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Evaluation of the Disability Determination Process for Traumatic Brain Injury in Veterans

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The Veterans Benefits Administration (VBA) provides disability compensation to veterans with a service-connected injury, and to receive disability compensation from the Department of Veterans Affairs (VA), a veteran must submit a claim or have a claim submitted on his or her behalf. Evaluation of the Disability Determination Process for Traumatic Brain Injury in Veterans reviews the process by which the VA assesses impairments resulting from traumatic brain injury for purposes of awarding disability compensation. This report also provides recommendations for legislative or administrative action for improving the adjudication of veterans’ claims seeking entitlement to compensation for all impairments arising from a traumatic brain injury.

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National Academies of Sciences, Engineering, and Medicine. 2019. Evaluation of the Disability Determination Process for Traumatic Brain Injury in Veterans. Washington, DC: The National Academies Press. https://doi.org/10.17226/25317.

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Publication Info

210 pages | 8.5 x 11
Paperback
ISBN: 978-0-309-48686-6
DOI: https://doi.org/10.17226/25317
Contents

Table of Contents

 skim chapter
Front Matter i-xii
Summary 1-8
1 Introduction 9-22
2 Diagnosis and Assessment of Traumatic Brain Injury 23-56
3 Disability Determination Process for Veterans with Traumatic Brain Injury 57-82
4 Characteristics of a High-Quality Process for Determining Disability Resulting from Traumatic Brain Injury 83-96
5 Summary and Recommendations 97-104
Appendix A: Legislation Directing the Study 105-106
Appendix B: Definitions of Traumatic Brain Injury 107-114
Appendix C: Timeline of Disability and Veterans Compensation Policy 115-118
Appendix D: DBQ Initial Evaluation of Residuals of Traumatic Brain Injury (I-TBI) Disability 119-126
Appendix E: 4.124a Schedule of Ratings - Neurological Conditions and Convulsive Disorders 127-132
Appendix F: Case Definitions of Traumatic Brain Injury 133-136
Appendix G: MACE 2: Military Acute Concussion Evaluation 137-144
Appendix H: Fact Sheet: Coding Guidance for Traumatic Brain Injury 145-150
Appendix I: M21-1 Compensation and Pension Manual 151-154
Appendix J: Review Posttraumatic Stress Disorder (PTSD) Disability Benefits Questionnaire 155-162
Appendix K: Information and Instructions for Completing Notice of Disagreement (NOD) 163-168
Appendix L: Appeal to Board of Veterans' Appeals 169-174
Appendix M: Neck (Cervical Spine) Conditions Disability Benefits Questionnaire 175-186
Appendix N: Summary Table of U.S. Government Accountability Office Reports Relevant to Adjudication of Veterans' Disability Claims 187-198
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