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 »
Following up on comments offered by Kevin Liebkemann and Emilia Sicilia, many children diagnosed with Oppositional Defiant Order have underlying trauma. Since ODD has been removed from the new Children Mental Impairment Listings at 112.08, it is very important that adjudicators not write off children with ODD diagnoses but explore for trauma issues. Guidance similar to that in SSR 09-2p, which requires adjudicators to ...more »
The Dallas RO, CFD policy staff and medical consultants are submitting the following comments about the above topic: #1 Although, clinical trials are under way each tumor must be sequenced in “precision medicine”, and large trials of treatment of a certain mutation are far from reality. Only anecdotal successes/failures will be known for some time, which cannot be translated to overall effectiveness of an agent for that ...more »
Allow the disabled worker to deduct health insurance premiums paid from income earned except Medicare. If the worker pays for further coverage allow that premium to be deductible, since it is required that everyone carry insurance. Also allow disabled workers to deduct all dental expenses from earned income if those are reasonable and necessary, such as 2 exams per year and needed care to maintain healthy teeth, especially ...more »
disability accommodations should happen in a prompt manner
It is our suggestion that an additional listing be considered and worded similar to 14.02A and 14.02B adapted for chronic kidney disease related complications, despite prescribed treatment: 1. Involvement of two or more organ/body systems to at least a moderate level of severity, 2. Repeated manifestations of chronic kidney disease with marked level of functional limitation, and 3. Include guidelines about side effects ...more »
Recent changes in disability determination allow for the use of mean deviation from static computerized visual fields as a means of determining disability under 2.03B and 2.04B. This is convenient, as it is a single number readily available from the visual field printout. I'm recommending this be reconsidered, in light of the fact that mean deviation is an age-dependent calculation, and is therefore discriminatory by ...more »
Very important to identify and use external sources to establish further corroborating evidence of a claimant's behavior and functioning, particularly in the area of PTSD. The symptoms / results of PTSD are often not readily seen in an office examination or via telephone interview, but can be triggered when a person is under stress or in certain situations (e.g., being in crowds, loud noises, kids screaming). Therefore, ...more »
It would be great if any communication in regards to going back to work from SSA were more positively worded. When people receive mail like their work activity reports they are scary and intimidating, maybe if they were more welcoming people wouldn't feel like they were doing something wrong by trying to go to work.
Fund more benefit planners with Workforce experience that have a mandated partnership at local SSA offices to assist with employment / wage reporting and any disputes. Creating a more direct line of communication, Workforce can assist with getting the correct information out there.
As the parent of a young adult with autism who just began receiving SSI, I was eager to participate in this discussion, but I have no idea what the question is asking. "Identify individuals with medical improvement as the earliest opportunity"? I don't know what that means. I work in the disability field and asked a number of colleagues if they understood what was being asked. Only one of them even offered a suggestion ...more »
I think people/adult disabled children with autism should not have to be redetermined over and over. If it was proven as a child and then again at 18. That should be enough proof for life. Autism is in the brain, the brain does not change. No one has ever stopped being autistic. As the autistic person ages, the disability does not improve. They require more care and more assistance as they age. I think if they have ...more »