Disability Tab

Data items contained on the Disability Data Folder Tab follow:

Significance of Disability

Required at 06, 08 (Intervening) from Status 06. Significance of Disability may be changed at any time.

Click down arrowhead for drop down list. Choices are:

Less or not significantly disabled: The individual does not meet the criteria for significant disability.

Significantly disabled: The applicant's physical and/or mental impairment(s) seriously limit(s) one or two of the following functional capacities in terms of employment: mobility, communication, self-care, self-direction, interpersonal skills, work skills, or work tolerance and will require multiple vocational rehabilitation services lasting six months or more. Vocational rehabilitation services that count towards "multiple services" cannot include evaluation services to determine eligibility or counseling and/or placement services provided by the counselor.

Most significantly disabled: The applicant's physical and/or mental impairment(s) seriously limit(s) three or more functional capacities in terms of achieving employment; mobility, communication, self-care, self-direction, interpersonal skills, work skills, or work tolerance and will require multiple vocational rehabilitation services lasting six months or more. Vocational rehabilitation services that count towards "multiple services" cannot include evaluation services to determine eligibility or counseling and/or placement services provided by the counselor.

To determine Significance of Disability, see Policy 205.00 and Procedure 205.00P.

Note: Individual must be designated as Most Significantly Disabled to move case to Status 06; SSI/SSDI recipient automatically considered Significantly Disabled.

Impairment Rank

The impairment rank includes: Application, Primary, Secondary and Secondary2-8. Click the down arrowhead and click the appropriate Rank.

Impairment at Application is optional.

Primary Impairment is required for Status 06, Status 08 (Ineligibility) and Status 09. If there is more than one disability, the Primary Impairment is the one that most limits the individual in terms of employment.

Secondary Impairment is required at Status 08 from 06; Status 26, 28, 30 and 32. If there is no Secondary Disability, enter Condition: no impairment, Cause/Source: cause unknown or enter Code: 0000. Up to eight Secondary Impairments may be entered.

Impairment Code

An impairment code can be entered rather than choosing from the Condition and Cause/Source drop down lists. If a valid code is entered, the English description will display in the Condition field (first two digits of code) and Cause/Source field (last two digits of code). If the Impairment Code is applied, impairment description displays at the bottom of the screen. If an invalid code is entered, an Invalid Impairment Code message will display.

Sources of additional information can be found at:

Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV)

http://allpsych.com/disorders/dsm.html

Psychiatric Diagnoses are categorized by the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV). Better known as the DSM-IV, it covers all mental health disorders for both children and adults. It also lists known causes of these disorders, statistics in terms of gender, age at onset, and prognosis as well as some research concerning the optimal treatment approaches.

MedlinePlus

http://www.nlm.nih.gov/medlineplus/

MedlinePlus has extensive information from the National Institutes of Health and other trusted sources on over 800 diseases and conditions. MedlinePlus is updated daily.

Merck Manual - on-line

http://www.merck.com/mmpe/index.html

The Merck Manuals is a series of healthcare books for medical professionals and consumers.

Conditions

00 no impairment

Sensory/Communicative Conditions

01 blindness

02 other visual impairment(s)

03 deafness, primary communication visual

Receptive Communication - primarily uses some form of sign language
Expressive Communication - primarily uses some form of sign language

Most rely on sign language interpreters as their first choice for communication access with hearing people. Generally use TTY and TTY Relay Services

04 deafness, primary communication auditory

Receptive Communication - primarily depends on speechreading and/or visual communication such as speech to text translation.

Expressive Communication - primarily use spoken language.

Have been identified in the past as being oral deaf or late deafened adults and now would also include many deaf individuals who use cochlear implants and/or English based sign language.

Generally use TTY and TTY Relay services, including Voice Carry-over (VCO) option.

05 hearing loss, primary communication visual

Receptive Communication - primarily depends on auditory input aided by hearing aids and/or assistive listening technology and often relies on visual cues such as speech reading, body language, text translation or an English based sign language to supplement auditory input.

Expressive Communication - primarily uses spoken language.

Generally use amplified telephone along with hearing aid T switch and may use TTY/VCO.

06 hearing loss, primary communication auditory

Receptive Communication - primarily uses remaining residual hearing which allows the individual to hear and understand speech with little or no visual input, generally with the use of hearing aids and can benefit from assistive listening technology use in some situations.

Expressive Communication - primarily uses spoken language.

Generally use telephone with ease using appropriate amplification.

07 other hearing impairment(s) (e.g., tinnitus, meniere's disease, hyperacusis, etc.)

While hearing loss is a major form of hearing impairment, there are other conditions of the hearing mechanism that bring with them functional limitations leading to disability such as the constant head noise of Tinnitus, the dizziness of Meniere's Disease or the extreme sensitivity to sound of hyperacusis. Such conditions require thorough evaluation by trained physicians and a variety of interventions are available requiring consultation with trained hearing health specialists.

08 deaf-blindness

The term "individual who is deaf-blind" means any individual -

A.
1) who has a central visual acuity of 20/200 or less in the better eye with corrective lenses, or a field defect such that the peripheral diameter of visual field subtends an angular distance no greater than 20 degrees, or a progressive visual loss having a prognosis leading to one or both of these conditions;

(2) who has a chronic hearing impairment so severe that most speech cannot be understood with optimum amplification, or a progressive hearing loss having a prognosis leading to this condition; and

(3) for whom the combination of impairments described in clauses (1) and (2) cause extreme difficulty in attaining independence in daily life activities, achieving psychological adjustment, or obtaining a vocation;

B.
1) who despite the inability to be measured accurately for hearing and vision loss due to cognitive or behavioral constraints, or both, can be determined through functional performance assessment to have severe hearing and visual disabilities that cause extreme difficulty in attaining independence in daily life activities, achieving psychosocial adjustment or obtaining vocational objectives.

09 communicative impairment(s) (expressive and/or receptive)

Speech and Language impairments for the most part come in combination with other impairments such as cerebral palsy, TBI, stroke, mental retardation, multiple sclerosis, deafness, etc., requiring significant intervention in addition to those provided relative to identified major disabling conditions. It is essential that communicative disabilities be recognized and attended to as either the major or secondary disability and appropriate interventions such as the use of augmentative and alternative communication (AAC) systems be implemented.

Physical Conditions

10 orthopedic and/or neurological impairment(s) involving mobility

11 orthopedic and/or neurological impairment(s) involving manipulation and/or dexterity

12 orthopedic and/or neurological impairment(s) involving both mobility and manipulation/dexterity

13 other orthopedic impairment(s) (e.g., limited range of motion)

14 respiratory impairment(s)

15 general physical debilitation (e.g., fatigue, weakness, pain, etc.)

16 other physical impairment(s) (not otherwise identified)

Mental Conditions

17 cognitive impairment(s) (involving learning, thinking, processing information and/or concentration

18 psychosocial impairment(s) (e.g., interpersonal and/or behavioral impairments, difficulty coping, etc.)

19 other mental impairment(s) (including alcohol abuse, other drug abuse, mental and/or emotional impairments not elsewhere classified)

99 unknown

Cause/Source

00 cause unknown

01 accident/injury (other than TBI or SCI)

02 alcohol abuse or dependence

03 amputation(s)

04 anxiety disorder(s)

05 arthritis and/or rheumatism

06 asthma and/or other allergies

07 attention-deficit hyperactivity disorder (ADHD)

08 autism

09 blood disorder(s)

10 cancer

11 cardiac and/or other condition(s) of the circulatory system

12 cerebral palsy

13 congenital condition or birth injury

14 cystic fibrosis

15 depressive and/or other mood disorder(s)

16 diabetes mellitus

17 digestive (e.g., gastrointestinal disorder), other than eating disorder(s)

18 drug abuse or dependence (other than alcohol)

19 eating disorder(s) (e.g., anorexia, bulimia, or compulsive overeating)

20 end stage renal disease (ESRD) and/or other genitourinary system disorder(s)

21 epilepsy

22 HIV and/or AIDS

23 immune deficiency(ies) excluding HIV/AIDS

24 mental illness (not listed elsewhere)

25 mental retardation

26 multiple sclerosis

27 muscular dystrophy

28 Parkinson's Disease and/or other neurological disorder(s) (other than epilepsy, TBI, SCI, polio, MD and/or CP)

29 personality disorder(s)

30 physical disorder(s)/condition(s) (not listed elsewhere)

31 polio

32 respiratory disorder(s) other than cystic fibrosis or asthma

33 schizophrenia and/or other psychotic disorder(s)

34 specific learning disability(ies)

35 spinal cord injury (SCI)

36 stroke

37 traumatic brain injury (TBI)

See Disability Tab: Documenting Impairment for information on how to record Impairment on Disability Tab.