Evaluation of the Disability Determination Process for Traumatic Brain Injury in Veterans (2019) / Chapter Skim
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1 Introduction
1 Introduction
Pages 9-22
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15-01580-108, published February 27, 2018, for background information.1 TRAUMATIC BRAIN INJURY Traumatic brain injury is defined as an insult to the brain from an external force that leads to temporary or permanent impairment of cognitive, physical, or psychosocial function. TBI is a form of acquired brain injury, and it may be open (penetrating)
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. Repeated blows to the head have been implicated in later, degenerative disease processes, specifically chronic traumatic encephalopathy (Aldag et al., 2017; Asken et al., 2017; Iacono et al., 2017; Johnson et al., 2017; Vile and Atkinson, 2017; Wilson et al., 2017)
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TBI IN THE MILITARY TBIs have been an increasing cause of casualty and disability in the military since the conflicts in Iraq and Afghanistan began, and TBI has become known as the signature injury for those veterans. A 2017 Department of Defense and Veterans Brain Injury Center (DVBIC)
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In particular, VBA oversees the delivery of disability compensation, which is a tax-free monetary benefit paid to veterans with disabilities that are the result of disease or injury incurred or aggravated during active military service (VA, 2018a)
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If veteran has a spouse who requires A&A, add "A&A for spouse" to the amount of dependency and rate code above. SOURCE: Veterans Aid Benefit, 2018.
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Hines, who had directed the Veterans Bureau for 7 years, was named the first Administrator of Veterans Affairs. Following World War II there was a vast increase in the veteran population, and Congress endorsed large numbers of new benefits for war veterans, the most significant of which was the World War II GI Bill, signed into law on June 22, 1944.
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Disability compensation is a tax free monetary benefit paid to veterans with disabilities that are the result of a disease or injury incurred or aggravated during active military service. Compensation might also be paid for post-service disabilities that are considered related or secondary to disabilities occurring in service and for disabilities presumed to be related to circumstances of military service, even though they might arise after service.
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If there is enough evidence, a ratings veterans' service representative makes a percentage disability rating decision by comparing DBQ results and other evidence to criteria in the Veterans Affairs Schedule for Rating Disabilities. Step 5 The veteran begins receiving disability benefits.
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, passed December 16, 2016, required the VA to contract with the National Academies to provide an independent review of the process by which the VA assesses impairment resulting from TBI for purposes of awarding disability compensation.9 In response to that mandate, the VA requested a comprehensive review of examinations conducted by the VA of individuals who submit claims to the Secretary of 8 VBA can use information in the veteranʼs health record to adjudicate the claim, if the information is sufficiently complete for rating purposes. 9 Public Law 114-315, the Jeff Miller and Richard Blumenthal Veterans Health Care and Benefits Improvement Act of 2016.
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The committee members met with representatives from VHA and VBA at its first three meetings, during open sessions, so that they could understand the issues and various department processes. The committee also met with VBA quality assurance staff, VHA clinicians, and raters to discuss the evaluation of TBI and to better understand the role of those filling out the § 4.124a -- Schedule of ratings, 8045, that is, the residuals of traumatic brain injury (see Appendix E)
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:1199–1201. DVBIC (Defense and Veterans Brain Injury Center)
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2008. Incidence of long term disability following traumatic brain injury hospitalization, United States, 2003.
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2008. Prevalence of long-term disability from traumatic brain injury in the civilian population of the United States, 2005.
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