...Norma J. Leclair, RN, PhD, LPCC; Steven W. Leclair, PhD, CRC; Christopher R. Brigham, MD The AMA Guides to the Evaluation of Permanent Impairment ( AMA Guides ), Chapter 14, Mental and Behavioral Disorders, focuses on the particularly challenging process of evaluating a person with a mental...

... impairment. Poor motivation can cause poor functioning, and personality characteristics and underlying character are important determinants of an individual's motivation to benefit from rehabilitation. Particularly because of the subjective and highly sensitive nature of most mental and behavioral disorders...

... data sources. Best practice guidelines have been established for the completion of physical IMEs. However, similar mental and behavioral disorder (M&BD) standards are less common, and M&BD IMEs often do not follow a consistent process. This article offers guidance on applying and adapting...

... be the result of a mental disorder. The multiaxial assessment process should result in the following; documentation of the primary and any secondary mental and behavioral disorders; definition of physical disorders that may be present and indication if they are related to or influence the mental and behavioral...

...Norma Leclair, PhD, RN, LCPC; Steve Leclair, PhD, CRC; Robert Barth, PhD Chapter 14, Mental and Behavioral Disorders, in the AMA Guides to the Evaluation of Permanent Impairment ( AMA Guides ), Sixth Edition, defines a process for assessing permanent impairment, including providing numeric ratings...

...Richard T. Katz, MD The author, who is the editor of the Mental and Behavioral Disorders chapter of the AMA Guides to the Evaluation of Permanent Impairment ( AMA Guides ), Sixth Edition, comments on the previous article, Assessing Mental and Behavioral Disorder Impairment: Overview of Sixth...

...Steven W. Leclair, PhD, CRC; Norma J. Leclair, RN, PhD Establishing a valid and reliable impairment rating for persons with mental and behavioral disorders is particularly challenging. This article focuses on the AMA Guides to the Evaluation of Permanent Impairment ( AMA Guides ), Fourth Edition...

... by the impairment rating already made. In a case where someone reports depression or anxiety that is attributed to the initial injury/impairment, would that also be included in the initial impairment rating? Or would you try to rate the depression using Chapter 14, Mental and Behavioral Disorders, and combine...

...Robert J. Barth, PhD In the AMA Guides to the Evaluation of Permanent Impairment, ( AMA Guides ), Fifth Edition, two chapters claim relevance for pain complaints that lack an objectively demonstrable general medical basis: Chapter 14, Mental and Behavioral Disorders, and Chapter 18, Pain. Parts 1...

... between presentations that should be evaluated using Chapter 18, Pain, and those that should be evaluated using Chapter 14, Mental and Behavioral Disorders. Chapter 14 is unique in its avoidance of numerical impairment ratings but has been praised for its internal consistency and emphasis on following...

... criteria for rating permanent impairment due to mammary disorders. Section 10.9 of the AMA Guides to the Evaluation of Permanent Impairment ( AMA Guides ), Fifth Edition, mentions that coexisting psychiatric impairment would be rated using the mental and behavioral disorders chapter, which contains one...

... of impairment. Chapters 3, 14, and 15 regarding the musculoskeletal system, mental and behavioral disorders, and pain, respectively, may be relevant in evaluating an individual's pain following musculoskeletal injury. The eight diagnostic characteristics of chronic pain are duration, dramatization, diagnostic...

... that address mental and behavioral disorders, loss of function in upper and lower extremities, loss of bowel control, and bladder and sexual function. A table titled Summary of Chapters Used to Rate Various Neurologic Disorders directs physicians to the relevant chapters (ie, instead of Chapter 13) to consult...

..., and illustrates the process of assessing impairment for a mental and behavioral disorder using the fourth, fifth, and sixth editions of the AMA Guides . The patient is a fifty-year-old man who has worked twenty years at a high-end stationery and writing supply company. After a severe on-the-job back injury kept...

... ambiguous and controversial, involves characteristics that compromise the credibility of any examinee making such a presentation, and is a good example of a condition that should be evaluated using the mental and behavioral disorders chapter. © 2006 American Medical Association. All Rights Reserved. 2006...

... . The following is one of over seventy cases that are included in the new edition of the Guides Casebook . 1 This case illustrates the process of assessing impairment for a mental and behavioral disorder by the Fourth, Fifth, and Sixth Editions. Subject: Mr Krupp, a 50-year-old man. History: Mr...

... for an adjustment disorder with depressed mood as well as a chronic pain disorder with psychological factors and a general medical condition. The psycholo-gist offered the opinion that this should be given an impairment score, and since Chapter 14, Mental and Behavioral Disorders provided no numeric impairment he...

... of the mental and behavioral disorders from Chapter 14, Mental and Behavioral Disorders, are also considered as catastrophic impairments. In April 2011 an expert panel recommended continued use of the Fourth Edition and that separate criteria and methods of evaluation be used for the determination...

... in Chapter 14, Mental and Behavioral Disorders. What should I do? The lack of a percentage of impairment due to mental and behavioral disorders hinders the usefulness of Chapter 14 for some administrative functions. This chapter is intellectually honest, since it is impossible to defend a specific...

... are required for a mental disorder, since no numbers are provided in the Guides in Chapter 14? Answer Permanent impairment rating is based on Chapter 14, Mental and Behavioral Disorders (5th ed, 357-370). The authors note: Percentages are not provided to estimate mental impairment...