Washington Administrative Code › Title 296 - Labor and Industries, Department of › Chapter 296-20 - Medical aid rules › IMPAIRMENT RATING › Section 296-20-340 - Categories for evaluation of permanent impairments of mental health

Current through Register Vol. 24-14, July 15, 2024
(1) Nervousness,
				irritability, worry or lack of motivation following an injury and commensurate
				with it and/or other situational responses to injury that do not alter
				significantly the life adjustment of the patient may be present.
(2) Any and all permanent worsenings of
				preexisting personality traits or character disorders where aggravation of
				preexisting personality trait or character disorder is the major diagnosis;
				mild loss of insight, mildly deficient judgment, or rare difficulty in
				controlling behavior, anxiety with feelings of tension that occasionally limit
				activity; lack of energy or mild apathy with malaise; brief phobic reactions
				under usually avoidable conditions; mildly unusual and overly rigid responses
				that cause mild disturbance in personal or social adjustment; rare and usually
				self-limiting psycho-physiological reactions; episodic hysterical or conversion
				reactions with occasional self-limiting losses of physical functions; a history
				of misinterpreted conversations or events, which is not a preoccupation; is
				aware of being absentminded, forgetful, thinking slowly occasionally or
				recognizes some unusual thoughts; mild behavior deviations not particularly
				disturbing to others; shows mild over-activity or depression; personal
				appearance is mildly unkempt. Despite such features, productive activity is
				possible most of the time. If organicity is present, some difficulty may exist
				with orientation; language skills, comprehension, memory; judgment; capacity to
				make decisions; insight; or unusual social behavior; but the patient is able to
				carry out usual work day activities unassisted.
(3) Episodic loss of self-control with risk
				of causing damage to the community or self; moments of morbid apprehension;
				periodic depression that disturbs sleep and eating habits or causes loss of
				interest in usual daily activities but self-care is not a problem;
				fear-motivated behavior causing mild interference with daily life, frequent
				emotogenic organ dysfunctions requiring treatment; obsessive-compulsive
				reactions which limit usual activity; periodic losses of physical function from
				hysterical or conversion reactions; disturbed perception in that patient does
				not always distinguish daydreams from reality; recognizes his fantasies about
				power and money are unusual and tends to keep them secret; thought disturbances
				cause patient to fear the presence of serious mental trouble; deviant social
				behavior can be controlled on request; exhibits periodic lack of appropriate
				emotional control; mild disturbance from organic brain disease such that a few
				work day activities require supervision.
(4) Very poor judgment, marked apprehension
				with startle reactions, foreboding leading to indecision, fear of being alone
				and/or insomnia; some psychomotor retardation or suicidal preoccupation;
				fear-motivated behavior causing moderate interference with daily life;
				frequently recurrent and disruptive organ dysfunction with pathology of organ
				or tissues; obsessive-compulsive reactions causing inability to work with
				others or adapt; episodic losses of physical function from hysterical or
				conversion reactions lasting longer than several weeks; misperceptions
				including sense of persecution or grandiosity which may cause domineering,
				irritable or suspicious behavior; thought disturbance causing memory loss that
				interferes with work or recreation; periods of confusion or vivid daydreams
				that cause withdrawal or reverie; deviations in social behavior which cause
				concern to others; lack of emotional control that is a nuisance to family and
				associates; moderate disturbance from organic brain disease such as to require
				a moderate amount of supervision and direction of work day
				activities.
(5) Marked apprehension
				so as to interfere with memory and concentration and/or to disturb markedly
				personal relationships; depression causing marked loss of interest in daily
				activities, loss of weight, unkempt appearance, marked psycho-motor
				retardation, suicidal preoccupation or attempts, or marked agitation as well as
				depression; marked phobic reactions with bizarre and disruptive behavior;
				psychophysiological reactions resulting in lasting organ or tissue damage;
				obsessive-compulsive reactions that preclude patient's usual activity; frequent
				or persistent loss of function from conversion or hysterical reactions with
				regressive tissue or organ change; defects in perception including frank
				illusions or hallucinations occupying much of the patient's time; behavior
				deviations so marked as to interfere seriously with the physical or mental
				well-being or activities of others; lack of emotional control including marked
				irritability or overactivity.
Order 74-32, § 296-20-340, filed 6/21/74, effective
					 10/1/74.