Schizophrenic, paranoid and other psychotic disorders and affective disorders, if
institutionalized in a licensed mental hospital for past 12 months without releases
If the individual remains institutionalized, the only development needed is a contact
with the mental institution confirming the period of institutionalization.
Contact a medical source if the individual was discharged. After evaluation of the
information secured during that contact, personal contact for CDR development might
be required (for example, a patient formerly hospitalized at a licensed mental hospital
now discharged to a nursing home would not necessarily indicate medical improvement).
However, discharge to an independent living arrangement program may indicate improvement.
Following the source contact, the DE should decide with the assistance of a DDS psychiatrist
or psychologist, whether to undertake personal contact for CDR development of the