(7) Airsickness, Motion, and/or Travel Sickness Only conditions in item (8) require a showing of severity. Most have designated personality disorder as a separate discharge category and all have added various other grounds for this discharge. The author is Kathleen Gilberd, a legal worker in San Diego, California, and the executive director of the MLTF. [1], The term comes from Section VIII of the World War II-era United States Army Regulation 615-360, concerning the separation of enlisted men from military service. [9], "Office of Medical History - Neuropsychiatry in WWII, Chapter 16", "Active Duty Enlisted Administrative Separations", LGBT+ people and the United States military, Transgender American Veterans Association, Conduct Unbecoming: Gays and Lesbians in the U.S. Military, Unfriendly Fire: How the Gay Ban Undermines the Military and Weakens America, Sexual orientation and gender identity in military service, https://en.wikipedia.org/w/index.php?title=Section_8_(military)&oldid=989711137, Sexual orientation and gender identity in the United States military, Articles with unsourced statements from November 2018, Creative Commons Attribution-ShareAlike License, Section 8 became a household phrase when used in the 1970s TV series, This page was last edited on 20 November 2020, at 15:52. (5) Stammering or Stuttering The military uses the classifications, definitions and criteria set out in the Diagnostic and Statistical Manual of Mental Disorders of the APA, Fifth Edition (DSM-5). (8) Phobic fear of Air, Sea and Submarine Modes of Transportation DoD Instruction 1332.14, which governs administrative discharges, uses this separation category for physical or mental conditions which do not amount to an unfitting disability, but actually or potentially interfere with assignment to or performance of duties. 5.11.8 Other conditions as outlined in DODI 1332.38, Physical Disability Evaluation, Enclosure 5, that interfere with duty performance and are not within the purview of the AFI 36-3212, Physical Evaluation for Retention, Retirement, and Separation, disability evaluation system and provided a basis for separation is not addressed elsewhere in this instruction. The boards should be more kind in looking at your discharge upgrade application. (8) Other disorders manifesting disturbances of perception, thinking, emotional control or behavior sufficiently severe that the soldier’s ability to effectively perform military duties is significantly impaired.”, A medical or mental status evaluation is required for discharge for each of these conditions. Mental health and military sexual assault support resources. Servicemembers are less likely than their commands to know the details of the regs and the specific conditions warranting discharge. DoD 1332.14 gives the services discretion to make their own decisions regarding the specific conditions included in Conditions and Circumstances Not Constituting a Disability, and all have done so. The Marine Corps renamed this discharge category as the other services began adding new conditions. “Service Members Can Protect Themselves Against Punitive Mental Health Evaluations” (PDF) in the July 2007 issue of On Watch. Some services expanded these requirements beyond combat vets. Chapter 5, paragraph 13 governs the separation of personnel medically diagnosed with a personality disorder. More than half of patients with mental health care referrals at 13 MTFs studied by the DoD IG didn't use their referrals, and health officials don't know why. As noted above, the constraints placed on personality disorder discharges led to a sharp decrease in these discharges and an equally sharp increase in administrative discharges based on adjustment disorders, as medical personnel and commands looked for other methods to discharge unwanted members who had previously been separated for personality disorders. The U.S. Army has agreed to reconsider its issuing of thousands of less-than-honorable discharges to service members with post-traumatic stress disorder and other mental health problems. All of the services except the Army have added specific psychiatric conditions which were not previously grounds for discharge, and the Army regulation includes general phrasing which leaves room for such conditions. Observers have long noted a tendency among military psychiatrists and psychologists to misdiagnose serious disorders such as major depression, PTSD or schizophrenia (which may warrant medical retirement with a disability pension) as personality disorders (which warrant only administrative discharge without disability compensation from the military or the VA), or adjustment disorders (which in the past were not grounds for discharge at all). A medical separation is a type of military discharge that stems from a soldier, sailor, or Marine having a physical or mental condition that affects their ability to serve. Readers who trained with CCCO’s manual, Helping Out: A Guide to Military Discharges and GI Rights, should note that the military services have made a number of changes to the Department of Defense (DoD) discharge category of Other Designated Physical and Mental Conditions (now called Conditions and Circumstances Not Constituting a Disability) since that manual was published. While Military OneSource does not provide health care services, it does point members of the military family to the resources available to help. This more closely matches the language of the DoD Instruction, but requires two forms of documentation: a psychiatrist’s or psychologist’s opinion that “the disorder is so severe that the Marine’s ability to function effectively in the military environment is significantly impaired” and “written nonmedical evidence….to show specific examples of how the Marine is unable to function in the Marine Corps.” (6203.3.b.(2)). To some extent, they may be a response to successful challenges to military attempts to discharge members for personality disorders on the basis of entirely different disorders and conditions which did not warrant this discharge. Of the 2,580 servicemembers with OTH discharge, 1,076 had a mental health diagnosis. An R/O, or rule out, diagnosis is provisional, usually a doctor’s initial guess but occasionally a final diagnosis after hospitalization or treatment. These are fairly loose measurements, and the regulations are designed to allow some medical discretion in disability decisions. SECNAVINST 1850.4E lists unfitting psychiatric conditions in Enclosure (8), Section 8013. The disability regulations exclude personality disorders, most sexual disorders, disorders of impulse control, adjustment disorders, substance-related disorders, learning disabilities and the like as grounds for medical processing. (2)).” Subsection (1) states that the psychiatric evaluation is for command use in determining the proper course of action, and is not in itself justification for discharge. (12) Psuedofolliculitis barbae of the face and/or neck MCO 1900.16 26 Nov 2013 6-22 Enclosure (1) most often among African-American men] While this may be in part a matter of the number of people affected by such conditions, it seems likely that some of it is a matter of unfamiliarity. (10) Obesity A Service member may also be considered unfit when the evidence establishes that: Diagnosed psychiatric conditions that fail to respond to treatment or restore the Soldier to full function within 1year of onset of treatment. As a result, Congress has required changes to military regulations to ensure that servicemembers facing misconduct discharges and the like (particularly those who have served in combat areas) have mental health evaluations to determine whether psychiatric problems contributed to, mitigated, or caused the alleged misconduct. (d) Adjustment Disorders (except Chronic Adjustment Disorders which are a ratable disability effective 10 April 2013) The section lists: (1) Enuresis (bedwetting). When a DD-214 notes medical discharge or retirement or Conditions and Circumstances Not Constituting a Disability, the diagnosis is not normally given, but employers commonly ask, despite the protections of federal law. More specific guidelines for psychiatric conditions warranting discharge or retirement are left to the individual services and their regulations. (4) Attention deficit hyperactivity disorder. After significant attention to these problems by national media and then by Congress, the military was forced to revise its policies. In personality disorder discharges, those words are normally used as the narrative reason for discharge on the DD-214. In member-initiated discharges, there must also be a showing that all medical avenues of relief have been exhausted. Commanders may discharge soldiers and sailors fairly easily on the basis of these less significant conditions while they are in entry-level status (the first 180 days of active duty service). [an inflammation of the § 17.34) to an individual with an other than honorable discharge who presents to VA seeking mental health care in emergency circumstances for a condition the former servicemember asserts is related to military service. As a result, Congress has required changes to military regulations to ensure that servicemembers facing misconduct discharges and the like (particularly those who have served in combat areas) have mental health evaluations to determine whether psychiatric problems contributed to, mitigated, or caused the alleged misconduct. Military policies regarding psychiatric conditions are based on standards and diagnoses adopted by the American Psychiatric Association (APA), and reflect the views and assumptions of the mainstream psychiatric establishment in this country. (b) Personality Disorders Here, too, the discharge has often been an under-diagnosis of PTSD or other more serious conditions, or a diagnosis for members whose problems were not psychiatric, but rather issues of conformity to military culture, whistleblowing, dissent and the like. Eating Disorders. In addition, information or misinformation about psychiatric problems may become a matter of common knowledge within commands. The National Alliance on Mental Illness states factors, such as treatment options, are considered. While commands are not bound by these recommendations, they commonly follow them. (18) Long sleeper syndrome A discharge is a release of military service obligations. The DSM currently lists eleven specific On Monday, two Army veterans filed a federal class-action lawsuit against the Army that seeks relief for the thousands of veterans of Iraq and Afghanistan who developed post-traumatic stress disorder (PTSD) and other mental health conditions during service and received unfair less-than-honorable discharges. The memo does not offer a critique of the conservative psychiatric model and assumptions on which the policies are based, but the author does not mean to suggest such a critique is unwarranted. separation action, the commander must have that decision reviewed by the discharge (3) Enuresis. Personality disorders are considered conditions of character or personality rather than mood or cognition, extremely resistant to treatment, and likely to cause difficulties in occupational. states that discharge is only authorized for mental disorders if: A diagnosis by an authorized mental health provider as defined in DoDI 6490.04 (Reference (i)) utilizing the Diagnostic and Statistical Manual of Mental Disorders (Reference (j)) and, in accordance with procedures established by the Military Department concerned, concludes that the disorder is so severe that the member’s ability to function effectively in the military environment is significantly impaired. 5.11.9.6. Persistence or recurrence of symptoms sufficient to require extended or recurrent hospitalization; or, Persistence or recurrence of symptoms necessitating limitations of duty or duty in protected environment; or. (8) Phobic fear of air, sea, and submarine modes of transportation. Any physical or mental illness that can interfere with a soldier's duty and performance can be used as grounds for discharge. (15) Unsanitary habits In fact, adjustment disorders are one of the most prevalent mental health disorders in both military and civilian populations, and they are the most commonly diagnosed group of disorders among active duty service members. (h) Factitious Disorder Relatively few changes have been made in the medical conditions warranting medical discharge/retirement. Refusing psychiatric medication can be very difficult, as a practical matter. Conditions requiring use of lithium, anticonvulsants, or antipsychotics for mood stabilization. Mental health in the military is taken very seriously, not just for the admission into the services, but also staying in the services as well. (13)Sexual gender and identity disorders paraphilias. The armed forces is released from their obligation to serve are eating disorders significantly! 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