IN THE CASE OF: BOARD DATE: 18 February 2022 DOCKET NUMBER: AR20210013541 APPLICANT REQUESTS: reconsideration of his prior denied requests in conjunction with new requests as follows, 1. Previous applications considered the following requests by the applicant to correct his record by: * directing a Medical Evaluation Board (MEB) and Physical Evaluation Board (PEB) review his mental health conditions with a finding he was unfit for duty with subsequent placement on the Temporary Disability Retired List (TDRL) or Permanent Disability Retired List (PDRL) [with an assigned disabling rating of 30 percent] * if placed on the TDRL or PDRL, payment of retired pay retroactive to his date of separation 16 November 2012 * if not placed on the TDRL or PDRL, reinstatement on active duty * if reinstated on active duty, removal of a General Officer Memorandum of Reprimand (GOMOR) and two referred DA Forms 67-9 (Officer Evaluation Report (OER)) from his records * retroactive consideration for promotion on the Fiscal Year 2008 Major Promotion Board * if promoted, payment of arrears and allowances 2. Through a second court remand, he and his counsel request the following corrections based on new arguments: * removal of his GOMOR based on its erroneous filing that was directed by an unauthorized officer * upon removal of the unlawfully filed GOMOR, in effect, voiding the Department of the Army separation actions including his Board of Inquiry and subsequent decision by the Deputy Assistant Secretary of the Army (Review Boards) (DASA (RB)) to separate him for unacceptable conduct * or concurrently processing him through the Disability Evaluation System (DES) and the officer administrative separation process in a "dual process" as required by regulation APPLICANT'S SUPPORTING DOCUMENTS CONSIDERED BY THE BOARD: * Second amended complaint filed in U.S. Court of Federal Claims * U.S. Court of Federal Claims, Defendant’s Consent Motion for Voluntary Remand filed 20 August 2021 * U.S. Court of Federal Claims order filed on 20 August 2021 PREVIOUS BOARD CASE FILES RECORD OF PROCEEDINGS (ROP) WITH THEIR RESPECTIVE SUPPORTING EVIDENCE: * Army Board for Correction of Military Records (ABCMR) in Docket Number AR20140008998 on 7 April 2015 * ABCMR Docket Number AR20150012081 on 6 December 2016 * ABCMR Docket Number AR20190003089 on 20 November 2020 FACTS: 1. On 20 August 2021, the U.S. Court of Federal Claims granted the applicant and his counsel’s request to remand ABCMR Docket Number AR20190003089 back to the ABCMR. The court order states, "On remand, the ABCMR shall consider and determine the claims presented by the plaintiff in the second amended complaint or reconsider the merits of those claims. The ABCMR shall also consider whether any of its alleged errors was harmless, based upon the existing record." In effect, the court is requesting a de nova review with new arguments. Counsel’s arguments or reasons for remanding the applicant’s case back to the ABCMR include the fact the applicant is a veteran and he should have one final opportunity with the benefit of counsel to make new arguments that were not previously considered by the ABCMR. Secondly, it is appropriate for the ABCMR to have an opportunity to review the applicant’s new claims. Lastly, during this remand the ABCMR potentially could provide the applicant with all the relief he currently seeks, which would moot this action and obviate the need for further court litigation. a. Counsel claims Department of the Army (DA) wrongfully discharged the applicant denying him disability retired pay. The applicant is a combat veteran with multiple tours in support of operations in Southwest Asia. During his combat tours he was exposed to the atrocities of war. Upon his return he suffered from multiple mental health disorders that went undetected by his chain of command and untreated by medical providers. Without a diagnosis and the support of mental health providers, he engaged in unacceptable conduct for a commissioned officer. Upon notification he would receive a GOMOR for his unacceptable conduct, he considered suicide by hanging. He was hospitalized for 10 days in a civilian residential psychiatric hospital. Counsel argues, in effect, that based on the applicant’s 10-day hospitalization he should have immediately been referred into the DES. Counsel further argues that the applicant should have been "dual processed" inferring the applicant should have concurrently undergone DES processing and administrative separation processing. Counsel argues based on administrative error, the applicant is due disability retirement compensation and benefits with an assigned 30 percent disabling rating effective in 2008 and thereafter up to his date of separation on 16 November 2012. [The proposed 30 percent disabling rating is based on a Department of Veterans Affairs (DVA) rating for anxiety disorder not otherwise specified and major depressive disorder.] b. In reviewing the applicant’s GOMOR filed within his official military personnel record, counsel states a commissioned officer, who was not the general officer who imposed the GOMOR or within the applicant’s chain of command, directed its filing in his record. Counsel claims an acting commander in the rank of colonel improperly acted and ordered the filing of the GOMOR in the applicant’s permanent record. Based on the improper filing of the GOMOR, the applicant then underwent administrative separation proceedings that eventually led to his elimination from the Regular Army. The separation authority failed to take into consideration the effects of his mental health condition. During his elimination proceedings, he was also improperly removed from consideration by an officer promotion board to major (pay grade O-4). These errors on the part of Army officials wrongfully denied the applicant the compensation he is due as a result of his military service. c. Counsel argues the previous ABCMR decisions concerning the applicant’s record were arbitrary and capricious, failed to follow law and regulations, and were not supported with substantial evidence. d. The statutory bases for invoking jurisdiction are Title 37, U.S. Code, § 204 and Title 10, U.S. Code, § 1201. These statutes mandate the payment of active duty pay and allowances for military members and retired pay for a Service member who is found unfit for service with a disabling rating of 30 percent or higher. This complaint alleges money damages in excess of $10,000. e. The regulatory bases for invoking the Court’s jurisdiction are Army Regulation 600-8-24 (Officer Transfers and Discharges) and Army Regulation 635-40 (Physical Evaluation for Retention, Retirement, or Separation). 2. Incorporated herein by reference are military records which were summarized in the previous consideration of the applicant's case by the ABCMR in Docket Numbers AR20140008998 on 7 April 2015; AR20150012081 on 6 December 2016; and, AR20190003089 on 20 November 2020. 3. Counsel provided the court with a narrative complaint. a. In effect, he states the applicant honorably served as an enlisted Soldier in the Regular Army for 4 years. He accepted a commissioned officer’s appointment in the U.S. Army on 19 March 1999 serving as an Armor Officer. b. He deployed to Iraq where he was exposed to several combat stressors. In 2005, he was the patrol commander when his vehicle overturned in a canal. One Soldier drowned as a result of this accident and the applicant assisted in retrieving the deceased Soldier’s body from the canal. In 2006, again in Iraq he and his unit were tasked with removing dead Iraqi civilian bodies from canals. The bodies showed signs of torture and were bloated. He and his unit received small arms fire [from enemy forces]. When he served as a company commander, one of his lieutenant’s was killed by an enemy sniper. He was not given permission by headquarters to pursue the enemy sniper until hours later. In 2007, his unit was hit by an improved explosive device while on a patrol and they also encountered a suicide bomber that imploded himself on or near the applicant’s operating post [resulting in numerous casualties]. He also had to speak to the families of the deceased Soldiers [as required by regulation]. Counsel states, "Each of these experiences was traumatic for [the Applicant] and contributed to his mental health disabilities." [The applicant is the recipient of one Bronze Star Medal and the Combat Action Badge.] c. Upon his redeployment, counsel states Army officials failed to administer and assess his mental health. By Army policy, he should have completed DD Form 2900 (Post-Deployment Health Re-Assessment). If Army officials had properly conducted a health assessment, the applicant would have received medical referrals to see specialists. Counsel asserts because this health assessment was not completed, the applicant’s mental health conditions went undiagnosed. Without a proper diagnosis, the applicant did not enter the DES. His diagnoses include post-traumatic stress disorder (PTSD), anxiety disorder, and major depressive disorder. As he went untreated, his struggles led to marital strife and alcohol abuse. For his struggles he received a GOMOR which lead to a Board of Inquiry and his elimination from the Army. Counsel provides a timeline – * 18 April 2012, he appeared before a Board of Inquiry which recommended his elimination from the Army * 23 October 2012, Army Board of Review for Eliminations convened reviewing his record including the results of the Board of Inquiry. This board also recommended eliminating him to the DASA (RB). * 31 October 2012, the DASA (RB) approved the recommendation of the Army Board of Review for Eliminations directing issuance of an Honorable Discharge Certificate * 16 November 2012, he was discharged due to unacceptable conduct * Effective 17 November 2012, the DVA provided him with compensation benefits for a mental health condition rating of 30 percent * In 2014, the ABCMR denied his request to return him to active duty, promotion to major, and removal of derogatory information from his official record * In 2014, he requested reconsideration and the Board denied his request 4. In reviewing his official military personnel file and evidence submitted by the applicant or counsel that is filed in his previous case files within the Army Review Board Agency (ARBA) Case Tracking System, the following facts are known. a. He enlisted in the Regular Army on 9 July 1990 and was honorably discharged on 7 September 1994 after 4 years, 1 month, and 29 days of net active service in order to enter Reserve Officer Training Corps (ROTC) Program. b. He was the recipient of a 4-year Army ROTC Scholarship. Upon college graduation, he was appointed a Reserve Commissioned Officer of the Army effective 12 December 1998 and ordered to active duty. He entered active duty on 19 March 1999 in order to fulfill his obligated service of 4 years. c. He deployed to Iraq during the following periods: from 7 February 2004 through 6 February 2005 and from 20 August 2006 through 20 November 2007 d. A GOMOR, signed by the Commanding General (a major general), U.S. Army Field Artillery Center and Fort Sill, dated 29 January 2009, shows: (1) He was reprimanded for domestic assault and battery for beating, choking, and threatening his wife, for ongoing multiple adulterous affairs with women including one married to a deployed Soldier, and for conduct unbecoming an officer and gentleman. (2) On 16 November 2008, he had a sexual encounter with a woman other than his wife which sparked a fight with his wife when she confronted him about it. He attacked her by hitting her with his hands then with a plastic baton on her face and head to the brink of unconsciousness, leaving her with bruises still visible 5 days later. When she fell, he dragged her across the floor, choked her, and scratched her on her neck. He verbally threatened her to the point that she feared for her life. (3) The applicant told his wife he met the other woman through an online website and admitted to the investigating police he engaged in affairs with several other women. His wife spoke to one of the other women who revealed his other affairs, to include impregnating the wife of a deployed Soldier. He also admitted to being the father of twins with one of the women. His behavior was repugnant and indicated a lack of judgment in his professional and personal life. He failed to lead by example. (4) His reprimand was imposed as an administrative measure and not as punishment under Article 15 of the Uniform Code of Military Justice (UCMJ). He was to acknowledge the GOMOR and return it with any statements in rebuttal within 15 calendar days. A decision on imposing and filing the reprimand would be withheld until that time. e. On 2 February 2009 after his psychiatric hospitalization, he acknowledged receipt of his GOMOR and indicated he would submit a rebuttal statement. He acknowledged he understood he could consult with military legal counsel or retain a civilian lawyer at his personal expense. He indicated he would consult with counsel. f. On 5 March 2009, he submitted a GOMOR rebuttal stating in pertinent part that he admitted to assaulting his wife and having an affair with a woman who was not his wife. After his company command tenure, he felt depressed, was easily frustrated, had emotional outbursts of anger, and felt numb. He turned to alcohol and had inappropriate conversations with women on line. In behavioral health treatment, he learned that his anger (emotional outbursts) was a symptom of depression. [His rebuttal statement is summarized in AR20190003089 Record of Proceedings and available as evidence to the Board for their review and consideration.] g. The applicant’s battalion commander (lieutenant colonel) reviewed his reprimand with supporting evidence. His battalion commander stated, "[The applicant’s] behavior is/was absolutely unacceptable for a senior captain. His multiple offenses could have easily go to a court-martial." He did state the applicant was accomplishing his mission training junior officers (lieutenants). However, he did not recommend him for promotion. He concluded by stating, in effect, the applicant’s conduct was an embarrassment for the battalion and the officer corps. He recommended filing the GOMOR in the applicant’s official military personnel file. He forwarded his written recommendation to the next commander in the chain of command, the brigade commander. h. On 14 March 2009 his brigade commander (colonel) also reviewed the applicant’s reprimand with supporting evidence. His brigade commander stated the applicant deployed multiple times and was being treated for PTSD. He indicated the applicant continued with his duties as an instructor and was doing a fine job. He also indicated the applicant had rehabilitative potential. Notwithstanding his statement that the applicant could be rehabilitated, he concluded by stating the applicant’s conduct was unacceptable and he recommended filing the GOMOR in the applicant’s official military personnel file. i. On 24 March 2009 at 1330 hours the Chief of Staff (a colonel/pay grade O-6) for U.S. Army Field Artillery Center and Fort Sill, Fort Sill, OK, assumed command of the organization under the authority of Army Regulation 600-20 (Army Command Policy), paragraph 2-8. He assumed command during the temporary absence and/or voluntary devolvement (possibly deployment) of the regularly assigned commanding general (a major general) and the assistant commandant, a brigadier general. He authenticated the memorandum with his personal signature. The ending period for his assumption of command was 1020 hours 27 March 2009. [Army Regulation 600-20, paragraph 2-5(d) states assumption of command will be announced in a memorandum and will include the unit, its unit identification code and the effective date or duration of a specified period. Paragraph 2-8 states if the commander of a headquarters and headquarters element dies, becomes disabled, retires, is reassigned, or is temporarily absent, the senior regularly assigned United States Army Soldier of the particular headquarters and headquarters element who performs duties with the element will assume command. The announcement will indicate assumption as acting commander within a prescribed time period.] j. On 26 March 2009, after due consideration of all matters submitted by the applicant as well as the recommendations of his chain of command, all of whom recommended filing the GOMOR in his official military personnel file, the acting commander [with assumption of command memorandum] directed the filing of GOMOR in the applicant’s official military personnel file. (In reviewing his electronic personnel record, his GOMOR is filed in the performance folder of his official military personnel file.) k. He deployed to Iraq for a third combat tour starting on 27 December 2009. While in Iraq he received written notification from the U.S. Army Human Resources Command on or about 25 May 2010 that he had been identified to show cause for retention on active duty because of misconduct, moral, or professional dereliction. l. On 16 December 2010 he redeployed to the continental United States. m. On or about 8 April 2011 he reported to Fort Stewart, GA on permanent change of station orders. He was assigned to a mechanized unit under the leadership of the Commanding General, 3rd Infantry Division and Fort Stewart, Fort Stewart, GA. n. The applicant applied to the Department of Army Suitability Evaluation Board (DASEB) requesting removal of his GOMOR from his performance folder by transferring it to his restricted folder based on the rationale that his GOMOR had served its intended purpose. His DASEB Record of Proceedings, dated 13 January 2011, states after careful consideration it was determined the available evidence did not provide substantial evidence that the GOMOR had served its intended purpose and that its transfer (to his restricted file) would be in the best interest of the Army. Therefore, the DASEB determined the overall merits of the applicant’s case did not warrant the requested relief. His application was denied. (The DASEB proceedings are recorded in Army Docket Number AR20100026510. These proceedings were included as evidence in Docket Number AR20190003089 and are available for the Board’s review. This document is also filed in his official military personnel file.) o. On 18 April 2012, a Board of Inquiry convened at Fort Stewart, GA. Among the evidence and testimony considered by the Board of Inquiry were the testimonies of the applicant and Dr. AP, a medical doctor of psychiatry. After deliberations, the Board of Inquiry recommended the applicant be involuntarily separated and that he receive an honorable discharge. His Board of Inquiry with its associated evidence is filed in his official military personnel file and was included as evidence in ABCMR Army Docket AR20190003089. (1) In Dr. P____’s testimony she stated she was a retired colonel whose position was Chief, MEB, Behavioral Health. She was called as a witness for the government. It was her duty and responsibility to evaluate, diagnosis, and if necessary, treat Soldiers who had behavioral health disorders. She also conducted behavioral health assessments for Soldiers deploying into combat zones clearing them for deployment if medically qualified under Army regulations. It was also her responsibility to ensure behavioral health assessments were conducted to standard for fitness for duty determinations, MEBs and chapter evaluations. She reviewed the applicant’s electronic service treatment record and his behavioral health records. Upon the conclusion of the records review, the psychiatrist stated the application did not describe dissociative episodes [from combat or combat flashbacks]. He was able to describe what happened step, by step in a logical thought process. From his medical records, she was not able to identify a traumatic event or a stressor. From his rebuttal statements, he identified his stressor as being in company command is a stressful command environment. In a disassociate episode, one is not aware of what is going on nor do they recall the dissociative event. In his narrative he described his trigger as his wife’s slapping him. The psychiatrist stated, in effect, that just because a person is exposed to something that is scary or traumatic does not mean it is going to lead to a diagnosis of PTSD. She acknowledged that in reviewing his behavioral health record a social worker diagnosed the applicant with PTSD. She stated in effect that normally a social worker does not make behavioral health diagnoses as they do not have the required training. (2) Among the statements in the applicant’s testimony, he states there were things written in the GOMOR that were unsubstantiated. He made thousands of mistakes, but he also believes he went on a journey to prove he can still serve and learn from his mistakes. If the Board decides to retain him, he has a plan for his career to continue and stay in operations and welcomes the opportunity to do anything for Soldiers’ resiliency. (3) Given the preponderance of the evidence, the Board of Inquiry concluded the applicant did in fact commit adultery and he did in fact have an incident of domestic violence in which he assaulted his wife. Therefore, the Board of Inquiry found there was sufficient evidence he did commit acts of personal misconduct and that there was sufficient evidence to substantiate his actions could be considered conduct unbecoming a commissioned officer. [He violated UCMJ Article 128 (Assault), Article 134 (Adultery) and Article 133 (Conduct Unbecoming an Officer and Gentleman).] p. On 23 October 2012, the Army Board of Review for Eliminations convened a board, the complete transcript of which is included for the current Board, to review the action of the Board of Inquiry which recommended the applicant’s elimination. Based on a thorough review of all evidence, the Army Board of Review for Eliminations recommended the applicant’s elimination from the U.S. Army based on misconduct and moral or professional dereliction, with an honorable characterization of service. q. On 31 October 2012, the DASA (RB) approved the Army Board of Review for Eliminations’ recommendation to eliminate the applicant based on misconduct and moral or professional dereliction (violations of the UCMJ), with an honorable characterization of service. r. Accordingly, Orders Number 307-0025 were issued on 2 November 2012 by Headquarters, 3rd Infantry Division and Fort Stewart informing the applicant his date of discharge would be on 16 November 2012. The authority for his discharge was under Army Regulation 600-8-24. s. The applicant’s DD Form 214 (Certificate of Release or Discharge from Active Duty) shows he was honorably discharged on 16 November 2012, after 13 years, 7 months, and 28 days of net active service this period, under the provisions of Army Regulation 600-8-24 due to unacceptable conduct. His cumulative periods of active service totaled 17 years, 9 months and 27 days. t. The applicant applied to the ABCMR in April 2014, requesting his discharge be voided, reinstatement on active duty, promotion to the rank of major retroactive to 1 December 2008, a change in functional area, removal of the GOMOR, derogatory officer efficiency reports, and DASEB proceedings from his official military personnel file. After careful consideration of all the evidence, the Board voted on 7 April 2015 to deny the applicant’s requested relief determining the evidence presented did not demonstrate the existence of a probable error or injustice. u. In June 2015, the applicant again applied to the ABCMR, requesting reconsideration of his prior request, stating the Board previously failed to consider his diagnosis of PTSD. Prior to board deliberations, a medical advisory was obtained from a licensed clinical psychologist who is a member of the Medical Service Corps serving as a commissioned officer. The clinical psychologist stated in effect that after a thorough review of available medical records his mental health disorders (depression and/or PTSD) did not explain or directly mitigate his multiple infractions of misconduct. On 6 December 2016, after careful consideration of all evidence, the Board again voted to deny the requested relief, determining the evidence presented did not demonstrate the existence of a probable error or injustice. 5. On 1 February 2019 the U.S. Court of Federal Claims ordered the voluntary remand of his claim for monetary compensation back to the ABCMR. The court order remand for reconsideration was based on his existing record and any further evidence that the applicant may submit during the remand in accordance with any procedures that the ABCMR may establish for that purpose. He still seeks financial compensation based on his request for reinstatement to active duty in the rank of major effective on or about 16 November 2012 or disability retired pay with a disabling rating of 30 percent and placement on the PDRL effective 17 November 2012. 6. For the members of the ABCMR Board and others concerned with the applicant’s case it is necessary to define the Army medical fitness standards pertinent to his multiple applications and court remand. Army Regulation 40-501 (Standards of Medical Fitness) governs medical fitness standards for enlistment, induction, appointment, retention, and separation. In chapter 3 of this regulation in effect during the applicant’s period of service it gave the various medical conditions and physical defects which may render a Soldier unfit for further military service and which fall below the standards required for Soldiers to continue serving in the U.S. Army. a. Paragraph 3-31 (Disorders with psychotic features) states the causes for referral to an MEB include diagnosed psychiatric conditions that fail to respond to treatment or restore the Soldier to full function within 1 year of onset of treatment. Mental disorders not secondary to intoxication, infections, toxic, or other organic causes, with gross impairment in reality testing, resulting in interference with social adjustment or with duty performance. b. Paragraph 3-32 (Mood disorders) the causes for referral to an MEB include persistent or recurrence of symptoms sufficient to require extended or recurrent hospitalization, limitations of duty or duty in a protected environment or interfering with effective military performance. c. Paragraph 3-33 (Anxiety, somatoform or dissociative disorders) the causes for referral to an MEB include persistent or recurrence of symptoms requiring extended or recurrent hospitalization, limitations of duty or duty in a protected environment or interfering with effective military performance. 7. On 20 November 2020 the ABCMR convened to reconsider ABCMR Docket Number AR20140008998 which had convened on 7 April 2015 and ABCMR Docket Number AR20150012081 which had convened on 6 December 2016. These two boards denied his multiple requests for relief. In ABCMR Docket Number AR20190003089, the Board restated the applicant’s multiple requests as follows: * consideration of his mental health conditions before a MEB and PEB for placement on the TDRL or PDRL * if not placed on the TDRL or PDRL, reinstatement on active duty * if reinstated on active duty, removal from his records of a GOMOR and two referred DA Forms 67-9 (Officer Evaluation Report (OER)) and retroactive consideration for promotion on the Fiscal Year 2008 Major Promotion Board a. In support of his previous application to the ABCMR he provided handwritten notes from Dr. M____ Marks Psychiatry & Forensic Services, dated 30 April 2012 and 17 May 2012 showing: (1) He had a history of major depression which was in remission, a history of alcohol abuse, not current, and possible dysthymia [persistent depressive disorder]. (2) He witnessed what he determined were senseless deaths during his combat tours. He underwent permanent change of station relocations and he was bothered by his supervisor(s) who wouldn’t make time to talk to him. He felt misunderstood and perceived himself as just a number, a statistic, in the Army. He didn’t feel appreciated and from his perspective he received no mentorship. (3) His current state was general discontentment with work-related issues. It was not clear if he had PTSD in the past and it was not a current issue. The medical narrative concluded with a statement that no follow-up medical treatment was required and that he could return as needed. b. An undated VA Rating Decision shows he was granted a service- connected disability for the following conditions effective 17 November 2012, the first day after his date of discharge [which is authorized by law]: * hypertension with cardiomegaly, rating 30 percent * anxiety disorder not otherwise specified (NOS) and major depressive disorder, rating 30 percent * right elbow strain, rating 10 percent * degenerative arthritis, left knee, rating 10 percent * degenerative arthritis, right knee, rating 10 percent * dermatitis and pseudofolliculitis barbae, rating 10 percent * degenerative arthritis, left shoulder, ring finger tendon injury status post avulsion fracture, left hand, proximal interphalangeal fracture, middle finger right hand, healed fifth metacarpal fracture, left hand, left ankle, calcaneal spur, and burn scar right arm, all rated 0 percent c. A DVA Psychiatry Outpatient Note, dated 8 January 2013, shows: * he was seen in follow-up treatment for PTSD at a VA Medical Center * this brief psychotherapy session included reevaluation and management of medication * current status was he did have some PTSD symptoms from his three combat tours in Iraq; not presently suicidal or on medication * he was alert, articulate, appropriate and properly oriented * his mood was anxious * his judgment was intact * the PTSD symptoms he experiences are scarcely unusual for someone exposed to combat and did not make him unstable in any way and are more of a mild occasional discomfort * he was fully competent from a security clearance point of view d. A VA letter dated 4 February 2015 indicated that a service connection for anxiety disorder NOS with major depressive disorder was granted by the VA and he was assigned a disability rating of 30 percent effective 17 November 2012. A medical note dated 8 January 2013 indicated the applicant had a diagnosis of PTSD by a VA psychiatrist. The provider included an opine that the applicant endorsed scarcely unusual PTSD symptoms for someone exposed to combat and determined the symptoms had not made him unstable in any way and that they were more a matter of mild occasional discomfort. e. In the processing of ABCMR Docket Number AR20190003089, multiple medical advisories were obtained from Department of Army and concurrently state licensed medical doctor(s), psychiatrist, and clinical psychologist. Each qualified medical provider was assigned to the Army Review Boards Agency (ARBA) as a medical staff officer providing support to the ABCMR and DASA (RB). (1) On 11 October 2016, the ARBA clinical psychologist stated the applicant’s diagnoses of depression or PTSD did not mitigate his misconduct. Depression or PTSD is not reasonably related to misconduct of domestic violence and engaging in adultery. There is no evidence showing he was not responsible for his decisions and actions, or that he was considered psychologically unfit for duty (under Army Regulation 40-501). There is also no evidence supporting his contention that if he had been properly treated for severe depression, he would not have committed his various acts of misconduct. He was provided with a copy of this specific medical advisory. He did not respond. (2) On 10 April 2019, another advisory was obtained from the ARBA clinical psychologist. In his application he had contended that if he had been properly diagnosed and treated, he would still be on active duty. He contends his proper diagnosis is PTSD. In reviewing his service treatment records he was seen, diagnosed and treated for alcohol abuse, an adjustment disorder with anxiety and depressed mood, depression and PTSD. He had self-referred himself for his alcohol abuse. The psychologist reviewed his hospital discharge summary from Red River Mental Hospital and his privately employed civilian psychiatrist. The clinical psychologist stated the applicant’s basis for separation was due to unacceptable conduct and not because he had a misdiagnosis of PTSD or severe depression. The applicant and counsel were provided with a copy of this medical advisory. (3) The applicant responded on 30 April 2019 restating his intent in filing his application was to have his records reviewed by a MEB/PEB who he believed were the experts who could ascertain the complexity of his case. He submitted a second rebuttal on 26 May 2020 with the support of counsel and new evidence not previously considered by the Board. His civilian psychiatrist, a forensic psychiatrist, stated with certainty the applicant was suffering from major depression after his second deployment. She opined that irritability and emotional volatility are symptoms of depression that can result in aggressive behaviors. (4) Counsel’s rebuttal statement dated 26 May 2020 immediately discredits the qualifications of the Department of Army employed clinical psychologist. He opines the Army failed to investigative the circumstances of the applicant’s behavioral health conditions and also failed to properly diagnose him. He stated in effect that the Army determined the applicant’s conduct was criminal in nature, but never investigated how the applicant’s behavioral health directly impacted his conduct that eventually led to his separation. He surmises the applicant’s chain of command ignored his behavioral health conditions by not directing he undergo a MEB that would evaluate him for fitness for duty. He also opines the applicant had difficulty continuing with his duties. As evidence to support his contention, he utilized the forensic evaluation conducted by a civilian psychiatrist who, in her opinion dated in April 2012, concluded the applicant suffered from major depression and that his major depression is directly related to his misconduct in 2008. (5) With new evidence submitted by the applicant and counsel, a third advisory was obtained from the ARBA clinical psychologist dated 19 June 2020. The ARBA clinical psychologist noted the forensic psychiatrist had access to service treatment records provided by the applicant and his counsel. ARBA medical staff have access to his complete electronic service treatment records and his electronic military personnel records including the ability to review and ascertain his ability to perform his assigned duties by reviewing his officer efficiency reports, military academic records, awards, military investigative files and favorable or unfavorable documents filed in his record. The forensic psychiatrist did not have access to those records. The ARBA clinical psychologist provided a summary of the applicant’s military service and medical treatment. The Army psychologist stated that after he received his GOMOR and referred officer evaluation report attributed to his misconduct, his performance evaluations were commendable with his raters and senior raters recommending him for advanced military schooling, promotion and battalion command. He did undergo a post-deployment behavioral health screening in June 2011 wherein he denied any difficulties related to his third deployment. After summarizing his personnel and service treatment records, the ARBA clinical psychologist concluded the applicant did not have a behavioral health condition that failed medical retention standards of Army Regulation 40-501. Therefore, the clinical psychologist opined to the ABCMR that his record should not undergo MEB/PEB evaluations or medical board proceedings. (6) In turn, the applicant and counsel received the 19 June 2020 medical advisory for their review and rebuttal. They responded with a narrative review of the medical advisory and new evidence. Counsel opines the Army erred when it did not refer the applicant to Walter Reed Army Medical Center for a psychiatric evaluation. He further asserts that the applicant’s chain of command held a bias toward him including interfering with his behavioral health treatment. He alludes to errors made by the AR 15-6 Investigating Officer and because of the errors, witnesses were not properly interviewed nor was evidence obtained that would have discredited the woman whom his spouse claimed was the adulterer. (7) The applicant responded separately to the 19 June 2020 medical advisory stating in effect it is illogical to conclude that his adjustment disorder diminished his misconduct. He refuted the ARBA clinical psychologist opinion that his civilian forensic psychiatrist did not have access to his military personnel record and the various reports used by his chain of command to discredit him. He provided his civilian forensic psychiatrist with documents including the civilian police reports, Army 15-6 Investigative Report and Findings, sworn statements, GOMOR, Board of Inquiry and officer evaluation reports. He found the ARBA clinical psychologist assessment misleading because in reviewing his behavioral health service treatment records the medical providers summarized his answers to their questions. After repeated appointments wherein he was asked the same general questions, he started to mask his depression. In his rebuttal he articulated in detail the faults he found within the Army advisory. He ended his narrative rebuttal by stating in effect he found the Army advisory baseless because his chain of command interfered with his medical treatment. He has provided civilian forensic psychiatric evaluations which numerous administrative boards have ignored because his civilian medical records are not filed in his service treatment records. As the numerous administrative boards failed to take into consideration his civilian medical records, he filed his claim in Federal court. He asserts the only time he was allowed to focus on his problems related to his combat experiences was when he was isolated at the civilian psychiatric hospital. At that facility he received a diagnosis of major depressive disorder directly related to his combat exposures. He was on active duty at the time. In effect, he states this civilian psychiatric report and his diagnosis of major depressive disorder should be weighed against his service treatment records showing he received medical treatment in small increments of time with changing diagnoses. 8. On 20 November 2020 the ABCMR met denying the applicant the relief (compensation) he requested through the Federal court. The Record of Proceedings for ABCMR Army Docket Number AR20190003089 is a 44-page document. The ABCMR determined by unanimous vote that the greater weight of evidence reflects the fact the applicant met medical retention standards of Army Regulation 40-501 at the time of his discharge on 16 November 2012. The Board found no error in the issuance of his GOMOR and referred officer evaluation reports that were issued for his acts of domestic assault and adultery. The Board did acknowledge his multiple behavioral health diagnoses. However, the applicant did not demonstrate by a preponderance of evidence that his underlying mental health conditions were mitigating factors for his misconduct of domestic assault and adultery. 9. On 20 August 2021 the United States Government filed a motion for voluntary remand back to the ABCMR. The United States Court of Federal Claims remanded the applicant’s claim back to the ABCMR to reconsider the applicant’s amended complaint wherein he still seeks financial compensation from the Department of the Army through reinstatement to active duty and payment of arrears and allowances or effective the day following his separation his entitlement to retired pay based on a 30 percent disabling rating issued by the DVA. As the applicant seeks financial compensation, he appealed previous ABCMR administrative denial decisions to the Federal claims court. In pertinent part, counsel claims the Department of the Army failed to properly process his reprimand resulting in the improper convening of a separation board. 10. The administrative processing of his GOMOR was previously discussed within this Record of Proceedings showing a colonel with the appropriate authority ordered the filing of the GOMOR in the applicant’s military personnel record. Additionally, the processing of his administrative separation was outlined and discussed in previous ABCMR Record of Proceedings and this Record of Proceedings. Henceforth, this Record of Proceedings will address counsel’s second claim that the applicant should have undergone "dual processing" through the disability evaluation system and administrative separation processing for misconduct with the outcome being placement on the TDRL or PDRL with payment of retired pay effective 17 November 2012. 11. Counsel claimed the applicant did not undergo post deployment health assessments as required by Army policy. If the Army had complied with the requirement to assess the applicant’s health, he would have received the medical referrals necessary to ensure he was properly diagnosed. As the required assessments were not completed, he went undiagnosed thus the Army failed to enter him into the DES. Counsel states the applicant’s diagnoses include PTSD, anxiety disorder, and major depressive disorder. 12. In coordination with the ARBA Senior Medical Advisor, a Medical Corps Officer in the rank of colonel and a medical doctor, medical health assessment data for the applicant was obtained from his service treatment records and provided to the Board. The medical health assessments are filed within his electronic service treatment record. a. On 5 February 2005 the applicant completed a Post Deployment Health Assessment under the DD Form 2796 version in effect in April 2003. (This was a manual form authorized for filing in the paper service treatment record.) b. On 22 October 2007 he completed another Post Deployment Health Assessment again using DD Form 2796 in effect as of April 2003. c. On 24 November 2007 he completed another Post Deployment Health Assessment using the form in effect as of April 2003. d. On 2 April 2008 he completed DD Form 2900 (Post Deployment Health Reassessment) utilizing the electronic form in effect as of January 2008. e. On 12 October 2010 he electronically completed DD Form 2796, the version effective 4 September 2007 (Draft). He stated he arrived in Iraq on 17 December 2009 and he departed from Iraq on 12 November 2010. He supported Operation Iraqi Freedom serving as part of a military transition team with Iraqi armed forces. At the time he electronically completed this form he had not redeployed to the continental United States. (1) Question 4: "During the past 4 weeks, how difficult have emotional problems (such as feeling depressed or anxious) made it for you to do your work, take care of things at home, or get along with other people?" He responded, "Not difficult at all." (2) Question 7: "Were you wounded, injured, assaulted or otherwise hurt during this deployment?" He responded, "No." (3) Question 9.a. "During this deployment, did you experience any of the following events?" The events include a blast or explosion, vehicular accident or crash, fragmentary wounds or a bullet wound above his shoulders, a fall or other event. He responded, "Yes" that he jammed his finger. (4) Question 10: "Did you encounter dead bodies or see people killed or wounded during this deployment?" He responded, "No." (5) Question 11: "Were you engaged in direct combat where you discharged a weapon?” He responded, "No." (6) Question 12: "During this deployment, did you ever feel that you were in great danger of being killed?" He responded, "No." (7) Question 13: "Have you ever had any experience that was so frightening, horrible, or upsetting that, IN THE PAST MONTH, you…" (a) Question 13.a: "Have had nightmares about it or thought about it when you did not want to?" He responded, "No." (b) Question 13.b: "Tried hard not to think about it or went out of your way to avoid situations that remind you of it?" He responded, "No." (c) Question 13.c: "Were constantly on guard, watchful, or easily startled?" He responded, "No." (d) Question 13.d: "Felt numb or detached from others, activities, or your surroundings?" He responded, "No." (8) Question 14: "Over the PAST MONTH, have you been bothered by the following problems?" (a) Question 14.a: "Little interest or please in doing things[?]" He responded, "Few or several days" (b) Question 14.b: "Feeling down, depressed, or hopeless[?]" He responded, "Few or several days" (9) Question 24: "Would you like to schedule a visit with a healthcare provider to further discuss your health concern(s)?" He responded, "No." (10) Question 25: "Are you currently interested in receiving information or assistance for a stress, emotional or alcohol concern?" He responded, "No." (11) Question 26: "Are you currently interested in receiving assistance for a family or relationship concern?" He responded, "No." (12) Question 27: "Would you like to schedule a visit with a chaplain or community support counselor?" He responded, "No." f. On 12 October 2010 a health care provider conducted an assessment with the applicant who indicated the applicant did not have a current physical profile or limited duty restrictions. DD Form 2796 records the assessment as follows: (1) Question 3a: "Over the PAST MONTH, have you been bothered by thoughts that you would be better off dead or of hurting yourself in some way?" He responded, "No." (2) Question 3b: "Over the PAST MONTH, have our had thoughts or concerns that you might hurt or lose control with someone?" He responded, "No." (3) Question 6: "During this deployment have you sought, or do you now intend to seek, counseling or care for your mental health?" He responded, "No." (4) Question 12: Referral Information. The health care provider conducting the applicant’s post deployment health care assessment indicated there were no referrals for follow-up medical or behavioral health treatment were made on 12 October 2010. (5) Question 13: "Comments:" The health care provider noted the applicant had bilateral knee pain from riding in Humvees and that he was taking Glucosamine that he ordered off the internet. The applicant stated by taking Glucosamine his bilateral knee pain had decreased. g. On 7 December 2010 he electronically completed another DD Form 2796, the version effective January 2008. He restated he arrived in Iraq on 17 December 2009 and he departed from Iraq on 12 November 2010. He supported Operation Iraqi Freedom serving as part of a military transition team with Iraqi armed forces. He indicated his health was good during the month since his redeployment. (1) Question 4: "During the past 4 weeks, how difficult have emotional problems (such as feeling depressed or anxious) made it for you to do your work, take care of things at home, or get along with other people?" He responded, "Not difficult at all." (2) Question 24: "Would you like to schedule a visit with a healthcare provider to further discuss your health concern(s)?" He previously responded no on 12 October 2010 and his latest response was "No." (3) Question 25: "Are you currently interested in receiving information or assistance for a stress, emotional or alcohol concern?" He previously responded no on 12 October 2010 and his latest response was "No." (4) Question 26: "Are you currently interested in receiving assistance for a family or relationship concern?" He previously responded no on 12 October 2010 and his latest response was "No." (5) Question 27: "Would you like to schedule a visit with a chaplain or community support counselor?" He previously responded no on 12 October 2010 and his latest response was "No." (6) A health care provider conducted a review and assessment indicating the applicant did not have a physical profile or limited duty restrictions. The applicant did not indicate he had any health issues, medical or behavioral health, that he wanted to discuss with a health care provider. The health care provider conducting the assessment did not provide the applicant with any referrals to see specialists as none were required. h. On 12 April 2011, he electronically completed his DD Form 2900 (Post Deployment Health Re-Assessment (PDHRA). On this form he stated he arrived in theater on 17 December 2009, but changed his date of departure from Iraq to 4 December 2010. In earlier health assessments pertaining to his third deployment he indicated he redeployed out of Iraq on 12 November 2010. He continued stating he had no difficulties concerning emotional problems (depression or anxiety), taking care of things at home, or getting along with other people. He did state he had concerns with his physical health regarding diarrhea, vomiting or frequent indigestion or heartburn. He indicated he did not have serious conflicts with his spouse, close friends, family members or work that were causing him concern or worry. As previously disclosed in earlier health assessments, he did not want to schedule appointment(s) with health care providers nor did he want help with behavioral health issues including his use of alcohol. Upon review and an interview by a health care provider, the health care provider found no behavioral health risk concerns, no evidence of alcohol-related problems and made no referrals for the applicant to see medical specialists. The applicant also indicated he had no health concerns. 13. He provided excerpts from his service treatment records and his civilian hospitalization discharge summary. In reviewing the excerpts that he provided in previous administrative applications and his initial court remand evidence, he received behavioral health treatment for alcohol abuse, an adjustment disorder with anxiety, depressed mood, and depression prior to his third deployment to Iraq. The applicant engaged in several behavioral health services to include Psychology and Social Work individual and group treatments, medication management through Psychiatry, outpatient and inpatient services, Family Advocacy, Army Substance Abuse Program, and off-post counseling. It appears he was evaluated thoroughly, actively engaged in treatment, and endorsed symptoms appropriate to the given diagnoses for each treatment session. For the Board’s consideration, his service treatment records filed in his multiple administrative proceedings contain the following pertinent information. a. A Standard Form 600, dated 18 August 2008, shows he was accompanied by his wife as a walk-in patient to the Mental Health Clinic at Reynolds Army Community Hospital (RACH). He and his wife reported he had increased his alcohol consumption since his return from his second Iraq deployment. He also reported depressive symptoms, irritability, uncomfortableness in crowds, lack of motivation, impatience, fatigue, problems relaxing, and erectile dysfunction. He stated he wanted to get help several months ago but never followed through and his wife told him on the day of the visit that she would go to his commander and tell him about her husband’s problems if he did not go to the mental health clinic. b. On 18 August 2008 he appeared in no acute distress and denied suicidal/homicidal ideations (SI/HI), or psychotic symptoms. His wife related he mentioned wanting to kill himself and that when he drinks he would say things like "Where’s the gun – I’ll blow my brains out right now." Risk issues appears minimal to moderate at the time. The notes indicate a case would be started with Dr. D____ to rule out depressive disorder, NOS and alcohol abuse. The applicant may benefit from medications and he was amendable to taking them, but was not amenable to group therapy and would prefer one on one therapy for post- deployment related issues. He and his wife indicated an interest in marital counseling and might need referral to Social Work Services. They were advised to schedule follow up appointments as needed. The assessment and plan lists alcohol abuse and one individual psychiatric therapy approximately 45-50 minutes in duration. The applicant was released without limitations for follow-up as needed. The applicant agreed to go to the Army Substance Abuse Program (ASAP) and set up an appointment for intake. c. On 21 November 2008 he was seen as a walk-in referral ordered by his commander for a domestic violence incident that occurred on or about 20 November 2008. He reported that he and his wife were separated and living in separate homes. He reported he was irritable, struggling to define a sense of purpose in his life and felt hostile toward authority figures. He denied SI/HI and reported no abnormal thoughts. His diagnoses included partner relational problems, adjustment disorder with depressed mood and episodic alcohol abuse. The clinical social worker conducting his interview indicated the applicant displayed no remorse for his actions including his history of infidelity. He was released without limitations and told to follow-up in 1 week. d. On12 December 2008 he saw a medical doctor at the post mental health clinic. The reason for this medical appointment was a follow-up to previous appointments regarding his diagnosis of adjustment disorder with depressed mood. He reported decreased use of alcohol. This provider determined his visit was GWOT related and he served as a company commander during one tour in Iraq. He reported feelings of loneliness, depression, sleep disturbance, anhedonia, and apathy. No SI/HI thoughts or plans. He discussed his duties in Iraq including to loss of Soldiers, multiple changes in duties/missions, chaos and difficulty adjusting to a noncombat environment after redeployment. He self- reported his extra-marital affair of 3 months had ended and he was ready to work on his marriage. He was under investigation for conduct unbecoming an officer, adultery and assault. The civilian police were also involved because the incident occurred off post. He reported he would attend a Post Deployment Clinic and undergo continued assessment for medication management to reduce his depression and increase his sleep. His diagnoses remained partner relational problems, adjustment disorder with depressed mood and episodic alcohol abuse. He was released without duty limitations. e. A Standard Form 600, dated 14 February 2009, shows: (1) He was seen at the post emergency room after he was brought in for attempting to hang himself in his garage. He became more depressed over the past 2 weeks, subsequent to receiving a GOMOR and being placed on Zoloft. His hope for the future started to decline after the GOMOR, being perceived by others as a substandard Soldier, being potentially forced out of the military, and the no contact order following a domestic dispute which kept him from talking to his wife. (2) On 12 February 2009, he bought a rope from Walmart and went to the garage of his wife’s house, tying the rope around a steel beam. He got up on a table preparing to jump, but in the final moments of contemplating hanging himself, he worried he might go to hell and decided against it, instead calling his parents then eventually texting his wife that he had been at the house preparing to hang himself. His wife called his unit and the unit contacted the applicant, bringing him to the emergency room. (3) He was deemed to be at high risk for harming himself in the imminent future, as his military career was likely coming to an end and depression and alcohol consumption make his likelihood of acting quite high. Toward that end, the applicant agreed to go to Red River Psychiatric Hospital, a civilian hospital, versus receiving an emergency order of detention to the local hospital, which his medical doctor stated he would do if needed to ensure the applicant’s safety. The attending physician’s primary diagnosis was depression. The attending physician spoke with the applicant’s battalion commander, the emergency room medical doctor and the intake staff working at Red River Psychiatric Hospital. Subsequent to these discussions, the Red River Psychiatric Hospital accepted the applicant for in-patient treatment. Prior to his release from the emergency room, the applicant was told to follow up with the post mental health clinic upon discharge from the hospital. f. A Red River Hospital Discharge Summary, shows: (1) He was admitted to the hospital’s adult inpatient program on 14 February 2009 after trying to hang himself and given admission diagnoses of major depressive disorder, recurrent, and severe addiction. (2) After being charged with adultery and separated from his wife, he became increasingly depressed. He felt depressed with a depressed mood, irritability, poor concentration, poor sleep, isolation, helplessness, and thoughts of suicide. His memory was intact; his mood depressed; his affect dysphoric (general unease or dissatisfaction). His thought process was well organized and he recognized the need for treatment. (3) His treatment plan included individual and group therapy and medication management. He worked on mood improvement skills and ways to decrease anxiety and improve his mood. He worked on building strength and motivation within himself and worked on relaxation techniques and communication skills. Treatment went well and he was improving his communication and healthy ways to cope with his emotions and self- empowerment. Overall he was doing well and tolerated medications without any side effect. His mood and affect improved. Thus, he was responding favorably to medical treatment. (4) His discharge diagnosis was major depressive disorder, recurrent and severe. He was discharged from the hospital on 24 February 2009 with prescriptions for daily Zoloft and Ambien at bedtime for sleep. He was discharged in stable condition with no SI/HI. His discharge plan was to follow up with the Fort Sill Community Mental Health immediately upon arrival at base. g. His service treatment record shows he followed up at the post mental health clinic on his date of discharge on 24 February 2009. The reason for this medical visit was for post-deployment symptoms related to anger and depression. He was seen in the Post Deployment Clinic, part of the Mental Health Clinic. His mental health medical providers noted he was being seen in the Post Deployment Clinic after his second combat deployment to Iraq. Each behavioral health appointment is shown as a medical visit related to Global War on Terror. His SF 600 shows his diagnosis was PTSD. He reported continued improvement which was observed by the mental health provider. He did not report sleep problems, his energy level was normal and he had no suicidal or homicidal thoughts. He did not demonstrate he had abnormal thought processes. h. His records contain numerous Standard Forms 600 dated between 5 March 2009 and 1 May 2009, which are provided in full to the Board for review and show: * multiple visits to the Psychiatry Clinic for medication refills of Zoloft and Ambien and individual/group therapy wherein his depression was identified as mild * among his listed problems were dysthymic disorder (depressive neurosis), alcohol abuse in remission, adjustment disorder with depressed mood, anxiety disorder NOS, anger/depression, alienation * his mental status exams were all normal * he was evaluated as being low risk for dangerousness or impulsivity post hospitalization * he was always released from his appointments without limitations and returned to duty [He had no physical or psychiatric medical profiles.] (1) On 5 March 2009, he was seen by a licensed clinical social worker for ongoing risk assessment after his hospitalization in February. He was enrolled in ASAP. The applicant’s diagnosis was dysthymic disorder (depressive neurosis). He should have started outpatient therapy at Red River Hospital. The hospital had called the post mental health clinic for assistance with coordinating the applicant’s medical care. During the session, he discussed his feelings of humiliation because of his violations of the UCMJ. He described all his positive accomplishments in his military career. His mood was depressed and his affect was congruent with his mood. His attention, concentration and judgment were good. His language was normal in regards to rate, tone and flow. He denied SI/HI. The medical provider stated, "At the current time this patient is considered fully competent to be discharged to his own custody." He was considered a high risk patient due to mental health protocols. He was instructed to follow up with his psychologist. (2) On 6 March 2009, he was seen by a clinical psychologist with a doctorate in psychology. The medical encounter was GWOT (Global War on Terrorism) related. He appeared to have mild anxiety and mild depression. He was concerned because he was pending disciplinary actions regarding domestic assault. He also discussed his lack of contact with his wife and his efforts to overcome racial prejudice in life. He had no SI/HI. He said he felt good because he was able to compose and submit a rebuttal to his disciplinary action. He had a realistic attitude. The clinical psychologist diagnosed him with adjustment disorder with depressed mood. He was released without limitations. (3) On 27 March 2009, his medical provider recorded the following filing it on an SF 600, “He states that he feels he is prepared and will be able to handle the decision regardless of which way it goes. . Service member states he also has noted that his use of caffeine tends to increase his anxiety and tension level… He states that he’s noticed that doing [war game exercises] his anxiety level increases and he reverts back to the type of behaviors he used in a combat situation in Iraq." The medical provider states, "By all indications service member is coping adequately with his situation at this time. He is undergoing a period of intense self-examination and reevaluation of his life and goals…Risk is felt to be low at this time." He was released without limitations (no profile/duty restrictions). (4) Also on 27 March 2009 he attended a Post Deployment Stress Class for his symptoms of anger/depression. (5) On 30 March 2009 he had a follow-on appointment at the Mental Health Clinic related to his overseas service in support of the GWOT. His medical provider stated he had voiced no complaints at this appointment. He did not complain or identify sleep problems. His energy level was normal. He indicated he did not have suicide or homicide plans to harm himself or others. He further stated he had no abnormal thoughts. He did relate he had significant stress during his recent deployment. He was a headquarters and headquarters battery commander and often encountered high stress situations. His unit was involved in diverse nation building type missions and were under pressure from exposure to active combat situations. After he redeployed, he started to use alcohol as a form of coping with his personal and situational stress. Upon examination the medical provider stated the applicant was not disoriented, he had no perceptual disturbances and demonstrated an adequate fund of acknowledge. He was released without duty or profile limitations or restrictions. (6) On 2 April 2009 he had a routine follow-up mental health appointment. His behavioral health medical provider stated the applicant was coping with post combat symptoms and his pending disciplinary actions. This medical appointment was GWOT related. He reported he was having difficulty returning to and adjusting to life in the United States and with his family. He expressed his feelings of being disconnected from his wife. His behavioral health provider stated the applicant did not demonstrate abnormal behaviors, had no sleep complaints, no suicide plans, no abnormal thoughts. He did acknowledge he had difficulty communicating damaging his interpersonal relationships and that he continued to have marital problems. On this specific date the medical provider indicated the applicant had PTSD with occupational and financial problems. Upon conclusion of the appointment, the medical provider released the applicant without imposing any duty or profile restrictions. (7) On 3 April 2009, he returned to the mental health clinic for a follow-up appointment wherein he stated he had no complaints. The benefits of journaling were discussed. Again, his medical provider noted the applicant was not disoriented, his affect was full-ranging, no disorientation, no perceptual disturbances, and no psychomotor abnormalities. His thought process was not impaired and he was not suicidal or homicidal. His medical provider stated, "Service member continues to report and display improvement." His diagnosis remained PTSD and the purpose of this medical appointment was for his post- deployment examination. He again was released without duty limitations. (8) On 7 April and 8 April 2009, he returned to the Post Deployment Clinic for a post-deployment psychiatric examination based on his post-deployment symptoms of anger and depression. His diagnosis was adjusted from PTSD to adjustment disorder with anxiety and depressed mood. There were no noted abnormalities with his affect, speech, attention, concentration and judgment. He had no psychotic processes. His Global Assessment of Functioning (GAF) Scale with 100 being the highest shows his GAF score was 75. (A GAF of 75 is defined as mild symptoms including understandable reactions to psychosocial stressor or only slight impairment present in social and occupational functioning.) His therapy session was group therapy wherein the focus was on The Anger Continuum with emphasis on self-control and the belief that one’s thinking can control feelings. He was released without duty or profile limitations. i. On 26 August 2009 a social worker at the post mental health clinic changed the applicant’s diagnosis to chronic PTSD. There is no explanation on the electronic SF 600 as to why the diagnosis of chronic PTSD was added by the social worker. There is no affirmation from a medical doctor or a clinical psychologist holding a doctorate to affirm or confirm this adjusted diagnosis. The social worker released the applicant without limitations. j. On 21 September 2009 a clinical psychologist interviewed the applicant in compliance with a new Army directive wherein Soldiers were to be cleared to leave post by a behavioral health professional before departing on permanent change of station orders. This visit was administrative in nature. The psychologist noted the applicant was seen at the mental health clinic starting in August 2008. A review of a medical doctor’s notes shows the applicant was doing well and was not a SI/HI risk. He also had services through Family Advocacy and Social Work and the ASAP. He was cleared by the psychologist for deployment and/or permanent change of station. The psychologist further determined there was no medical requirement to transfer the applicant to the Warrior Transition Unit or a requirement for him to undergo an MEB. k. A SF 600 shows on 12 April 2011 he sought information after a post- deployment screening for behavioral health. He was seen by a social worker at the post social work clinic. At the time he was not taking prescribed medication for any mental health disorders or diagnoses. He self-reported he was last seen in 2009 for adjustment related issues. He reported completing ASAP and Family Advocating Program in 2009. He did not report any concerns and was released without duty limitations. l. A SF 600 shows on 2 June 2011 he sought a psychiatric consultation to reestablish care because he was undergoing administrative separation and was under significant stress. No diagnosis was provided during this administrative appointment. 12. Through a court ordered remand, the applicant with counsel submitted a financial claim with potential payment by the United States Government in excess of $10,000. The applicant through multiple applications to the ABCMR and now through his second court remand seeks correction to his record to show he was retained on active duty and promoted to major effective on an unknown date in 2008 by removing derogatory information from his official military personnel file. By correcting his record to show his retention on active duty, it would allow him to qualify for Regular Army retirement benefits at 20 years of active service. In the alternative, he argues he had a mental health diagnosis that went undiagnosed preventing him from entering the disability evaluation system. If he had been properly diagnosed, he would have undergone a MEB/PEB and allowed to medically retire [based on the presumption the PEB would rate his anxiety disorder NOS and major depressive disorder at 30 percent disabling]. BOARD DISCUSSION: After reviewing the application, all supporting documents, and the evidence found within the military record, the Board found that relief was not warranted. After reviewing the application, all supporting documents, and the evidence found within the military record, the Board found that the applicant failed to demonstrate by a preponderance of evidence an error or injustice warranting the requested relief. The applicant’s contentions, the military record, and regulatory guidance were carefully considered. The Board also considered the previous decisions in this case, the 20 August 2021 remand order issued by the United States Court of Federal Claims, and the applicant’s filings in the same Court. a. The Board determined that the applicant failed to show the GOMOR applicant received was unlawfully filed in his permanent file. The Colonel who directed the filing temporarily assumed command pursuant to a memorandum included with the filing decision. The applicant failed to show by a preponderance of the evidence either that the assumption of command memorandum was improper or that the alleged lack of authority was more than harmless error. The Board noted that the applicant’s chain of command recommended filing the GOMOR in his permanent file due to his unacceptable behavior. The Board also noted that subsequent Army administrative boards separated him based on evidence of the underlying misconduct including adultery and assaulting his wife. b. The Board considered the applicant’s claim that he should have been “dual processed” through the disability evaluation system while being considered for involuntary separation. The Board determined that the greater weight of the evidence, including the testimony of the MEB psychiatrist at the Board of Inquiry and the advisory opinions from the ARBA medical officers, showed his medical condition was evaluated and he met medical retention standards at the time of separation from service. Applicant’s medical condition, therefore, did not warrant a referral into and consideration by the disability evaluation system during the separation process. BOARD VOTE: Mbr 1 Mbr 2 Mbr 3 : : : GRANT FULL RELIEF : : : GRANT PARTIAL RELIEF : : : GRANT FORMAL HEARING XX: XX: XX: DENY APPLICATION 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. 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. Army Regulation 635-40 (Physical Evaluation for Retention, Retirement, or Separation) prescribes the Army Disability Evaluation System and sets forth policies, responsibilities, and procedures that apply in determining whether a Soldier is unfit because of physical disability to reasonably perform the duties of his office, grade, rank, or rating. It implements the requirements of Title 10, U.S. Code, chapter 61; Department of Defense Instructions (DoDI) 1332.18 (Disability Evaluation System (DES)); DoD Manuel 1332.18 (DES Volumes 1 through 3) and Army Directive 2012-22 (Changes to Integrated Disability Evaluation System Procedures) as modified by DoDI 1332.18. a. The Surgeon General of the Army will establish and interpret medical standards for retaining Soldiers on active duty. b. The objectives are to maintain an effective and fit military organization with maximum use of available manpower; provide benefits to eligible Soldiers whose military service is terminated because of a service-connected disability; provide prompt disability evaluation processing ensuring the rights and interests of the Government and Soldier are protected; and, establish the Military Occupational Specialty Administrative Retention Review (MAR2) as an Army pre-DES evaluation process for Soldiers who require a P3 or P4 (permanent profile) for a medical condition that meets the medical retention standards of Army Regulation 40-501. c. Public Law 110-181 defines the term, physical DES, as a system or process of the DoD for evaluating the nature and extent of disabilities affecting members of the Armed Forces that is operated by the Secretaries of the military departments and is composed of medical evaluation boards, physical evaluation boards, counseling of Soldiers, and mechanisms for the final disposition of disability evaluations by appropriate personnel. d. The DES begins for a Soldier when either of the events below occurs: (1) The Soldier is issued a permanent profile approved in accordance with the provisions of Army Regulation 40–501 and the profile contains a numerical designator of P3/P4 in any of the serial profile factors for a condition that appears not to meet medical retention standards in accordance with AR 40–501. Within (but not later than) 1 year of diagnosis, the Soldier must be assigned a P3/P4 profile to refer the Soldier to the DES. (2) The Soldier is referred to the DES as the outcome of MAR2 evaluation. e. A medical evaluation board is convened to determine whether a Soldier’s medical condition(s) meets medical retention standards per Army Regulation 40- 501. This board may determine a Soldier’s condition(s) meet medical retention standards and recommend the Soldier be returned to duty. This board must not provide conclusions or recommendations regarding fitness determinations. f. The physical evaluation board (PEB) determines fitness for purposes of Soldiers’ retention, separation or retirement for disability under Title 10, U.S. Code, chapter 61, or separation for disability without entitlement to disability benefits under other than Title 10, U.S. Code, chapter 61. The physical evaluation board also makes certain administrative determinations that may benefit implications under other provisions of law. The PEB is not a statutory board. It is a fact finding board evaluating the physical condition of the Soldier against the physical requirement of the Soldier’s office, grade, rank or raring. g. The PEB may permanently retire a Regular Army Soldier if he has at least 20 years of service as defined in section 1208, Title 10, U.S. Code. h. Unless reserved for higher authority, the U.S. Army Physical Disability Agency approves disability cases for the Secretary of the Army and issues disposition instructions for Soldiers separated or retired for physical disability. i. Effective 19 January 2017, the DES legacy process will be used for Army Veterans referred to the DES by the Army Board for Correction of Military Records (ABCMR). The Secretary of the Army or designee approves requests for legacy processing on a case-by-case basis. The VA Form 21-0819 will not be used, to include cases referred by the ABCMR when the applicant does not have an active status in the U.S. Army. The VA will not conduct the examination upon which the MEB findings are based. Instead, the MEB convening authority will assign a physician or physicians to conduct the required examination(s). The examinations will meet the minimum criteria of the VA medical examinations. Medical conditions evaluated during the DES will solely consist of those conditions for which a P3/P4 profiles was approved and any other conditions which the physician conducting the MEB finds individually or in combination are not likely to meet medical retention standards. Cases referred by the ABCMR address conditions in the context of their status at the time of the Veteran’s separation. 2. Army Regulation 40-501 (Standards of Medical Fitness) provides information on medical fitness standards for induction, enlistment, appointment, retention, retirement and related policies and procedures. Chapter 3 describes the various medical conditions and physical defects which may render a Soldier unfit for further military services. These medical conditions and physical defects, individually or in combination, are those that significantly limit or interfere with the Soldier’s performance of duty; may compromise or aggravate the Soldier’s health or well-being, if they were to remain in the military Service such as frequent clinical monitoring; may compromise the health or well-being of other Soldiers; and may prejudice the best interest of the Government if the individual were to remain in the military Service. Soldiers who do not meet the required medical standards will be evaluated by a medical evaluation board. a. A Soldier will not be referred to a medical evaluation board or a physical evaluation board because of impairments that were known to exist at the time of acceptance in the Army and that have remained essentially the same in degree of severity and have not interfered with successful job performance. b. The general policy states that possession of one or more of the conditions listed in this chapter does not mean automatic retirement or separation from the Service. Physicians are responsible for referring Soldiers with conditions in this chapter to a medical evaluation board. c. Paragraph 3–32 refers to mood disorders and paragraph 3-33 refers to anxiety, somatoform, or dissociative disorders providing the following criteria is met: * persistence or recurrence of symptoms sufficient to require extended or recurrent hospitalization * persistence or recurrence of symptoms necessitating limitations of duty or duty in protected environment * persistence or recurrence of symptoms resulting in interference with effective military performance e. Paragraph 3-36 refers to adjustment disorders and states situational maladjustments due to acute or chronic situational stress do not render an individual unfit because of physical disability, but may be the basis for administrative separation if recurrent and causing interference with military duty. 3. Title 10, U.S. Code, section 1201, provides for the physical disability retirement of a member who has at least 20 years of service or a disability rating of at least 30 percent. Title 10, U.S. Code, section 1203, provides for the physical disability separation of a member who has less than 20 years of service and a disability rating of less than 30 percent. 4. Army Regulation 600-8-24 prescribes policies and procedures governing transfer and discharge of Army officers on active duty for 30 days or more. Officer transfers and discharges are governed by statute and Department of Defense directive and instructions. The DASA (RB) will act as the Secretary of the Army’s designee for Boards of Review. It provides that elimination action may be or will be initiated for misconduct, moral or professional dereliction, acts of personal misconduct, conduct unbecoming an officer, and adverse information filed in the official military personnel file. a. An officer referred or recommended for elimination who does not meet medical retention standards will be processed through this regulation and through the MEB/PEB process. b. When it is determined the officer’s mental condition contributed to military inefficiency or unsuitability, the medical evaluation will include a psychiatric study of the officer. This study will indicate whether the officer was able to distinguish right from wrong and whether the officer currently has the mental capacity to understand board and judicial proceedings and participate in her or her defense. When applicable, the report will also indicate whether the incapacitating mental illness could have been the cause of the conduct under investigation. c. At the time an officer is to appear before the Board of Inquiry, if he or she does not possess sufficient mental capacity to understand the nature of the proceedings or does not behave or cooperate intelligently in defense, the proceedings will be delayed until the officer recovers, or the officer will be processed through medical channels, whichever applies. d. If a physical or mental condition develops after an officer has been recommended for involuntary separation or after the Board of Inquiry proceedings are completed, the officer’s commander will immediately notify U.S. Army Human Resources Command. 5. Army Regulation 600-37 (Unfavorable Information) provides: a. An administrative memorandum of reprimand may be issued by an individual’s commander, by superiors in the chain of command, and by any general officer or officer exercising general court-martial jurisdiction over the Soldier. The memorandum must be referred to the recipient and the referral must include and list applicable portions of investigations, reports, or other documents that serve as a basis for the reprimand. Statements or other evidence furnished by the recipient must be reviewed and considered before filing determination is made. b. A General Officer Memorandum of Reprimand (GOMOR) may be filed in a Soldier’s Official Military Personnel File (OMPF) only upon the order of a general officer-level authority and is to be filed in the performance folder. The direction for filing is to be contained in an endorsement or addendum to the memorandum. If the GOMOR is to be filed in the OMPF, the recipient’s submissions are to be attached. Once an official document has been properly filed in the OMPF, it is presumed to be administratively correct and to have been filed pursuant to an objective decision by competent authority. The burden of proof rests with the individual concerned to provide evidence of a clear and convincing nature the document is untrue or unjust, in whole or in part, thereby warranting its alteration or removal from the OMPF. 6. Title 38, U.S. Code, section 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. 7. Title 38, U.S. Code, section 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) AR20210013541 29 ARMY BOARD FOR CORRECTION OF MILITARY RECORDS RECORD OF PROCEEDINGS 1