CREW and VoteVets.org requested that the Inspector General for the Department of Veterans Affairs (VA) open an investigation into the process and manner by which the VA makes a diagnosis of post traumatic stress disorder (PTSD) in veterans. The letter to the VA, which we sent today, can be found here.
In the wake of the disclosure by CREW and VoteVets.org of an internal VA e-mail advising VA mental health staff in Texas to consider a diagnosis of adjustment disorder in place of a PTSD diagnosis as a cost-cutting measure, both organizations have received new information from VA employees and veterans attesting to the fact that this practice is widespread and systemic. VA Secretary James Peake has repudiated the email as not reflecting VA policy.
The VA has adopted incentive programs that, by rewarding those employees and hospitals that distribute lower levels of compensation to veterans, encourage adjustment disorder diagnoses rather than the most appropriate but also more costly diagnosis of PTSD.
In addition, the VA's internal computer system permits medical files to be changed by health professionals who did not conduct the initial examinations, a practice that appears to have resulted in changed diagnoses from PTSD to adjustment disorder, even where there is no additional medical evidence to support the downgraded diagnoses. ...