TN 3 (10-99)
DI 34232.003 Mental Listings from 01/06/86 to 12/11/90
112.00 MENTAL AND EMOTIONAL DISORDERS
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A.
Introduction. This section is intended primarily to describe mental and emotional disorders of
young children. The criteria describing medically determinable impairments in adults
should be used where they clearly appear to be more appropriate.
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B.
Mental retardation. General. As with any other impairment, the necessary evidence consists of symptoms, signs,
and laboratory findings which provide medically demonstrable evidence of impairment
severity. Standardized intelligence test results are essential to the adjudication
of all cases of mental retardation that are not clearly covered under the provisions
of 112.05A. Developmental milestone criteria may be the sole basis for adjudication
only in cases where the child's young age and/or condition preclude formal standardized
testing by a psychologist or psychiatrist experienced in testing children.
Measures of intellectual functioning. Standardized intelligence tests, such as the Wechsler Preschool and Primary Scale
of Intelligence (WPPSI), the Wechsler Intelligence Scale for Children—Revised (WISC-R),
the Revised Stanford-Binet Scale, and the McCarthey Scales of Children's Abilities,
should be used wherever possible. Key data such as subtest scores should also be included
in the report. Tests should be administered by a qualified and experienced psychologist
or psychiatrist, and any discrepancies between formal tests results and the child's
customary behavior and daily activities should be duly noted and resolved.
Developmental milestone criteria. In the event that a child's young age and/or condition preclude formal standardized
testing by a psychologist or psychiatrist experienced in testing children, a comprehensive
evaluation covering the full range of developmental activities should be performed.
This should consist of a detailed account of the child's daily activities together
with direct observations by a professional person; the latter should include indices
or manifestations of social, intellectual, adaptive, verbal, motor (posture, locomotion,
manipulation), language, emotional, and self-care development for age. The above should
then be related by the evaluating or treating physician to established developmental
norms of the kind found in any widely used standard pediatrics text.
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C.
Profound combined mental-neurological-musculoskeletal impairments. There are children with profound and irreversible brain damage resulting in total
incapacitation. Such children may meet criteria in either neurological, musculoskeletal,
and/or mental sections; they should be adjudicated under the criteria most completely
substantiated by the medical evidence submitted. Frequently, the most appropriate
criteria will be found under the mental impairment section.
112.01 CATEGORY OF IMPAIRMENTS, MENTAL AND EMOTIONAL
112.02 Chronic brain syndrome. With arrest of developmental progression for at least six months or loss of previously
acquired abilities.
112.03 Psychosis of infancy and childhood. Documented by psychiatric evaluation and supported, if necessary, by the results
of appropriate standardized psychological tests and manifested by marked restriction
in the performance of daily age-appropriate activities; constriction of age-appropriate
interests; deficiency of age-appropriate self-care skills; and impaired ability to
relate to others; together with persistence of one (or more) of the following:
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A.
Significant withdrawal or attachment; or
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B.
Impaired sense of reality; or
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C.
Bizarre behavior patterns; or
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D.
Strong need for maintenance of sameness, with intense anxiety, fear, or anger, when
change is introduced; or
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E.
Panic at threat of separation from parent.
112.04 Functional nonpsychotic disorders. Documented by psychiatric evaluation and supported, if necessary, by the results
of appropriate standardized psychological tests and manifested by marked restriction
in the performance of daily age-appropriate activities; constriction of age-appropriate
interests; deficiency of age-appropriate self-care skills; and impaired ability to
relate to others; together with persistence of one (or more) of the following:
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A.
Psychophysiological disorder (e.g., diarrhea, asthma); or
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D.
Phobic, obsessive, or compulsive behavior; or
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G.
Asocial or antisocial behavior.
112.05 Mental retardation.
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A.
Achievement of only those developmental milestones generally acquired by children
no more than one-half the child's chronological age; or
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C.
IQ of 60-69, inclusive, and a physical or other mental impairment imposing additional
and significant restriction of function or developmental progression.