Ptsd

classyact23

Registered Member
Hello, has any medical professional been approved for CRSC for PTSD? If so what was the determing factor. I submitted my paperwork and I was denied. It stated that they could not prove events occured even though all my paperwork from DOD and Va states combat related and I have the code on my 199. I also received two awards for my combat tour not CMB those were hard to come by. Do you really have to be under fire because I worked with insurgents and hostiles on a daily basis. I was exposed to horrific scenes as we fought to save lives. I just don't understand how training for combat can qualify but not someone who suffers from ptsd in regards to their combat service. Sorry to vent and thanks for any information you all have.
 

Ocean

PEB Forum Veteran
Registered Member
Hey Classy, Type in thr search bar of this PTSD CRSC. That should take you to a long list of discussions related to CRSC PTSD processes...
 

gsfowler

Staff Member
PEB Forum Veteran
Hello, has any medical professional been approved for CRSC for PTSD? If so what was the determing factor. I submitted my paperwork and I was denied. It stated that they could not prove events occured even though all my paperwork from DOD and Va states combat related and I have the code on my 199. I also received two awards for my combat tour not CMB those were hard to come by. Do you really have to be under fire because I worked with insurgents and hostiles on a daily basis. I was exposed to horrific scenes as we fought to save lives. I just don't understand how training for combat can qualify but not someone who suffers from ptsd in regards to their combat service. Sorry to vent and thanks for any information you all have.
Compassionate traumatic stress is very challenging to draw a nexus to CRSC rules. Yes, it is real, yes the symptoms are identical to post traumatic stress. However if you look up the rules for CRSC there are four areas that qualify for CRSC.

  • Armed Conflict
  • Hazardous Duty
  • An Instrumentality of War
  • Simulated War
Let's break them down one by one.

Armed Conflict: You can be granted CRSC if you can draw a nexus between a particular event that has taken place, which is the primary stressor in PTSD symptoms (typical examples are gunshot woulds, mortar attacks, direct hand-to-hand combat etc.) Working with insurgents and hostiles in itself is not enough.

Hazardous Duty: This definition is typically related to those occupations that qualify for hazardous duty pay (diving, etc.), most medical related scenarios are not hazardous duty by the pay definition even though they may be hazardous in nature.

Instrumentality of War: It is challenge to use this definition, because the nature of providing medical treatment is not unique to war, the exact same duty exists out of the theater and is common to day-to-day operations everywhere.

Simulated War: This is typically duties such as lanes training at JTC, combatives, or live fire drills.

They call it combat related SPECIAL compensation, not combat related compensation. The special portion the the definition and how it is written. Perhaps you can recall a stressor that triggers your post traumatic stress that fits within the definition (perhaps a mortar attack in your AO, insurgency that infiltrated the perimeter of your duty station, IED in the AO?

Focus on how that affects you, not so much on the injuries and suffering that you witnessed.
 

classyact23

Registered Member
Compassionate traumatic stress is very challenging to draw a nexus to CRSC rules. Yes, it is real, yes the symptoms are identical to post traumatic stress. However if you look up the rules for CRSC there are four areas that qualify for CRSC.

  • Armed Conflict
  • Hazardous Duty
  • An Instrumentality of War
  • Simulated War
Let's break them down one by one.

Armed Conflict: You can be granted CRSC if you can draw a nexus between a particular event that has taken place, which is the primary stressor in PTSD symptoms (typical examples are gunshot woulds, mortar attacks, direct hand-to-hand combat etc.) Working with insurgents and hostiles in itself is not enough.

Hazardous Duty: This definition is typically related to those occupations that qualify for hazardous duty pay (diving, etc.), most medical related scenarios are not hazardous duty by the pay definition even though they may be hazardous in nature.

Instrumentality of War: It is challenge to use this definition, because the nature of providing medical treatment is not unique to war, the exact same duty exists out of the theater and is common to day-to-day operations everywhere.

Simulated War: This is typically duties such as lanes training at JTC, combatives, or live fire drills.

They call it combat related SPECIAL compensation, not combat related compensation. The special portion the the definition and how it is written. Perhaps you can recall a stressor that triggers your post traumatic stress that fits within the definition (perhaps a mortar attack in your AO, insurgency that infiltrated the perimeter of your duty station, IED in the AO?

Focus on how that affects you, not so much on the injuries and suffering that you witnessed.
Thank for the information. I guess when you begin to read forums and you hear other's stories you begin to see inconsistencies in approvals and criteria but its more of which individual had your packet but you literally feel like your broken in the brain but there's nothing you can do and nothing anyone can see. I do however get the idea of "Special" I never paid attention to that word in that context before. I signed up for it and I thought I was prepared but I guess I wasn't. Anyhow best of luck to you all. Thanks again!
 

chaplaincharlie

Staff Member
PEB Forum Lifetime Supporter
PEB Forum Veteran
Registered Member
Secondary trauma is just as real; but the CRSC guidelines are very narrow and don't adequately address the realities of PTSD.
 

Howie12

PEB Forum Regular Member
Compassionate traumatic stress is very challenging to draw a nexus to CRSC rules. Yes, it is real, yes the symptoms are identical to post traumatic stress. However if you look up the rules for CRSC there are four areas that qualify for CRSC.

  • Armed Conflict
  • Hazardous Duty
  • An Instrumentality of War
  • Simulated War
Let's break them down one by one.

Armed Conflict: You can be granted CRSC if you can draw a nexus between a particular event that has taken place, which is the primary stressor in PTSD symptoms (typical examples are gunshot woulds, mortar attacks, direct hand-to-hand combat etc.) Working with insurgents and hostiles in itself is not enough.

Hazardous Duty: This definition is typically related to those occupations that qualify for hazardous duty pay (diving, etc.), most medical related scenarios are not hazardous duty by the pay definition even though they may be hazardous in nature.

Instrumentality of War: It is challenge to use this definition, because the nature of providing medical treatment is not unique to war, the exact same duty exists out of the theater and is common to day-to-day operations everywhere.

Simulated War: This is typically duties such as lanes training at JTC, combatives, or live fire drills.

They call it combat related SPECIAL compensation, not combat related compensation. The special portion the the definition and how it is written. Perhaps you can recall a stressor that triggers your post traumatic stress that fits within the definition (perhaps a mortar attack in your AO, insurgency that infiltrated the perimeter of your duty station, IED in the AO?

Focus on how that affects you, not so much on the injuries and suffering that you witnessed.

sounds like a relatively similar situation. Now have been denied TWICE for CRSC for PTSD, incurred In line of Duty in Iraq. Went through joint VA/DOD IDES in 2013, retired and put on PDRL, had already made 20 good yrs by the time the board met. Retired Army Medical Specialist Corp Officer. Treated thousands of soldiers throughout the years, and exposed to combat trauma during deployment, and now they stated I failed to show a combat related cause for the PTSD?? Mortar attacks not enough, and constant stress of dealing with sick and injured and fatally wounded service members not enough? I really am confused on this!
 

RonG

Staff Member
PEB Forum Veteran
Registered Member
Per Army HRC:
Ref: https://www.hrc.army.mil/content/Reconsiderations Reviews and Updates

ARBA Appeals
CRSC claimants who have been found ineligible or disapproved a second time have the opportunity to submit an Appeal with the Army Review Boards Agency (ARBA).


If the original determination was Ineligible or Disapproved for CRSC due to reasons that require changes in the claimants ’s military records the claimant must request correction of military records to ARBA by filling out a DD 149 .


Important
Applicants are encouraged to apply for reconsideration to the U.S. Army Special Compensation Branch (SCB), BEFORE appealing with ARBA. ARBA will forward your appeal to the U.S. Army SCB, if new documentation is part of the appeal and SCB has not reviewed the new documentation. In these cases the claims will be “reconsidered” by the U.S. Army CRSC office and SCB, then the reconsideration decision will be sent to ARBA as part of your appeal.


Although the circumstances vary, claimants usually find further information, or documentation that clarifies their eligibility standing. Claimants are encouraged to request reconsideration from the U.S. Army CRSC, if additional documentation is found, as opposed to submitting an appeal to the Army Review Board Agency.


However, if you feel that there is an error in your military records causing you to not meet the preliminary eligibility requirements you must apply for a correction of your military records by filling a DD Form 149 through ARBA before requesting reconsideration or filing an appeal with ARBA.

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Ron
 
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