A clinically significant psychiatric condition | SOP Information, SOPs and Supporting Information – alphabetic listing, A to B, Anxiety Disorder E027, Factors in CCPS as at 29 September 2013 (E027)

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A clinically significant psychiatric condition

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Last amended 
16 June 2015

Anxiety disorder - A clinically significant psychiatric condition Factor

In the SOPs for anxiety disorder, among others, the RMA has defined "a clinically significant psychiatric condition" to mean "any Axis 1 disorder of mental health that attracts a diagnosis under DSM-IV-TR which is sufficient to warrant ongoing management, which may involve regular visits (for example, at least monthly), to a psychiatrist, clinical psychologist or general practitioner".

Axis 1 covers clinical disorders, for example, substance-related disorders, mood disorders, anxiety disorders (including PTSD), depressive disorders, bipolar disorder, and schizophrenia.

Generally it would be expected that if a psychiatric disorder warranted treatment then treatment would be sought.  However, where treatment was not sought, a person's psychiatric disorder might still meet the RMA definition if there was persuasive and professional evidence, based on a comprehensive clinical history, that ongoing management had been warranted.

Last reviewed for CCPS 29 September 2013.

Preliminary questions [30031]

30028  the condition under consideration is generalised anxiety disorder or anxiety disorder not otherwise specified.

30014   the condition under consideration is generalised anxiety disorder.

or

30029   the condition under consideration is anxiety disorder not otherwise specified.

1709     the veteran has had a psychiatric condition at some time.

6058     psychiatric condition means any Axis 1 disorder of mental health that attracts a diagnosis under DSM-IV-TR. [Default true]

26043 the identified illness or injury, a psychiatric condition, has been clinically significant at some time.

6013     the veteran has established the causal connection between the clinically significant psychiatric condition and VEA service for the condition under consideration.

6017     the veteran has established the causal connection between the clinically significant psychiatric condition and VEA service for the clinical onset of the condition under consideration.

6020     the veteran has established the causal connection between the clinically significant psychiatric condition and eligible service for the clinical onset of the condition under consideration.

or

6019     the veteran has established the causal connection between the clinically significant psychiatric condition and operational service for the clinical onset of the condition under consideration.

or

7334     the clinical onset of the condition under consideration occurred after the end of the veteran's last period of VEA service.

7335     the condition under consideration permanently worsened.

6018     the veteran has established the causal connection between the clinically significant psychiatric condition and VEA service for the clinical worsening of the condition under consideration.

6022     the veteran has established the causal connection between the clinically significant psychiatric condition and eligible service for the clinical worsening of the condition under consideration.

or

6021     the veteran has established the causal connection between the clinically significant psychiatric condition and operational service for the clinical worsening of the condition under consideration.

Clinical onset and operational service [6019]

6023     the identified illness or injury, a psychiatric condition, was clinically significant within the ten years before the clinical onset of the condition under consideration.

26044  the identified illness or injury, a clinically significant psychiatric condition, is causally related to operational service.

Clinical onset and eligible service [6020]

6025     the identified illness or injury, a psychiatric condition, was clinically significant within the five years before the clinical onset of the condition under consideration.

26045  the identified illness or injury, a clinically significant psychiatric condition, is causally related to eligible service.

Clinical worsening and operational service [6021]

6027     the identified illness or injury, a psychiatric condition, was clinically significant within the ten years before the clinical worsening of the condition under consideration.

26044  the identified illness or injury, a clinically significant psychiatric condition, is causally related to operational service.

6029     the clinical onset of the veteran's condition under consideration occurred prior to that part of operational service to which the identified illness or injury, a clinically significant psychiatric condition, is causally related.

Clinical worsening and eligible service [6022]

6028     the identified illness or injury, a psychiatric condition, was clinically significant within the five years before the clinical worsening of the condition under consideration.

26045  the identified illness or injury, a clinically significant psychiatric condition, is causally related to eligible service.

6030     the clinical onset of the veteran's condition under consideration occurred prior to that part of eligible service to which the identified illness or injury, a clinically significant psychiatric condition, is causally related.