharged on 18 April 2014. His DD Form 214 (Certificate of Release or Discharge from Active Duty) shows he was discharged under the provisions of paragraph 5-17 of AR 635-200 due to a condition, not a disability. He completed 1 year, 1 month, and 14 days of active service. His DD Form 214 shows in: * Block 25 (Separation Authority) - AR 635-200, Paragraph 5-17 * Block 26 (Separation Code) - JFV * Block 28 (Narrative Reason for Separation), Physical Condition, not a Disability 4. On 16 May 2022, the VA provided the applicant with a Summary of Benefits, indicating he has one or more service-connected disabilities and that his combined service-connected rating is 100% effective 1 December 2021. 5. By regulation (AR 635-200), paragraph 5-17, states commanders may approve separation under this paragraph based on other physical or mental conditions not amounting to disability that potentially interfere with assignment to or performance of duty. A recommendation for separation must be supported by documentation confirming the existence of the physical or mental condition. Members may be separated for physical or mental conditions not amounting to disability, which is sufficiently severe that the Soldier's ability to effectively perform military duties is significantly impaired. 6. By regulation (AR 635-5), the DD Form 214 is a summary of the Soldier's most recent period of continuous active duty. It provides a brief, clear-cut record of all current active, prior active, and prior inactive duty service at the time of release from active duty, retirement, or discharge. The information entered thereon reflects the conditions as they existed at the time of separation. The specific instructions for * Block 25, Separation Authority, obtain correct entry from regulatory or directives authorizing the separation * Block 26, Separation Code, obtain correct entry from AR 635–5–1, which provides the corresponding separation program designator code for the regulatory authority and reason for separation * Block 28, Narrative Reason for Separation, this is based on regulatory or other authority and can be checked against the cross reference in AR 635–5–1 7. By regulation (AR 635-5-1), Separation Program Designator Code JFV is the appropriate code to assign to enlisted Soldiers who are administratively discharged under AR 635-200, paragraph 5-17, based on a condition, not a disability. 8. The Army rates only conditions determined to be physically unfitting at the time of discharge, which disqualify the Soldier from further military service. The Army disability rating is to compensate the individual for the loss of a military career. The VA does not have authority or responsibility for determining physical fitness for military service. The VA may compensate the individual for loss of civilian employability. 9. Title 38, U.S. Code, Sections 1110 and 1131, permit the VA to award compensation for disabilities which were incurred in or aggravated by active military service. However, an award of a VA rating does not establish an error or injustice on the part of the Army. 10. Title 38, CFR, Part IV is the VA’s schedule for rating disabilities. The VA awards disability ratings to veterans for service-connected conditions, including those conditions detected after discharge. As a result, the VA, operating under different policies, may award a disability rating where the Army did not find the member to be unfit to perform his duties. Unlike the Army, the VA can evaluate a veteran throughout his or her lifetime, adjusting the percentage of disability based upon that agency's examinations and findings. 11. MEDICAL REVIEW: a. The applicant is applying to the ABCMR requesting correction of his DD Form 214 to show a change of narrative reason for separation from “Condition not a Disability” to something “Service-Connected Disability”. b. The specific facts and circumstances of the case can be found in the ABCMR Record of Proceedings (ROP). Pertinent to this advisory are the following: 1) The applicant enlisted in the Regular Army on 5 March 2013; 2) On 23 January 2014 the applicant underwent a Report of Mental Status Evaluation. The provider diagnosed the applicant with Adjustment Disorder with Mixed Disturbance of Emotion and Conduct, and recommended immediate separation, and noted the applicant psychiatrically cleared for administrative separation; 3) The immediate commander’s notification of separation memorandum is not available. If it were, it would show that the applicant's immediate commander notified the applicant of his intent to separate him from the Army in accordance with AR 635-200 chapter 5-17 (Other Designated Physical or Mental Conditions). The notification memorandum would have also listed the specific reason for action and the character of service being recommended; 4) On 1 April 2014, a Judge Advocate General (JAG) officer conducted a legal review of separation under AR 635- 200, chapter 5-17, Other Designated Physical or Mental Conditions, pertaining to the applicant. The JAG officer indicated that the separation was legally sufficient and that both the Company and Battalion Commanders have both recommended an honorable discharge; 5) The applicant was accordingly discharged on 18 April 2014. His DD Form 214 (Certificate of Release or Discharge from Active Duty) shows he was discharged under the provisions of paragraph 5-17 of AR 635-200 due to a condition, not a disability. c. The military electronic medical record, AHLTA, VA electronic medical record, JLV, and ROP were reviewed. A review of AHLTA showed he applicant first BH-related engagement on active duty occurred at Schofield Barracks AHC, HI, on 2 October 2013 whereby the applicant sought care for depressed mood. The applicant reported dissatisfaction with the military since arriving to HI three months prior and concerns about his ailing grandmother and mother. He reported depressed mood, sleep difficulties, anhedonia, and worry. Diagnosis was deferred during the encounter and the applicant was scheduled for an intake. An encounter note dated 28 October 2013 showed the applicant attended a BH introductory group and after the group he met with a provider and reported significant stress related not being able to get home to visit his mother. He shared that he considered punching an NCO in order to be separated by decided against it. The provider noted a rule-out for adjustment disorder and agreed to see the applicant the following day. During the session the next day the applicant endorsed symptoms of losing his temper, fearfulness, mood swings, fighting, depression, and isolation. He reported family medical issues back home, hand a desire to separate from the military. He was diagnosed with Adjustment Disorder with Disturbance of Emotion and Conduct, and scheduled for follow-up. During encounter dated 18 November 2013 the applicant continued with his primary complaints and again expressed his desire to be discharged from the military. He stated having no motivation to perform any military related duties and having failed two physical fitness tests. The provider noted the applicant “reported multiple stressors with recent stressor of Christmas leave being pulled. [Applicant] thus far appears to have poor prognosis. [Applicant] could put himself and others at risk due to his preoccupations and desperate attitude”. d. Encounter noted dated 2 December 2013 showed the applicant left a note for his provider stating that the applicant’s situation had become worse, and he had been losing his temper. The provider contacted the applicant, who reported he had gotten into a fight over the weekend after becoming drunk, and upon arriving back at the barracks put a knife to his arm and made it bleed. The provide noted “the applicant reported still having those thoughts”. The applicant’s 1SG was contacted to escort SM to Tripler Army Medical Center, where the applicant was subsequently cleared and released the same night. Encounter note dated 3 December 2013 showed the applicant, commander, and provider met. During the encounter the applicant clarified that this action was not a suicide attempt, rather and action taken to see if he could feel. The provider noted the applicant recanting the discussion from the previous night, in the presence of his command. Once command cleared the session the provider reported changing his story to avoid further command reprisal. e. On 3 January 2014 the applicant underwent psychodiagnostics testing. The results of the testing revealed diagnoses of Adjustment Disorder with Anxiety and Depressed Mood, and Borderline Personality Disorder. On 14 January 2014 the applicant was psychiatrically hospitalized for homicidal ideation, citing a desire to hurt or kill others. During an inpatient encounter session, the applicant reiterated his thoughts of homicidal ideation, stating that he wanted to kill people and was serious about it, as he was very angry. He reported becoming angry “5-6 months ago after being hit with several family issues to include his grandmother passing away and leaving his mother in financial troubles”. The applicant also endorsed getting into fights and enjoying them and recounted an instance whereby he volunteered to confront an individual who owed money to a friend and had yet to pay him. The applicant stated that he went to take the money and decided he would kill the individual if he had too. The applicant remained hospitalized until 16 January 2014. His diagnoses upon discharge reflected Adjustment Disorder with Disturbance of Emotion and Conduct and a recommendation was made for administrative separation under provision of AR 635-200, Chapter 5-17. He was referred to outpatient individual and group therapies. f. On 23 January 2014 the applicant underwent a Report of Mental Status Evaluation. The provider diagnosed the applicant with Adjustment Disorder with Mixed Disturbance of Emotion and Conduct, recommended immediate separation, and noted the applicant psychiatrically cleared for administrative separation. The applicant remained in outpatient individual and group therapy until discharge. g. A Review of JLV showed the applicant 100 percent service-connected for Schizoaffective Disorder. A VA C&P dated 29 May 2020 showed the examiner found “Symptoms of Schizoaffective Disorder, Depressive Type, Insomnia Disorder, and Intermittent Explosive Disorder manifested as first starting with sleep problems after his alleged exposure to intense boot camp drill sergeant behavior and within a few months, escalated to a state of paranoia, ruminative thinking patterns, and delusional appraisals of the behavior of superiors being against him and mistreating him that progressed, in a vicious cycle pattern, of his being made an example or targeted due to his increasingly reactive way of handling his orders, directives, and disciplinary actions that caused his Schizoaffective Disorder, Depressive Type with continuous/chronic sleep problems consistent with Insomnia Disorder and then progressing to include Intermittent Explosive Disorder (IED)…..”. The examiner concluded, “therefore, the [applicant’s] Schizoaffective Disorder, Depressive Type, Insomnia Disorder, and Intermittent Explosive Disorder are least as likely as not consistent with the circumstances, conditions or hardships, of his military service”. h. The applicant’s first BH-related engagement with the VA subsequent his C&P Examination appears to have occurred at the Orlando FL VA on 23 June 2021, whereby the applicant sought psychotropic medication to address his symptoms. He reported being off medication for approximately 7-months and wanted to see his PCP to begin medication again. The applicant was encouraged to report to the same-day clinic as his PCP had limited availability, but he declined. He was scheduled for outpatient care at the Discovery Clinic. Records appear void of the applicant receiving BH-related care at the VA subsequent the 23 June 2021 date, likely due to him receiving care in the community. i. The applicant is requesting a change to his narrative reason for separation from “Condition, not a Disability” to something “Service-Connected Disability”. A review of the records showed the applicant with in-service diagnoses of Adjustment Disorder with Disturbance of Emotion and Conduct, Adjustment Disorder with Mixed Anxiety and Depressed Mood, and Borderline Personality Disorder, and post-service diagnoses of Schizoaffective Disorder, which was found to be service-connected at 70 percent. The examining VA provider noted onset of Schizoaffective Disorder having occurred during BCT, and stated that the symptoms reported across the applicant’s time in service, such as ruminative thinking about killing, paranoia, and delusional beliefs his unit working against him were more likely than not reflective of Schizoaffective Disorder versus Adjustment Disorders or Borderline Personality Disorder. There is not sufficient evidence in the record to support the applicant was improperly diagnosed while in service, therefor the separation appears to have been proper and equitable. However, given the VA finding and the possibility the applicant was in fact experiencing symptoms of Schizoaffective Disorder during service, it is the recommendation of this advisor the Board considers referral to DES for further review Kurta Questions: (1) Does any evidence state that the applicant had a condition or experience that may excuse or mitigate a discharge? Yes. The applicant is 100 percent SC for Schizoaffective Disorder. (2) Did the condition exist or experience occur during military service? Yes. Symptom onset reportedly began during BCT and became progressively worse over the course of his time in service. (3) Does the condition or experience actually excuse or mitigate the discharge? Yes. The applicant is requesting a change to his narrative reason for separation from “Condition, not a Disability” to something “Service-Connected Disability”. A review of the records showed the applicant with in-service diagnoses of Adjustment Disorder with Disturbance of Emotion and Conduct, Adjustment Disorder with Mixed Anxiety and Depressed Mood, and Borderline Personality Disorder, and post-service diagnoses of Schizoaffective Disorder, which was found to be service-connected at 70 percent. The examining VA provider noted onset of Schizoaffective Disorder having occurred during BCT, and stated that the symptoms reported across the applicant’s time in service, such as ruminative thinking about killing, paranoia, and delusional beliefs his unit working against him were more likely than not reflective of Schizoaffective Disorder versus Adjustment Disorders or Borderline Personality Disorder. There is not sufficient evidence in the record to support the applicant was improperly diagnosed while in service, therefor the separation appears to have been proper and equitable. However, given the VA finding and the possibility the applicant was in fact experiencing symptoms of Schizoaffective Disorder during service, it is the recommendation of this advisor the Board considers referral to DES for further review BOARD DISCUSSION: After reviewing the application, all supporting documents, and the evidence found within the military record, the Board found that relief was partially warranted. The applicant’s contentions, the military record, and regulatory guidance were carefully considered. The complete separation packet is not available for review. However, other evidence shows he was separated under AR 635-200, chapter 5-17 (Other Designated Physical or Mental Conditions). The Board reviewed the medical advisor’s finding that the applicant has in-service diagnoses of Adjustment Disorder with Disturbance of Emotion and Conduct, Adjustment Disorder with Mixed Anxiety and Depressed Mood, and Borderline Personality Disorder, and post-service diagnoses of Schizoaffective Disorder, which was found to be service-connected at 70 percent. The examining VA provider noted onset of Schizoaffective Disorder having occurred during basic combat training, and stated that the symptoms reported across the applicant’s time in service. There is insufficient evidence in the record to support the applicant was improperly diagnosed while in service, therefor the separation appears to have been proper and equitable. However, given the VA finding and the possibility the applicant was in fact experiencing symptoms of Schizoaffective Disorder during service, the Board determined his referral to the Integrated Disability Evaluation System (IDES) is appropriate. BOARD VOTE: Mbr 1 Mbr 2 Mbr 3 : : : GRANT FULL RELIEF :X :X :X GRANT PARTIAL RELIEF : : : GRANT FORMAL HEARING : : : DENY APPLICATION BOARD DETERMINATION/RECOMMENDATION: 1. The Board determined that the evidence presented was sufficient to warrant a recommendation for partial relief. As a result, the Board recommends that all Department of the Army records of the individual concerned be corrected by referring his records to The Office of the Surgeon General for review to determine if he should have been discharged or retired by reason of physical disability under the Legacy Disability Evaluation System (DES). a. In the event that a formal physical evaluation board (PEB) becomes necessary, the individual concerned will be issued invitational travel orders to prepare for and participate in consideration of his case by a formal PEB. All required reviews and approvals will be made subsequent to completion of the formal PEB. b. Should a determination be made that the applicant should have been separated under the DES, these proceedings will serve as the authority to void his administrative separation and to issue him the appropriate separation retroactive to his original separation date, with entitlement to all back pay and allowances and/or retired pay, less any entitlements already received. 2. The Board further determined that the evidence presented is insufficient to warrant a portion of the requested relief. As a result, the Board recommends denial of so much of the application that pertains changing his type of discharge without evaluation under the IDES. 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. REFERENCES: 1. Title 10, U.S. Code, section 1552(b), provides that applications for correction of military records must be filed within 3 years after discovery of the alleged error or injustice. This provision of law also allows the ABCMR to excuse an applicant's failure to timely file within the 3-year statute of limitations if the ABCMR determines it would be in the interest of justice to do so. 2. Army Regulation 635-200 (Active Duty Enlisted Administrative Separations) provides for the separation of enlisted personnel from active duty. Paragraph 5-17, states commanders who are special court-martial convening authorities may approve separation under this paragraph based on other physical or mental conditions not amounting to disability that potentially interfere with assignment to or performance of duty. A recommendation for separation must be supported by documentation confirming the existence of the physical or mental condition. Members may be separated for physical or mental conditions not amounting to disability, which is sufficiently severe that the Soldier's ability to effectively perform military duties is significantly impaired. 3. Army Regulation 635-5 (Separation Documents), in effect at the time, prescribed the separation documents that must be prepared for Soldiers upon retirement, discharge, or release from active duty service or control of the Active Army. It established standardized policy for preparing and distributing the DD Form 214. The DD Form 214 is a summary of the Soldier's most recent period of continuous active duty. It provides a brief, clear-cut record of all current active, prior active, and prior inactive duty service at the time of release from active duty, retirement, or discharge. The information entered thereon reflects the conditions as they existed at the time of separation. The general instructions stated all available records would be used as a basis for preparation of the DD Form 214. The specific instructions for a. Block 25, Separation Authority, obtain correct entry from regulatory or directives authorizing the separation b. Block 26, Separation Code, obtain correct entry from AR 635–5–1, which provides the corresponding separation program designator code for the regulatory authority and reason for separation. c. Block 28, Narrative Reason for Separation, this is based on regulatory or other authority and can be checked against the cross reference in AR 635–5–1. 4. Army Regulation 635-5-1 (Separation Program Designator (SPD) Codes) provides the specific authorities (regulatory or directive), reasons for separating Soldiers from active duty, and the SPD code to be entered on the DD Form 214. It identifies SPD code JFV as the appropriate code to assign to enlisted Soldiers who are administratively discharged under the provisions of Army Regulation 635-200, paragraph 5-17, based on a condition, not a disability. 5. Title 38, U.S. Code 1110 (General - Basic Entitlement) states for disability resulting from personal injury suffered or disease contracted in line of duty, or for aggravation of a preexisting injury suffered or disease contracted in line of duty, in the active military, naval, or air service, during a period of war, the United States will pay to any veteran thus disabled and who was discharged or released under conditions other than dishonorable from the period of service in which said injury or disease was incurred, or preexisting injury or disease was aggravated, compensation as provided in this subchapter, but no compensation shall be paid if the disability is a result of the veteran's own willful misconduct or abuse of alcohol or drugs. 6. Title 38 U.S. Code 1131 (Peacetime Disability Compensation - Basic Entitlement) states for disability resulting from personal injury suffered or disease contracted in line of duty, or for aggravation of a preexisting injury suffered or disease contracted in line of duty, in the active military, naval, or air service, during other than a period of war, the United States will pay to any veteran thus disabled and who was discharged or released under conditions other than dishonorable from the period of service in which said injury or disease was incurred, or preexisting injury or disease was aggravated, compensation as provided in this subchapter, but no compensation shall be paid if the disability is a result of the veteran's own willful misconduct or abuse of alcohol or drugs. //NOTHING FOLLOWS// ABCMR Record of Proceedings (cont) AR20220007721 1 ARMY BOARD FOR CORRECTION OF MILITARY RECORDS RECORD OF PROCEEDINGS 1