publication(2) - page 9

June 2012 CBA REPORT
feature article
a combination of several impairments,
such as ADHD, borderline intelligence,
and a heart condition. Therefore, it is
important to ask about all of the health
concerns for the child. Impairments for
SSI disability must last or be expected
to last at least a year (or produce death).
Many conditions improve with treat-
ment, which ultimately is what any
family wants. SSI is concerned with
conditions that do not improve much or
improve slowly.
SSA evaluates children’s SSI disability
claims always with reference to its “List-
ing of Impairments.” This listing details
numerous medical and mental diagnoses
and impairments, arranged by body
It currently includes:
• Growth Impairment
• Musculoskeletal System
• Special Senses and Speech
• Respiratory System
• Cardiovascular System
• Digestive System
• Genitourinary Impairments
• Hematological Disorders
• Skin Disorders
• Endocrine System
• Impairments that Affect Multiple
Body Systems
• Neurological
• Mental Disorders
• Malignant Neoplastic Diseases
• Immune System
If the child’s impairment “meets or
medically equals” the detailed criteria of
a listing, the child will be found disabled
and will receive benefits (assuming the
non-medical factors are established).
The impairments must be very severe to
meet or equal a listing’s criteria. If the
impairments do not precisely meet or
equal the diagnoses and severity called
for by a listing, SSA then moves beyond
the pure medical findings and uses a
functional analysis to see if the child’s
condition “functionally equals” a list-
Specifically, the child’s ability to
function in six different domains is as-
sessed. These domains are: 1) acquiring
and using information; 2) attending and
completing tasks; 3) interacting and re-
lating with others; 4) moving about and
manipulating objects; 5) caring for self;
and 6) health and physical well-being.
This assessment relies on far more
than MRIs, IQ scores, pulmonary
studies, hospital discharge summaries,
doctor’s opinions, and office visit notes.
It brings in the opinions of teachers,
daycare providers, case managers, and
family members, and develops a broad
picture of the child’s ability to function
at home, in school, and in the com-
munity. Again, the level of functioning
must be very low in order for the child to
be found disabled.
With adult disability, the underly-
ing question is “Can you work at a job?”
With many children’s disability cases,
one might loosely say their “job” is
learning, getting along with others in
school, at home, and in the community,
and caring for themselves. So, IEPs,
school disciplinary records, transcripts,
test scores, rates of attendance, how
much the child participates, and police
records will be considered. Is the child
in special classes? For all classes? Or just
some classes? Has the child been held
back? Why? Does the child get tutoring?
Accommodations? Counseling? Attend
a partial hospitalization program? Does
LCNB National Bank Trust Officers; left to right:
Bradley A. Ruppert, Vice President & Trust Investment Officer; Stephen P. Wilson, Chairman and Chief Executive Officer;
Rebecca H. Roess, Vice President & Trust Officer; Bernard H. Wright, Jr., Senior Executive Vice President & Trust Officer; Leroy F. McKay, Executive Vice President & Trust Officer;
S. Diane Ingram, Assistant Vice President & Trust Officer; Melanie K. Crane, Assistant Vice President & Trust Officer; Steve P. Foster, President
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