BVA9504315 DOCKET NO. 93-08 447 ) DATE ) ) On appeal from the decision of the Department of Veterans Affairs (VA) Regional Office (RO) in Houston, Texas THE ISSUE Entitlement to a permanent and total disability rating for pension purposes. REPRESENTATION Appellant represented by: Texas Veterans Commission ATTORNEY FOR THE BOARD W. Pope, Counsel INTRODUCTION The veteran had active service from January to June 1974. This matter comes before the Board of Veterans' Appeals (Board) on appeal from a September 1991 rating decision. REMAND The veteran contends, in essence, that his disabilities, especially the disabilities affecting his back and legs, prevent him from maintaining gainful employment. While a review of the record confirms that the veteran has had examinations concerning his physical disabilities, none of these disabilities has been evaluated to included a "full description of the effects of disability" upon his ordinary activities as required under 38 C.F.R. § 4.10 (1993). In this regard, the United States Court of Veterans Appeals (Court) has stated that VA's duty to assist under 38 U.S.C.A. § 5107 (West 1991) includes the conduct of a thorough and contemporaneous examination which considers a "disability 'from the point of view of the veteran working or seeking work.' 38 C.F.R. § 4.2" (1993) Schafrath v. Derwinski, 1 Vet.App. 589, 595 (1991). In a report of a September 15, 1992 VA neurological examination, the examiner's impression included his statement that "I feel there is a personality problem here...." Since personality disorders are recognized mental disorders which can lead to clinically significant distress or impairment in social and/or occupational functioning (See American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders 629-673 (4th ed. 1994) (DSM-IV), the Board believes that a VA examination to evaluate such mental disorders is appropriate. The Board also notes that during the course of this appeal the veteran reported that he has applied for disability benefits with the Social Security Administration (SSA). However, the veteran's claims folder does not contain any reports or documents concerning a SSA decision, and the Court has stated that such evidence "is relevant to the determination of [the veteran's] ability to secure and follow a substantially gainful occupation under 38 C.F.R. § 4.16(c)," adding that VA has a "duty to assist the veteran in developing his claim by acquiring the SSA decision and...records" upon which the decision was made. Murincsak v. Derwinski, 2 Vet.App. 363, 370-371 (1992). Therefore, the Board finds that it is necessary to obtain any relevant information from the SSA prior to an appellate determination. Accordingly, in order to ensure that VA has met its duty to assist the claimant in developing the facts pertinent to the claim and to ensure full compliance with due process requirements, the case is REMANDED to the RO for the following development: 1. The RO should take appropriate steps to obtain from SSA the records pertinent to the appellant's claim for disability benefits from that agency, as well as the medical records relied upon concerning that claim. 2. Following completion of the above, the veteran should be afforded evaluations by VA to evaluate the extent of all his physical disabilities, including orthopedic and neurological examinations to determine the severity of his back and leg disabilities. The claims folder, including a copy of this REMAND, should be made available to each examiner before an examination, for proper review of the medical history. Each examination report is to reflect whether such a review of the claims file was made, and include the examiner's opinion as to the effect that each disability evaluated has on the veteran's ability to perform substantially gainful labor. Any related functional limitation should be described fully. 3. Following completion of the above, the veteran should be afforded a VA psychiatric examination to evaluate the current extent of any mental disorder(s). The claims folder, including a copy of this REMAND, should be made available to the examiner before the examination, for proper review of the medical history. The examination report is to reflect whether such a review of the claims folder was made, and include an opinion with regard to the effect that the veteran's mental disorder(s), if any, has on his ability to work. To this end, the examiner should provide a Global Assessment of Functioning (GAF) score on Axis V, with an explanation of the significance of the current levels of psychological, social and occupational functioning which support the score. 4. After the development requested above has been completed, the RO should again review the record. If the benefit sought on appeal remains denied the appellant and his representative should be furnished a supplemental statement of the case and given the opportunity to respond thereto. Thereafter, the case should be returned to the Board, if in order. The Board intimates no opinion as to the ultimate outcome of this case. The appellant need take no action unless otherwise notified. STEPHEN L. WILKINS Member, Board of Veterans' Appeals The Board of Veterans' Appeals Administrative Procedures Improvement Act, Pub. L. No. 103-271, § 6, 108 Stat. 740, ___ (1994), permits a proceeding instituted before the Board to be assigned to an individual member of the Board for a determination. This proceeding has been assigned to an individual member of the Board. Under 38 U.S.C.A. § 7252 (West 1991), only a decision of the Board of Veterans' Appeals is appealable to the United States Court of Veterans Appeals. This remand is in the nature of a preliminary order and does not constitute a decision of the Board on the merits of your appeal. 38 C.F.R. § 20.1100(b) (1993).