Campaign: National Disability Forum: March 2016

Other Limitations

Are there related limitations besides attention, concentration, and persistence that affect a person’s ability to focus on tasks? How severe would they need to be to prevent someone from working? What previous research supports these suggestions?

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Campaign: National Disability Forum: March 2016

Severity

At what level do impairment-related limitations in attention, concentration, and persistence cause off-task behavior to the extent a person could not do any job on the national economy? What research supports this threshold?

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Campaign: Evaluation of Posttraumatic Stress Disorder

More on Lesser Known Symptoms

What lesser-known symptoms of PTSD might be helpful for adjudicators to know about, and what professional sources support this information? a. Chronic sleep deprivation Chronic partial sleep deprivation is a known symptom of trauma or stressor related disorders. In our experience adjudicators often misunderstand its effects perhaps due to not fully understanding the impact it can have on function. When we mention chronic ...more »

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Campaign: National Disability Coalition (Winter 2015)

CareerACCESS

Career ACCESS pilot programs will be created by changes in federal policy aimed at significantly increasing the employment rate of people with disabilities by expecting young adults with disabilities ages 18 through 30 to work. CareerACCESS will provide required support and services recognizing that disability benefits are offsets to the high costs of disability rather than subsidies for the inability to work.

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Campaign: Reasonable Accommodations

IRWE

If a disabled worker is trying to work do not just stop their benefits. If the worker earns over the 1070.00 per month and has IRWE but not enough try deducting the overage from the next months check instead of just cutting them off. They are still paying into the social security system while they work adding to an already strained system. If they are over after their deductions then subtract that amount of overage.

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Campaign: Evaluation of Posttraumatic Stress Disorder

Family and Friend Input

Many of the symptoms of post-traumatic conditions that produce functional limitations and behaviors are severe but intermittent. For that reason it is critical for adjudicators to consider evidence from non-professional sources in conjunction with evidence from professional sources. It is consistent with the nature of the post-traumatic impairments that particular symptoms might not be consistently present and observable ...more »

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Campaign: Inaugural NDC Post Meeting Comment Forum

Vocational Rehabilitation Counselors

I strongly support and encourage the role and use of Vocational Rehabilitation Counselors and Vocational Experts in Social Security Administration, public and private disability claims in assessing an individual’s functional ability as it relates to a work environment. Vocational Rehabilitation Counselors are uniquely trained in understanding the medical, psychological, social, and vocational effects of disability. Therefore, ...more »

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Campaign: Reasonable Accommodations

SSA: Test for severity of impairment and functioning

The humanistic approach to disability policy and benefit supports is for SSA to test for the severity of an impairment and its consequent change in functioning and the performance of activities of daily living, and award benefits and supports from that assessment that lead to productivity and full inclusion. The SSAB 2006 forward, the NCD in 2015, and the GAO all call for new approaches to Social Security Disability Programming ...more »

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Campaign: National Disability Forum: March 2016

Employers

What does previous research tell us about employer expectations around productivity? For example, what are employer tolerances for employees being “off task”? Do employers typically make reasonable accommodations in relation to off-task behavior?

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Campaign: National Disability Forum: March 2016

Authorities

Who should we consult to help us gauge a person’s capacity to focus on job-related tasks?

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Campaign: National Disability Forum: March 2016

Evaluation Instruments

What standard tests or questionnaires already exist for assessing attention, concentration, and persistence?

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Campaign: Evaluation of Posttraumatic Stress Disorder

Friend/Family Evidence Should Be Fully Considered

1. How should we consider evidence about a claimant’s behavior and functioning from non-professional sources, such as parents or friends? Answer: Evidence from non-professional sources is highly valuable in cases involving trauma. For many of the reasons documented in other comments, PTSD and other trauma-related disorders are underdiagnosed. (See submission from Kevin Liebkemann noting intermittent nature of symptoms, ...more »

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