Document ID: chunk:federal_register_of_legislation:F2021L01626:reg:7
Version: federal_register_of_legislation:F2021L01626
Segment Type: reg
Provision Reference: reg 7
Character Range: 1763–4380

7               Kind of injury, disease or death to which this Statement of Principles relates
(1)          This Statement of Principles is about chronic solvent-induced neurocognitive disorder and death from chronic solvent-induced neurocognitive disorder.
Meaning of chronic solvent-induced neurocognitive disorder
(2)          For the purposes of this Statement of Principles, chronic solvent-induced neurocognitive disorder:
(a)          means irreversible brain injury meeting the following diagnostic criteria:
(i)            evidence of significant cognitive decline from a previous level of performance in one or more cognitive domains (complex attention, executive function, learning and memory, language, perceptual-motor, or social cognition) based on:
           concern of the individual, a knowledgeable informant, or the clinician that there has been a significant decline in cognitive function; and
           a substantial impairment in cognitive performance, documented by standardised neuropsychological testing;
(ii)         the cognitive deficits interfere with independence in everyday activities;
(iii)       there must be evidence from the history, physical examination, or laboratory findings that the deficits are aetiologically related to the persisting neurological effects of organic solvents;
(iv)        the neurocognitive impairments do not occur exclusively during the course of a delirium and persist beyond the usual duration of intoxication and acute withdrawal;
(v)          the involved organic solvent and duration and extent of exposure are capable of producing the neurocognitive impairment;
(vi)        the temporal course of the neurocognitive deficits is consistent with the timing of organic solvent exposure; and
(vii)     the neurocognitive disorder is not attributable to another medical condition or is not better explained by another mental disorder; and
(b)          excludes alcohol-induced neurocognitive disorder and medication-induced neurocognitive disorder.
            Note 1: This definition is derived from the definition of substance-induced neurocognitive disorder contained in DSM-5.
            Note 2: DSM-5 is defined in the Schedule 1 - Dictionary.
Death from chronic solvent-induced neurocognitive disorder
(3)          For the purposes of this Statement of Principles, chronic solvent-induced neurocognitive disorder, in relation to a person, includes death from a terminal event or condition that was contributed to by the person's chronic solvent-induced neurocognitive disorder.
Note: terminal event is defined in the Schedule 1 - Dictionary.