Citation Nr: 0000429 Decision Date: 01/06/00 Archive Date: 01/11/00 DOCKET NO. 98-08 791A ) DATE ) ) On appeal from the Department of Veterans Affairs Regional Office in Oakland, California THE ISSUE Whether the veteran's son became permanently incapable of self-support prior to attaining the age of 18 years. ATTORNEY FOR THE BOARD J. L. Prichard, Counsel INTRODUCTION The veteran had active duty for training purposes from February 1966 to June 1966. This matter comes before the Board of Veterans' Appeals (Board) on appeal of rating decisions of the Oakland, California, regional office (RO) of the Department of Veterans Affairs (VA). The record indicates that the veteran was scheduled for a hearing before the Board in November 1999. He did not report for this hearing, and has not requested that it be rescheduled. A Statement of the Case for the issue of whether the California State disability payments received by the veteran should be counted as income for VA purposes was issued in April 1998. The veteran was notified at this time that in order to complete his appeal, he must file a formal appeal. The Substantive Appeal of record was received in June 1998, and was concerned solely with whether or not the veteran's son was incapable of self support before his 18th birthday. It did not address the issue of whether the veteran's disability payments should be counted as income for VA purposes. An August 1999 rating action denied special monthly pension and increased a noncompensable rating to 10 percent for low back strain. There is no notice of disagreement of this determination of record. Therefore, these matters are not on appeal to the Board. FINDINGS OF FACT The veteran has not submitted medical evidence to show that his son was incapable of self-support prior to the age of 18. CONCLUSION OF LAW The veteran has not submitted evidence of a well grounded claim for entitlement to VA benefits for the veteran's son on the basis that he was rendered permanently incapable of self- support prior to attaining 18 years of age. 38 U.S.C.A. §§ 101(4)(a), 5107 (West 1991 & Supp. 1999); 38 C.F.R. §§ 3.57, 3.356 (1999). REASONS AND BASES FOR FINDINGS AND CONCLUSION The veteran contends that his son was incapable of self- support prior to the age of 18, and that on this basis, he is entitled to VA benefits. He notes that his son currently suffers from what is believed to be schizophrenia, and he argues that as there is some evidence to show that schizophrenia may be the result of genetic predisposition, then the disability was present before his son's 18th birthday. A person who submits a claim for benefits under a law administered by the Secretary shall have the burden of submitting evidence sufficient to justify a belief by a fair and impartial individual that the claim is well grounded. 38 U.S.C.A. § 5107. A well grounded claim is a plausible claim, one which is meritorious on its own or capable of substantiation. The claim does not need to be conclusive, but only possible in order to be well grounded. Murphy v. Derwinski, 1 Vet. App. 78, 81 (1990). The appellant has the burden of submitting evidence to show that the claim is plausible. Tirpak v. Derwinski, 2 Vet. App. 609, 611 (1992). A child, for the purposes of entitlement to VA benefits, includes an unmarried person who, "before attaining the age of eighteen years, became permanently incapable of self- support . . . ." 38 U.S.C.A. § 101(4)(A)(ii); 38 C.F.R. § 3.57(a)(ii). See Campbell v. Brown, 5 Vet. App. 77, 78 (1993). The accompanying regulation, 38 C.F.R. § 3.356, similarly provides that a person may qualify as a "child," if he or she is "shown to [have been] permanently incapable of self-support by reason of mental or physical defect at the date of attaining the age of 18 years." 38 C.F.R. § 3.356(a). The focus of this decision must be on the condition of the veteran's son at the time of his 18th birthday; it is that condition which determines whether he is entitled to the status of child within the meaning of VA regulations. Therefore, VA must make an initial determination as to the veteran's son's condition at his delimiting age. If he is shown to have been capable of self-support at 18, VA need go no further. See Dobson v. Brown, 4 Vet. App. 443 (1993). Rating determinations will be made solely on the basis of whether the child is permanently incapable of self-support through his own efforts by reason of physical or mental defects. The question of permanent incapacity for self- support is one of fact for determination based on competent evidence of record. 38 C.F.R. § 3.356(b) (1998). The fact the child is earning his own support is prima facie evidence that he is not incapable of self- support. Incapacity for self-support will not be considered to exist when the child by his own efforts is provided with sufficient income for his or her reasonable support. 38 C.F.R. § 3.356(b)(1). Employment of a child prior or subsequent to the delimiting age of 18 years may or may not be a normal situation, depending on the educational progress of the child, the economic situation of the family, indulgent attitude of parents, and the like. In those cases where the extent and nature of disability raises some doubt as to whether they would render the average person incapable of self-support, factors other than employment are for consideration. In such cases there should be considered whether the daily activities of the child in the home and community are equivalent to the activities of employment of any nature within the physical or mental capacity of the child which would provide sufficient income for reasonable support. Lack of employment of the child either prior to the delimiting age or thereafter should not be considered as a major factor in the determination to be made, unless it is shown that it was due to physical or mental defect and not to mere disinclination to work or indulgence of relatives or friends. 38 C.F.R. § 3.356(b)(3). The veteran has submitted a copy of a birth certificate for his son. This shows that he was born on March [redacted], 1972. In order to receive the benefits sought on appeal, the evidence must show that the veteran's son was incapable of self- support before March [redacted], 1990. The evidence includes an August 1997 statement from the principal of the veteran's son's High School. This statement indicates that while the son was enrolled in High School, he participated in the special education program. His learning disabilities were regularly reviewed and addressed. The son graduated in June 1991. The veteran has also submitted private medical records dated July 1990, and from 1994 to 1995. The July 1990 records show that the veteran's son was 18 years old, and was employed as a landscaper. A history of mental illness was not noted. He was hospitalized for treatment for injuries sustained in an automobile accident. A general physical examination was negative for abnormality other than the residuals of injuries received in the accident. The final diagnoses were contaminated laceration, right posterior ankle, including one-half of Achilles tendon, posterior tibial artery, and ankle joint penetration. The additional private medical records indicate that the veteran's son was seen after a display of unusual behavior in March 1994. He did not have a past psychiatric history. The tentative diagnostic impressions included rule out organic reactions to substance abuse and withdrawal, and rule out base psychotic episode. Hospital records dated April 1995 and May 1995 show that the veteran's son was admitted for treatment after a year with difficulty in functioning. It was his first psychiatric hospitalization, but the treatment in March 1994 was noted. He was noted to have a history of dyslexia and learning disabilities, but there was no history of a psychiatric disability prior to March 1994. He had obtained a High School degree from an alternative school. The admitted diagnoses included probable schizophrenic disorder, undifferentiated, versus residual psychosis associated with unknown substance abuse, versus endocrinopathy and psychosis. The examiner noted that there sounded like there might be some interesting learning disabilities, and maybe some pervasive developmental problems, but these could not be sorted out until the veteran's son became less paranoid. He was determined to be gravely disabled. The remaining records from April 1995 and May 1995 include the reports of additional evaluations. However, these records are negative for any evidence or opinion that, prior to his 18th birthday, the son had a psychiatric disability or was permanently incapable of self- support. The Board finds that the veteran has not submitted evidence of a well grounded claim for entitlement to VA benefits for his son on the basis that he was rendered permanently incapable of self- support prior to attaining 18 years of age. He has not submitted any medical evidence or opinion that purports to show that his son was permanently incapable of self support before his 18th birthday. The only evidence that addresses the condition of his son prior to that age is the statement from the principal of the High School. This statement shows that the son had learning disabilities, but that he completed his High School degree. It does not contain any opinion suggesting that the son was incapable of self support. The veteran has not submitted any medical evidence that addresses his son's condition prior to his 18th birthday. The earliest medical evidence is dated July 1990, and shows treatment for an injury sustained in a car accident. He was noted to be 18 and working at the time of the accident. The remaining records show treatment for a psychiatric disability, without an opinion stating that the disability was manifested prior to the son's 18th birthday, or that he was otherwise incapable of self-support by March [redacted], 1990. The Board notes the veteran's opinion that his son's psychiatric disability must have been present but latent prior to his 18th birthday. However, this does not constitute evidence of an incapacity for self-support prior to the 18th birthday, and even if it did, the veteran is not a doctor, and is not competent to render such an opinion. Espiritu v. Derwinski, 2 Vet. App. 492 (1992). Therefore, as the veteran has not submitted competent evidence tending to show that his son was incapable of self support prior to his 18th birthday, his claim is not plausible, and is not well grounded. ORDER Entitlement to VA benefits based on the permanent incapacity of the veteran's son for self-support prior to attaining the age of 18 is denied. THOMAS J. DANNAHER Member, Board of Veterans' Appeals