B57/1993 Veterans' Children Education Scheme

DATE OF ISSUE:  7 OCTOBER 1993

Veterans' Children Education Scheme

This Instruction provides information on a change to the Veterans' Children Education Scheme (VCES) announced in the Budget, and the Minister's approval to extend counselling and guidance services provided through the Scheme for children of certain veterans.

Children of EDA veterans to be "eligible children"

2.As announced in the Budget, the range of beneficiaries under the VCES is to be extended.  Children of pensioners in receipt of Extreme Disablement Adjustment (EDA) will be eligible for full benefits under the VCES.  Eligibility for VCES benefits is currently available only for children of deceased EDA veterans.

3. Enabling legislation for this change will be introduced in the Budget Sittings of Parliament.  The effective date of this change will be 1 January 1994.

4.We will be sending to each Branch a list of EDA pensioners who are identified on the system as having dependent children.  These lists will be forwarded before the implementation date.

Counselling and guidance services for children of  certain veterans

5.As recommended in the recent review of the VCES, the Minister has approved, under section 92 of the Veterans' Entitlements Act,  the extension of guidance and counselling services (but not financial assistance) provided through the Veterans' Children Education Scheme (VCES).  Where veterans and members are suffering from certain psychiatric conditions, resulting in a diminished ability to provide "normal" levels of parental support, the counselling and guidance services of the Scheme will now be available to the children of these veterans.  The eligibility criteria necessary are that the veteran or member:

.be suffering a psychiatric condition in the International Classification of Diseases (ICD) range of 290.0 to 299.9 (an extract from the ICD is attached); and

.has been assessed at 70% of the General Rate or above.

6.Extension of this benefit does not include payment of education allowance.

7.Suitably qualified members of the Veterans' Children Education Boards will provide guidance and counselling on educational matters for children of these veterans where necessary.  Alternatively, they may be referred to other appropriate organisations.

8.We have written to the Chairman of the Veterans' Children Education Board in each State.  We have also written to the National Secretaries of the R&SL, Legacy, the T&PI Association and the VVAA, advising them of the extension of this benefit.

NATIONAL PROGRAM DIRECTOR

(BENEFITS)

THIS ATTACHMENT HAS BEEN REKEYED TO ENABLE IT TO BE INCLUDED ON THE GENERAL

ATTACHMENT

5. MENTAL DISORDERS (290-319)

In the International classification of Diseases, 9th Revision (ICD-9), the corresponding Chapter V, "Mental Disorders," includes a glossary which defines the contents of each category. The introduction to Chapter V in ICD-9 indicates that the glossary is intended so that psychiatrists can make the diagnosis based on the descriptions provided rather than from the category titles. Lay coders are instructed

to code whatever diagnosis the physician records.

Chapter 5, "Mental Disorders," in ICD-9-CM uses the standard classification format with inclusion and exclusion terms, omitting the glossary as part of the main text.

The mental disorders section of ICD-9-CM has been expanded to in- corporate additional psychiatric disorders not listed in lCD-9. The glossary from ICD-9 does not contain all these terms. It now appears in Appendix B, pages 1077-1125 which also contains descriptions and definitions for the terms added in lCD-9-CM. Some of these were provided by the American Psychiatric Association's Task Force on

Nomenclature and Statistics who are preparing the Diagnostic and Statistical Manual, Third Edition (DSM-III), and others from A Psychiatric Glossary.

The American Psychiatric Association provided invaluable assistance in modifying Chapter 5 of ICD-9-CM to incorporate detail useful to American clinicians and gave permission to use material from the aforementioned sources.

1.Manual of the International Statistical Classification of Diseases, Injuries, and Causes of Death, 9th Revision, World Health Organisation, Geneva, Switzerland, 1975.

2.American Psychiatric Association, Task Force on Nomenclature and Statistics, Robert L. Spitzer, M.D., Chairman.

3.A Psychiatric Glossary, Fourth Edition, American Psychiatric Association, Washington, D.C., 1975.

PSYCHOSES (290-299)

Excludes mental retardation (317-319)

ORGANIC PSYCHOTIC CONDITIONS (290-294)

Includes: psychotic organic brain syndrome

Excludes:  non psychotic syndromes of organic

etiology (310.0-310.9)

psychoses classifiable to 295-298 and without impairment of orientation,

comprehension, calculation, learning capacity, and judgement, but associated with physical disease, injury, or condition affecting the brain [e.g., following childbirth (295.0-298.8)

290 Senile and presenile organic psychotic conditions

Excludes: dementia not classified as senile,

presenile, or arteriosclerotic (294.1)

psychoses classifiable to 295-298

occurring in the senium without dementia or delirium (295.0-298.8)

senility with mental changes of non psychotic severity (310 1)

transient organic psychotic conditions (293.0-293.9)

290.0 Senile dementia uncomplicated

Senile dementia:

NOS

simple type

Excludes. l mild memory disturbances, not amounting

to dementia, associated with senile brain disease (310.1)

senile dementia with. delirium or confusion (290.3)

delusion [paranoid] features (290.20)

depressive features (290.21)

290.1 Presenile dementia

Brain syndrome with presenile brain disease Dementia in:

Alzheimer's disease

Jakob-Creutzfeldt disease

Pick's disease of the brain

Use additional code to identify the associated neurological condition, as:

Alzheimer's disease (331.0)

Jakob-Creutzfeldt disease (046.1)

Pick's disease of the brain (331.1)

Excludes. l arteriosclerotic dementia (290.40-290.43)

dementia associated with other cerebral conditions (294.1)

290.10 Presenile dementia, uncomplicated

Presenile dementia:

NOS

simple type

290.11 Presenile dementia with delirium

Presenile dementia with acute confusional state

290.12 Presenile dementia with delusional features

Presenile dementia, paranoid type

290.13 Presenile dementia with depressive features

Presenile dementia, depressed type

290.2 Senile dementia with delusional or depressive features

Excludes: senile demenlia:

NOS  (290.0)

with delirium and/or confusion (290.3)

290.20 Senile dementia with delusional features

Senile dementia, paranoid type

Senile psychosis NOS

290.21 Senile dementia with depressive features

290.3 Senile dementia with delirium

Senile dementia with acute confusional state

Excludes: senile:

dementia NOS (290.0)

psychosis NOS (290.20)

290.4 Arteriosclerotic dementia

Multi-infarct dementia or psychosis

Use additional code to identify cerebral atherosclerosis (437.0)

Excludes: suspected cases with no clear evidence

of arteriosclerosis (290.9)

290.40 Arteriosclerotic dementia, uncomplicated

Arteriosclerotic dementia:

NOS

simple type

290.41 Arteriosclerotic dementia with delirium

Arteriosclerotic dementia with acute confusional state

290.42 Arteriosclerotic dementia with delusional features

Arteriosclerotic dementia, paranoid type

290.43 Arteriosclerotic dementia with depressive features

Arteriosclerotic dementia, depressed type

290.8 Other specified senile psychotic conditions

Presbyophrenic psychosis

290.9 Unspecified senile psychotic condition

291 Alcoholic psychoses

Excludes: alcoholism without psychosis (303.0-303.9)

291.0 Alcohol withdrawal delirium

Alcoholic delirium — Delirium tremens

291.1 Alcohol amnestic syndrome

Alcoholic polyneuritic psychosis

Korsakoff's psychosis, alcoholic

Wernicke-Korsakoff syndrome (alcoholic)

291.2 Other alcoholic dementia

Alcoholic dementia NOS

Alcoholism associated with dementia NOS

Chronic alcoholic brain syndrome

291.3 Alcohol withdrawal hallucinosis

Alcoholic:

hallucinosis (acute)

psychosis with hallucinosis

Excludes: alcohol withdrawal with delirium (291.0)

schizophrenia (295.0-295.9) and

paranoid states (297.0-297.9)

taking the form of chronic

hallucinosis with clear

consciousness in an alcoholic

291.4 Idiosyncratic alcohol intoxication

Pathologic:

alcohol intoxication

drunkenness

Excludes: acute alcohol intoxication (305.0)

in alcoholism (303.0)

simple drunkenness (305.0)

291.5 Alcoholic jealousy

Alcoholic

paranoia

psychosis, paranoid type

Excludes: non-alcoholic paranoid states (297.0-297.9)

schizophrenia, paranoid type (295.3)

291.8 Other specified alcoholic psychosis

Alcohol:

abstinence syndrome or symptoms

withdrawal syndrome or symptoms

Excludes: alcohol withdrawal:

delirium (291.0)

hallucinosis (291.3)

delirium tremens (291.0)

291.9 Unspecified alcoholic psychosis

Alcoholic:

mania NOS

psychosis NOS

Alcoholism (chronic) with psychosis

292 Drug psychoses

Includes:drug-induced mental disorders

organic brain syndrome associated with

consumption of drugs

Use additional code for any associated drug dependence (304.0-304.9)

Use additional E code, if desired, to identify drug

292.0 Drug withdrawal syndrome

Drug:

abstinence syndrome or symptoms

withdrawal syndrome or symptoms

292.1 Paranoid and/or hallucinatory states induced by drugs

292.11 Drug-induced organic delusional syndrome

Paranoid state induced by drugs

292.12 Drug-induced hallucinosis

Hallucinatory state induced by drugs

Excludes: stales following LSD or other

hallucinogens, lasting

only a few days or less

["bad trips"] (305.3)

292.2 Pathological drug intoxication

Drug reaction:

NOS — resulting in brief

idiosyncratic — psychotic states

pathologic

Excludes: expected brief psychotic reactions to

hallucinogens ["bad trips"] (305.3)

physiological side-effects of drugs

(e.g, dystonias)

292.8 Other specified drug-induced mental disorders

292.81 Drug-induced delirium

292.82 Drug-induced dementia

292.83 Drug-induced amnestic syndrome

292.84 Drug-induced organic affective syndrome

Depressive state induced by drugs

292.89 Other

Drug-induced organic personality syndrome

292.9 Unspecified drug-induced mental disorder

Organic psychosis NOS due to or associated with drugs

293 Transient organic psychotic conditions

Includes: transient organic mental disorders not associated with alcohol or drugs

Use additional code to identify the associated physical or neurological condition

Excludes: confusional state or delirium superimposed

on senile dementia (290.3)

dementia due to:

alcohol (291.0-291.9)

arteriosclerosis (290.40-290.43)

drugs (292.82)

senility (290.0)

293.0 Acute delirium

Acute:Acute psychosis

confusional state — associated with

infective psychosis — endocrine, metabolic,

organic reaction — or cerebrovascular

post traumatic organic — disorder

psychosis — Epileptic:

psycho-organic syndrome — confusional state

twilight state

293.1 Subacute delirium

Subacute:Subacute:

confusional state — psycho-organic

infective psychosis — syndrome

organic reaction — psychosis

post traumatic organic — associated with

psychosis — endocrine or

metabolic disorder

293.8 Other specified transient organic mental disorders

293.81 Organic delusional syndrome

Transient organic psychotic condition,

paranoid type

293.82 Organic hallucinosis syndrome

Transient organic psychotic condition,

hallucinatory type

293.83 Organic affective syndrome

Transient organic psychotic condition,

depressive type

293.89 Other

293.9 Unspecified transient organic mental disorder

Organic psychosis:Psycho-organic

infective NOS — syndrome

post traumatic NOS

transient NOS

294 Other organic psychotic conditions (chronic)

Includes: organic psychotic brain syndromes

(chronic), not elsewhere classified

294.0 Amnestic syndrome

Korsakoff's psychosis or syndrome (non-alcoholic)

Excludes: alcoholic:

amnestic syndrome (291.1)

Korsakoffs psychosis (291.1)

294.1 Dementia in conditions classified elsewhere

Use additional code to identify the underlying

physical condition, as:

dementia in:

cerebral lipidoses (330.1)

epilepsy (345.0-345.9)

general paresis [syphilis] (094.1)

hepatolenticular degeneration (275.1)

Huntington's chorea (333.4)

multiple sclerosis (340)

polyarteritis nodosa (446.0)

syphilis (094.1)

Excludes: dementia:

arteriosclerotic (290.40-290.43)

presenile (290.l0-290.l3)

senile (290.0)

epileptic psychosis NOS (294.8)

294.Other specified organic brain syndromes (chronic)

Epileptic psychosis NOS

Mixed paranoid and affective organic psychotic states

Use additional code for associated epilepsy

(345.0-345-9)

Excludes:l mild memory disturbances, not amounting

to dementia (310.1)

294.9 Unspecified organic brain syndrome (chronic)

Organic psychosis (chronic)

OTHER PSYCHOSES (295-299)

Use additional code to identify any associated physical disease, injury, or condition

affecting the brain with psychoses classifiable to 295-298

295 Schizophrenic disorders

Includes: schizophrenia of the types described in

295.0-295.9 occurring in children

Excludes: childhood type schizophrenia (299.9)

infantile autism (299.0)

The following fifth-digit sub classification is for use with category 295:

0 unspecified

1 subchronic

2 chronic

3 subchronic with acute exacerbation

4 chronic with acute exacerbation

5 in remission

295.0 Simple type

Schizophrenia simplex

Excludes: latent schizophrenia (295.5)

295.1 Disorganised type

Hebephrenia

Hebephrenic type schizophrenia

295.2 Catatonic type

Catatonic (schizophrenia): Schizophrenic:

agitation — catalepsy

excitation — catatonia

excited type — flexibilitas cerea

stupor

withdrawn type

295.3 Paranoid type

Paraphrenic schizophrenia

Excludes: involutional paranoid state (297.2)

paranoia (297.1)

paraphrenia (297.2)

295.4 Acute schizophrenic episode

Oneirophrenia

Schizophreniform:

attack

disorder

psychosis, confusional type

Excludes: acute forms of schizophrenia of:

catatonic type (295.2)

hebephrenic type (295.1)

paranoid type (295.3)

simple type (295.0)

undifferentiated type (295.8)

295.5 Latent schizophrenia

Latent schizophrenic — Schizophrenia:

reaction — prepsychotic

Schizophrenia:prodromal

borderline — pseudoneurotic

incipient — pseudopsychopathic

Excludes: schizoid personality (301.20-301.22)

295.6 Residuai schizophrenia

Chronic undifferentiated schizophrenic

Restzllstand (schizophrenic)

Schizophrenic residual state

295.7 Schizo-affective type

Cyclic schizophrenia

Mixed schizophrenic and affective psychosis

Schizo-affective psychosis

Schizophreniform psychosis, affective type

295.8 Other specified types of schizophrenia

Acute (undifferentiated) schizophrenia

Atypical schizophrenia

Cenesthopathic schizophrenia

Excludes: infantile atltism (299.0)

295.9 Unspecified schizophrenia

Schizophrenia:Schizophrenic reaction

NOS — NOS

mixed NOS — Schizophreniform

undifferentiated NOS — psychosis NOS

296 Affective psychoses

Includes: episodic affective disorders

Excludes: neurotic depression (300 4)

reactive depressive psychosis (298.0)

reactive excitation (298.1)

The following fifth-digit sub classification is for use with

categories 296.0-296.6:

0 unspecified

1 mild

2 moderate

3 severe, without mention of psychotic behaviour

4 severe, specified as with psychotic behaviour

5 in partial or unspecified remission

6 in full remission

296.0 Manic disorder, single episode

Hypomania (mild) NOS

Hypomanic psychosis

Mania (monopolar) NOS

Manic-depressive psychosis — single episode

or reaction — unspecified

hypomanic

manic

Excludes: circular type, if there was a previous

attack of depression (296.4)

296.1 Manic disorder, recurrent episode

Any condition classifiable to 296.0, stated to be recurrent

Excludes: circular type, if there was a previous

attack of depression (296.4)

296.2 Major depressive disorder, single episode

Depressive psychosis

Endogenous depression

Involutional melancholia

Manic-depressive psychosis or — single episode or

reaction, depressed type — unspecified

Monopolar depression

Psychotic depression

Excludes: circular type, if previous attack was of manic type (296.5)

depression NOS (311)

reactive depression (neurotic) (300.4)

psychotic (298.0)

296.3 Major depressive disorder, recurrent episode

Any condition classifiable to 296.2, stated to be recurrent

Excludes: circular type, if previous attack was

of manic type (296.5)

depression NOS (311)

reactive depression (neurotic) (300.4)

psychotic (298.0)

296.4 Bipolar affective disorder, manic

Bipolar disorder, now manic

Manic-depressive psychosis, circular type but

currently manic

Excludes: brief compensatory or rebound mood

swings (296.99)

296.5 Bipolar affective disorder, depressed

Bipolar disorder, now depressed

Manic-depressive psychosis, circular type but

currently depressed

Excludes: brief compensatory or rebound mood

swings (296.99)

296.6 Bipolar affective disorder, mixed

Manic-depressive psychosis, circular type, mixed

296.7 Bipolar affective disorder, unspecified

Atypical bipolar affective disorder NOS

Manic-depressive psychosis, circular type,

current condition not specified as either

manic or depressive

C1296.8 Manic-depressive psychosis, other and unspecified

296.80 Manic-depressive psychosis, unspecified

Manic-depressive:

reaction NOS

syndrome NOS

296.81 Atypical manic disorder

296.82 Atypical depressive disorder

296.89 Other

Manic-depressive psychosis, mixed type

296.9 Other and unspecified affective psychoses

Excludes: psychogenic affective psychoses (298.0-298.8)

296.90 Unspecified affective psychosis

Affective psychosis NOS

Melancholia NOS

296.99 Other specified affective psychoses

Mood swings:

beef compensatory

rebound

297 Paranoid states

Includes: paranoid disorders

Excludes: acute paranoid reaction (298.3)

alcoholic jealousy or paranoid state (291.5)

paranoid schizophrenia (295.3)

297.0 Paranoid state, simple

297.1 Paranoia

Chronic paranoid psychosis

Sander's disease

Systematized delusions

Exclude: paranoid personality disorder (301.0)

297.2 Paraphrenia

Involutional paranoid state

Late paraphrenia

Paraphrenia (involutional)

297.3 Shared paranoid disorder

Folie a deux

Induced psychosis or paranoid disorder

297.8 Other specified paranoid states

Paranoia querulans

Sensitiver Beziehungswahn

Excludes: acute paranoid reaction or state

(298.3)

senile paranoid state (290.20)

297.9 Unspecified paranoid states

Paranoid — Paranoid:

disorder NOS — reaction NOS

psychosis NOS — state NOS

298 Other nonorganic psychoses

Includes: psychotic conditions due to or provoked by:

emotional stress

environmental factors as major part

of etiology

298.0 Depressive type psychosis

Psychogenic depressive psychosis

Psychotic reactive depression

Reactive depressive psychosis

Excludes: manic-depressive psychosis, depressed

type (296.2-296.3)

neurotic depression (300.4)

reactive depression NOS (300.4)

298.1 Excitative type psychosis

Acute hysterical psychosis Reactive excitation

Psychogenic excitation

Excludes: manic-depressive psychosis, manic type

(296.0-296.1)

298.2 Reactive confusion

Psychogenic confusion

Psychogenic twilight state

Excludes: acute confusional state (293.0)

298.3 Acute paranoid reaction

Acute psychogenic paranoid psychosis

Bouffee delirante

Excludes: paranoid states (297.0-297.9)

298.4 Psychogenic paranoid psychosis

Protracted reactive paranoid psychosis

298.8 Other and unspecified reactive psychosis

Brief reactive psychosis NOS

Hysterieal psyehosis

Psyehogenie psyehosis NOS

Psyehogenie stupor

Excludes: acute hystericalpsychosis (298.1)

298.9 Unspecified psychosis

Atypieal psyehosis — Psychosis NOS

299 Psychoses with origin specific to childhood

Includes: pervasive developmental disorders

Excludes: adult type psychoses occurring in childhood, as:

affective disorders (296.0-296.9)

manic-depressive disorders (296.0-296.9)

schizophrenia (295.0-295.9)

The following fifth-digit sub classification is for use with

category 299:

0 current or active states

1 residual state

299.0 Infantile autism

Childhood autism — Kanner's syndrome

Infantile psyehosis

Excludes: disintegrative psychosis (299.1)

Heller's syndrome (299.1)

schizophrenic syndrome of childhood (299.9)

299.1 Disintegrative psychosis

Heller's syndrome

Use additional code to identify any associated

neurological disorder

Excludes: infantile autism (299.0)

schizophrenic syndrome of childhood (299.9)

299.8 Other specified early childhood psychoses

Atypical childhood psychosis

Borderline psychosis of childhood

Excludes: simple stereotypes without psychotic

disturbance (307.3)

299.9 Unspecified

Child psychosis NOS

Schizophrenia, childhood type NOS

Schizophrenic syndrome of childhood NOS

Excludes: schizophrenia of adult type occurring

in childhood (295.0-295.9)