The Mental Health Care Professional's Role in the SS Disability Determination Process

Disability Benefits for Children & Adults The Mental Health Care Professional’s Role in the SS Disability Determination Process Suzanne Villalón-Hinojosa www.texasdisabilityadvocates.com 1-800-481-0302 Clarity Child Guidance Center 2135 Babcock Road San Antonio, Texas 78229 January 10, 2012

Adult and Children’s Disability Programs (in a nutshell) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],* Except Lou Gehrig’s disease (ALS) or dialysis

Both Adults and Children ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Supplemental Security Income (SSI) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Income & Resources ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Resource: http://www.nls.org/benefits_management_manual.htlm

Why SSI benefits for children with disabilities? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Growth Trends ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Why the growth in the Children’s SSI program? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Zebley v. Sullivan 493 U.S. 521 (1990) ,[object Object],[object Object],[object Object],[object Object]

Pre-Zebley disability standard ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Post-Zebley Standard evolves ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Current statutory Definition of Disability for Children ,[object Object]

3 step sequential evaluation process for children ,[object Object],[object Object],[object Object]

Childhood Listings ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Most common diagnostic groups among the youngest (under age 3) SSI recipients ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Most common diagnostic groups among the youngest (over age 3) SSI recipients ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Source: Children Receiving SSI, December 1994, SSA

Functional Equivalence ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Definition of marked & extreme functional limitations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Impairments which functionally equal (DI 25225.060) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Source of Evidence ,[object Object],[object Object],[object Object],[object Object],Source: SSR 09-2p, 06-3p

Childhood Mental Disorders recognized by SSA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Childhood Bipolar Disorder? ,[object Object],[object Object],[object Object],[object Object],[object Object]

Opinion Statements of what you can still due despite your impairment(s) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],20 C.F.R. § 416.927, 416.913(d) & SSR 96-5p

Special considerations 20 CFR § 416.924a ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Standard of comparison ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Acquiring and Using Information ,[object Object],[object Object]

EXAMPLES OF LIMITED FUNCTIONING IN ACQUIRING AND USING INFORMATION ,[object Object],[object Object],[object Object],[object Object],[object Object]

Attending and Completing Tasks ,[object Object],Adequate attention is needed to maintain physical and mental effort and concentration on an activity or task. Adequate attention permits you to think and reflect before starting or deciding to stop an activity. In other words, you are able to look ahead and predict the possible outcomes of your actions before you act. Focusing your attention allows you to attempt tasks at an appropriate pace. It also helps you determine the time needed to finish a task within an appropriate timeframe.

EXAMPLES OF LIMITED FUNCTIONING IN ATTENDING AND COMPLETING TASKS ,[object Object],[object Object],[object Object],[object Object],[object Object]

Interacting and Relating With Others ,[object Object],[object Object],[object Object],[object Object]

EXAMPLES OF LIMITED FUNCTIONING IN INTERACTING AND RELATING WITH OTHERS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Moving About and Manipulating Objects ,[object Object],[object Object],[object Object]

EXAMPLES OF LIMITED FUNCTIONING IN MOVING ABOUT AND MANIPULATING OBJECTS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Caring for Yourself ,[object Object],[object Object],[object Object],[object Object]

EXAMPLES OF LIMITED FUNCTIONING IN CARING FOR YOURSELF ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Health and Physical Well-Being ,[object Object],In addition, the medications you take (e.g., for asthma or depression) or the treatments you receive (e.g., chemotherapy or multiple surgeries) may have physical effects that also limit your performance of activities. Your illness may be chronic with stable symptoms, or episodic with periods of worsening and improvement. We will consider how you function during periods of worsening and how often and for how long these periods occur. You may be medically fragile and need intensive medical care to maintain your level of health and physical well-being. In any case, as a result of the illness itself, the medications or treatment you receive, or both, you may experience physical effects that interfere with your functioning in any or all of your activities.

EXAMPLES OF LIMITATIONS IN HEALTH AND PHYSICAL WELL-BEING ,[object Object],[object Object],[object Object],[object Object],[object Object]

Some characteristics of SSI Children ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Impact on Schools ,[object Object],[object Object]

What should a parent do after applying for SSI benefits for their child? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Need help with your SS disability claim? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

The Mental Health Care Professional's Role in the SS Disability Determination Process

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The Mental Health Care Professional's Role in the SS Disability Determination Process