Senator Wicker asked the VA to:
"Describe how the VA conducts quality control of PTSD C&P exam results, and C&P examiner performances."
This article critiques the VA's answer to Senator Wicker's questions and covers the following topics:
VA's Response to Senator Wicker
Analysis of VA's Response
Problem: Limited Relevance
Problem: The Audit Review Tool does not measure the quality of a C&P examination.
FY2020 Audit Review Criteria (screenshot; you can also download the actual criteria in PDF format)
Analysis of Audit Review Criteria
What is obscurantism?
While use of performance validity tests (PVTs) has become a standard of practice in neuropsychology, there are differing opinions regarding whether to interpret cognitive test data when standard scores fall within normal limits despite PVTs being failed.
This study is the first to empirically determine whether normal cognitive test scores underrepresent functioning when PVTs are failed.
The next meeting of the VA Advisory Committee on Disability Compensation is June 22-23, 2021 from 0900 to 1200 EDT. This post contains:
* Meeting Agenda
* NEW Call-in Number to listen to the meeting
* How to send the Committee a public comment
* Time Zone chart to find the meeting start time in your location
Click the link below to read this post.
SIMS cut score: What is the best cut score for the Structured Inventory of Malingered Symptomatology (SIMS)?
These results provide preliminary data indicating that participation in disability separation may attenuate the effect of PTSD treatment ...
Post-traumatic stress disorder (PTSD) is an often disabling mental disorder whose management typically focuses on reducing PTSD symptoms. Chronic pain and other comorbidities that commonly accompany PTSD symptoms may also be independently associated with disability.
Common comorbidities thus significantly influence disability associated with PTSD, often more strongly than PTSD symptoms.
If you conduct a Review PTSD exam, and you determine that one or more comorbid psychiatric, medical, or chronic pain disorders are secondary to PTSD, but the veteran did not file a secondary condition claim, consider either
(i) writing an Opinion and Rationale about the secondary conditions anyway; or
(ii) include a sentence or two indicating the possibility of PTSD-related secondary conditions.
Sexual dysfunction and decreased sexual satisfaction would seem to constitute empirically-grounded "behavioral markers" for MST-related C&P exams.
This study found that many of the MMPI-2 validity scales are similar in their utility in differentiating genuine from nongenuine responders. However, the FB scale, the O-S scale, and the F-K index had the largest effect sizes in detecting the difference between genuine or nonclinical control samples and those feigning PTSD.
Implications for C&P Examiners: When veterans file a claim for an increased disability rating, keep in mind that, in general, PTSD symptoms very gradually subside, but remain above the threshold for a PTSD diagnosis. Thus, increasingly worse symptoms over time goes against the general trend. [But read the entire article for important details.]
Effect of disability compensation? ==> VA service-connected disability for PTSD at T1 [was] significantly associated with greater PTSD symptom severity at each time point. [But read the entire article for important details.]
Implications for C&P Examiners: Even if a female service member or veteran suffered pre-military sexual trauma, this research suggests that military sexual assault likely ... For male survivors of military sexual assault, examiners should be familiar with the literature on ...
Newsletter archives - PTSD Exams Newsletter previous issues
VIP Extra #12 is titled, "Montreal Cognitive Assessment (MoCA) Update".
There's been some important new research and updates to the MoCA that C&P examiners (psychologists and psychiatrists) should know about if they administer the test.
This handout is available to VIP Members only. If you are a member, go to the VIP Downloads page. You will need to enter the password.
If you are not a VIP Member, click the "Continue reading ..." link below to learn more.
I don't think I've ever recommended an entire issue of a journal before. But this publication contains so many excellent articles that I must recommend the entire December 2020 issue of Psychological Injury and Law.
I posted the citations and abstracts for the articles.
Leading scholars in forensic psychology—such as William E. Foote, Jane Goodman-Delahunty, Eileen A. Kohutis, and Gerald Young, to name just a few—penned many of the articles.
Excellent advice for veterans from a VA-accredited claims agent.
In Lynch v. McDonough, veteran Joe A. Lynch is asking the U.S. Court of Appeals for the Federal Circuit to overrule Ortiz v. Principi, 274 F.3d 1361 (Fed. Cir. 2001), a case setting forth the burden of proof by which veterans must prove their claims. The link below takes you to the Fed Circuit Blog's recap of oral arguments held on 8 Apr 2021.
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