Document ID: chunk:federal_register_of_legislation:F2016L01332:reg:91:p1
Version: federal_register_of_legislation:F2016L01332
Segment Type: reg
Provision Reference: reg 91 (pt 1/6)
Character Range: 166788–169718

91

    Step 1: Determine a rating from each of Tables 4.1 to 4.8.

    Each table addresses a different parameter of psychiatric functioning. The various parameters are described in text placed below the tables.

    The examples given in the descriptions of the parameters are not exhaustive. Similar factors may be considered.

    While there is some overlap  between the various  categories, the purpose of considering the condition under the eight headings is to ensure that a wide range of the possible effects of the psychiatric  condition  are taken into account in arriving at a final impairment rating for the psychiatric condition.

    Step 2: Find the three highest impairment ratings from Tables 4.3 to 4.8.

    If all or some of the highest impairment ratings are the same, then it does not matter which of these ratings is chosen. For example, if a veteran rates 2, 2, 2, 2, 2 and 2 from Tables 4.3 to 4.8, then the three highest are 2, 2 and 2. If a veteran rates 6, 2, 2,
2, 0 and 0 from Tables 4.3 to 4.8, then the three highest are 6, 2 and 2.

    Not all of the criteria in the tables will apply equally to all veterans with accepted psychiatric conditions. For example, Table 4.5 will apply to a different extent to different veterans, depending on their domestic arrangements. Criteria in Table 4.8 will also vary in their application, depending on whether the veteran is receiving treatment. In order to ensure equity in assessment across a broad range of veterans, there are six tables but only the three highest ratings are taken into the assessment.

    Step 3: Add together the impairment rating from Table 4.1, the impairment rating from Table 4.2, and the three impairment ratings obtained at Step 2.

    Determine the arithmetic sum of the impairment rating from Table 4.1, the impairment rating from Table 4.2, and the three impairment ratings obtained in Step 2, by adding together the five ratings. Chapter 18 (Combined Values Chart) is not to be applied in this process. The impairment rating obtained by adding the five ratings is the final impairment rating for accepted psychiatric condition(s).

Functional Loss
Table 4.1

    Impairment

SUBJECTIVE DISTRESS
    Ratings General description and outcome

               NIL              Intermittent emotional and behavioural changes that fall within the normal range of human experience.

               TWO            Occasional symptoms causing minor distress. The veteran can easily distract himself or herself from the distress on most occasions.

               THREE Recurring symptoms causing mild distress. The veteran can distract himself or herself from the distress on most occasions.

               SIX               Frequent symptoms causing moderate distress. The veteran will sometimes be unable to distract himself or herself from the distress.

TEN Very frequent symptoms causing moderate distress.