Citation Nr: 0841269 Decision Date: 12/02/08 Archive Date: 12/09/08 DOCKET NO. 05-08 713 ) DATE ) ) On appeal from the Department of Veterans Affairs Regional Office in St. Petersburg, Florida THE ISSUE Whether the interruption and subsequent discontinuance of vocational rehabilitation benefits under the provisions of 38 U.S.C.A. Chapter 31 was proper. REPRESENTATION Appellant represented by: Disabled American Veterans WITNESSES AT HEARING ON APPEAL Appellant and Appellant's Spouse ATTORNEY FOR THE BOARD Robert J. Burriesci, Associate Counsel INTRODUCTION The veteran served on active duty from April 1991 to July 2000. This case comes before the Board of Veterans' Appeals (Board) from multiple determinations of the Vocational Rehabilitation and Counseling Division (VR&C) of the Department of Veterans Affairs (VA) Regional Office (RO) in St. Petersburg, Florida. The appellant and the appellant's spouse testified before the undersigned Veterans Law Judge at a Travel Board hearing in May 2008. A transcript of this hearing is associated with the claims folder. In May 2008 additional evidence was received at the St. Petersburg RO subsequent to the issuance of the most recent Supplemental Statement of the Case. The RO forwarded the documents to the Board; they were received at the Board in October 2008. The Board notes that the evidence was either duplicative or not relevant to current claim on appeal and, therefore, the Board finds it unnecessary to remand the claim for the issuance of a Supplemental Statement of the Case. See 38 C.F.R. § 19.31 (2008). FINDINGS OF FACT 1. Currently, the veteran has the following service- connected disabilities: Scheuermann's kyphosis of the thoracic spine status post T3 to L1 fusion, rated as 20 percent disabling; scarring from back surgery, rated as 10 percent disabling; patellofemoral syndrome of the right knee, rated as noncompensably disabling; costochondritis, rated noncompensably disabling; post operative residuals of disarticulation of three ribs, right side, associated with Scheuermann's kyphosis of the thoracic spine status post T3 to L1 fusion, rated as noncompensably disabling; and erectile dysfunction, rated as noncompensably disabling. The combined service-connected disability rating is 30 percent. This 30% rating has been in effect since August 1, 2000, the effective date of the veteran's permanent retirement from service. 2. In March 2000, the RO granted entitlement to vocational rehabilitation benefits. 3. In October 2000, the VR&C created an Individualized Written Rehabilitation Plan (IWRP) with an agreed upon vocational goal. In January 2001, the IWRP was signed and agreed to by the veteran, counseling psychologist, and case manager. Specifically, the plan indicated that the veteran would complete a Bachelor of Fine Arts (BFA) Degree in Photography and Digital Imaging; the VA would sponsor the payment of required tuition, books, supplies, and monthly subsistence allowance; the veteran would comply with the school's attendance and academic policies and maintain a GPA of 2.5 or better to graduate, with no grades of D, F, W, or I; the veteran would meet with case manager at least once per semester for review of progress; and the veteran would provide the case manager with copies of class schedules and grades each semester. The program was scheduled to run for four years and four months from January 2001 to May 2004. 4. The veteran has not shown satisfactory cooperation or conduct in that he has not complied with the school's policies and has obtained grades of D and F. 5. In August 2003 the veteran was noted to be threatening by a Ringling School of Art and Design officer and the veteran's vocational rehabilitation program was placed in interrupt status due to unsatisfactory conduct and cooperation. 6. In February 2004 the veteran's vocational rehabilitation plan was found to be infeasible. 7. In July 2004 an attempt was made to provide the veteran with readjustment counseling and to create an Individualized Independent Living Plan (IILP) for the veteran. The veteran did not adequately respond to requests for information. 8. In January 2005 the veteran was notified of a proposal to discontinue vocational rehabilitation benefits and in February 2005 the veteran's vocational rehabilitation benefits were discontinued. CONCLUSION OF LAW The interruption and subsequent discontinuance of vocational rehabilitation benefits under the provisions of Chapter 31, Title 38, United States Code, was proper. 38 U.S.C.A. §§ 3111, 5107 (West 2002 & Supp. 2007); 38 C.F.R. §§ 21.197, 21.198, 21.362, 21.364 (2008). REASONS AND BASES FOR FINDINGS AND CONCLUSION I. Duties to Notify and Assist VA will notify a claimant of any information, and any medical or lay evidence, that is necessary to substantiate the claim, and assist a claimant in obtaining evidence necessary to substantiate a claim unless there is no reasonable possibility that such assistance would aid in substantiating the claim. 38 U.S.C.A. §§ 5103A, 5107(a); 38 C.F.R. §§ 3.102, 3.159(c)-(d). These requirements do not extend to vocational rehabilitation benefits which are governed by Chapter 31. See Livesay v. Principi, 15 Vet. App. 165, 179 (2001); Barger v. Principi, 16 Vet. App. 132, 138 (2002); Lueras v. Principi, 18 Vet. App. 435 (2004). Notwithstanding, VA educational programs have their own provisions that address notification and assistance. For example, under 38 C.F.R. § 21.1031(b), "[i]f a formal claim for educational assistance is complete, or VA requires additional information or evidence to adjudicate the claim, VA will notify the claimant of the evidence and/or information necessary to complete or adjudicate the claim and the time limit provision of § 21.1032(a)." In this case all relevant and probative evidence is contained in the veteran's Counseling/Evaluation Rehabilitation folders pertaining to his application for Chapter 31 benefits and the evaluations and counseling records generated in connection with that application. As will be explained in greater detail below, the veteran has also been provided with considerable information outlining his due process rights, and the requirements for entitlement to VR&E services as well as the information and action that were required of him in order to assist VA in delivering those services. These documents, including a August 2003 VCAA-style notice letter pertinent to VR&E benefits, the October 2004 statement of the case, and the January 2005 supplemental statement of the case, provided notification of the information and evidence necessary to substantiate this claim, and indicated to the veteran that the RO would make reasonable efforts to obtain relevant records adequately identified by the veteran. Thus, under the circumstances in this case, VA has satisfied its duties to notify and assist the veteran, and adjudication of this appeal poses no risk of prejudice to the veteran. See, e.g., Bernard v. Brown, 4 Vet. App. 384, 394 (1993). There is no indication that there is additional evidence that should or could be obtained prior to adjudicating this claim. II. Interruption and Subsequent Discontinuance of Vocational Rehabilitation Benefits The purpose of vocational rehabilitation (VR) services is to enable veterans with service-connected disability to achieve maximum independence in daily living and, to the maximum extent feasible, to become employable and to obtain and maintain suitable employment. See 38 U.S.C.A. §§ 3100, 3101; 38 C.F.R. §§ 21.35(b), 21.70, 21.71. The three "basic requirements" for eligibility for Chapter 31 VR training are set out in 38 C.F.R. § 21.1(b). The first requirement is that of a basic entitlement to services under 38 C.F.R. § 21.40. 38 C.F.R. § 21.1(b)(1). The second requirement is that the services necessary for training and rehabilitation must be identified by VA and the veteran. 38 C.F.R. § 21.1(b)(2). The third requirement is that VA and the veteran must develop a written plan describing the program goals and the means through which those goals will be achieved. 38 C.F.R. § 21.1(b)(3). The VA shall determine the reasonable feasibility of achieving a vocational goal in each case in which a veteran has either an employment handicap or a serious employment handicap. The term "vocational goal" means a gainful employment status consistent with the veteran's abilities, aptitudes and interests. 38 U.S.C.A. §§ 3101, 3106, 38 C.F.R. § 21.53. 38 C.F.R. § 21.198 provides that the purpose of discontinued status is to identify situations in which termination of all services and benefits received under Chapter 31 is necessary. VA will discontinue the veteran's case and assign the case to discontinued status following assignment to interrupted status as provided in 38 C.F.R. § 21.197 for reasons including but not limited to the following: (1) the veteran declines to initiate or continue the rehabilitation process; (2) unsatisfactory conduct and cooperation; (3) end of eligibility and entitlement occurs; (4) medical and related problems; (5) the veteran voluntarily withdraws from the program; and/or (6) the veteran fails to progress in the program. 38 C.F.R. § 21.362, pertaining to Satisfactory Conduct and Cooperation, provides: (a) General. The successful development and implementation of a program of rehabilitation services require the full and effective participation of the veteran in the rehabilitation process. (1) The veteran is responsible for satisfactory conduct and cooperation in developing and implementing a program of rehabilitation services under Chapter 31; (2) The staff is responsible for insuring satisfactory conduct and cooperation on the veteran's part; and (3) VA staff shall take required action when the veteran's conduct and cooperation are not satisfactory. (See § 21.364) (b) VA responsibility. VA shall make a reasonable effort to inform the veteran and assure his or her understanding of: (1) The services and assistance which may be provided under Chapter 31 to help the veteran maintain satisfactory cooperation and conduct and to cope with problems directly related to the rehabilitation process, especially counseling services; (2) Other services which VR&C staff can assist the veteran in securing through non-VA programs; and (3) The specific responsibilities of the veteran in the process of developing and implementing a program of rehabilitation services, especially the specific responsibility for satisfactory conduct and cooperation. (c) Veteran's responsibility. A veteran requesting or being provided services under Chapter 31 must: (1) Cooperate with VA staff in carrying out the initial evaluation and developing a rehabilitation plan; (2) Arrange a schedule which allows him or her to devote the time needed to attain the goals of the rehabilitation plan; (3) Seek the assistance of VA staff, as necessary, to resolve problems which affect attainment of the goals of the rehabilitation plan; (4) Conform to procedures established by VA governing pursuit of a rehabilitation plan including: (i) Enrollment and reenrollment in a course; (ii) Changing the rate at which a course is pursued; (iii) Requesting a leave of absence; (iv) Requesting medical care and treatment; (v) Securing supplies; and (vi) Other applicable procedures. (5) Conform to the rules and regulations of the training or rehabilitation facility at which services are being provided. (d) Responsibility for determining satisfactory conduct and cooperation. VR&C staff with case management responsibility in the veteran's case will: (1) Monitor the veteran's conduct and cooperation as necessary to assure consistency with provisions of paragraph (c) of this section. (2) Provide assistance which may be authorized under Chapter 31, or for which arrangements may be made under other programs to enable the veteran to maintain satisfactory conduct and cooperation. 38 C.F.R. § 21.364, pertaining to Unsatisfactory Conduct and Cooperation, provides: (a) General. If VA determines that a veteran has failed to maintain satisfactory conduct or cooperation, VA may, after determining that all reasonable counseling efforts have been made and are found not reasonably likely to be effective, discontinue services and assistance to the veteran, unless the case manager determines that mitigating circumstances exist. In any case in which such services and assistance have been discontinued, VA may reinstitute such services and assistance only if the counseling psychologist determines that: (1) The unsatisfactory conduct or cooperation of such veteran will not be likely to recur; and (2) The rehabilitation program which the veteran proposes to pursue (whether the same or revised) is suitable to such veteran's abilities, aptitudes, and interests. (b) Unsatisfactory conduct or cooperation exists. When the case manager determines that the veteran's conduct and/or cooperation are not in conformity with provisions of § 21.362(c), the case manager will: (1) Discuss the situation with the veteran; (2) Arrange for services, particularly counseling services, which may assist in resolving the problems which led to the veteran's unsatisfactory conduct or cooperation; (3) Interrupt the program to allow for more intense efforts, if the unsatisfactory conduct and cooperation persist. If a reasonable effort to remedy the situation is unsuccessful during the period in which the program is interrupted, the veteran's case will be discontinued and assigned to "discontinued" status unless mitigating circumstances are found. When mitigating circumstances exist, the case may be continued in "interrupted" status until VA staff determines the veteran may be reentered into the same or a different program because the veteran's conduct and cooperation will be satisfactory, or if a plan has been developed, to enable the veteran to reenter and try to maintain satisfactory conduct and cooperation. Mitigating circumstances include: (i) The effects of the veteran's service and nonservice-connected condition; (ii) Family or financial problems which have led the veteran to unsatisfactory conduct or cooperation; or (iii) Other circumstances beyond the veteran's control. It is the Board's responsibility to evaluate the entire record. See 38 U.S.C.A. § 7104(a). When there is an approximate balance of evidence regarding the merits of an issue material to the determination of the matter, the benefit of the doubt in resolving each such issue shall be given to the claimant. 38 U.S.C.A. § 5107. In Gilbert v. Derwinski, 1 Vet. App. 49, 53 (1990), the Court stated that "a veteran need only demonstrate that there is 'an approximate balance of positive and negative evidence' in order to prevail." To deny a claim on its merits, the preponderance of the evidence must be against the claim. See Alemany v. Brown, 9 Vet. App. 518, 519 (1996), citing Gilbert, supra. In March 2000, the veteran was granted entitlement to vocational rehabilitation benefits pursuant to 38 U.S.C.A. Chapter 31. Subsequently, in October 2000, the VR&C created an Individualized Written Rehabilitation Plan (IWRP) with an agreed upon vocational goal. In January 2001, the IWRP was ratified by the veteran, counseling psychologist, and case manager. The plan indicated that the veteran would complete a Bachelor of Fine Arts (BFA) Degree in Photography and Digital Imaging at the Ringling School of Art and Design (Ringling); that VA would sponsor the payment of required tuition, books, supplies, and monthly subsistence allowance; that the veteran would comply with the school's attendance and academic policies and maintain a GPA of 2.5 or better to graduate, with no grades of D, F, W, or I; that the veteran would meet with case manager at least once per semester for review of progress; and that the veteran would provide the case manager with copies of class schedules and grades each semester. The program was scheduled to run for four years and four months from January 2001 to May 2004. In August 2003 the Director of Advising and Registration Services/Registrar at Ringling submitted a letter to the veteran's case manager explaining the veteran's status at the school. The letter reported that the veteran had been placed on Academic Probation 1 after the Fall 2002 semester because he failed a class and his grade point average (GPA) fell below 2.0. The Director reported that the veteran was subsequently placed on Academic Probation 2 after the Spring 2003 semester for again failing a class and having a GPA below 2.0. The Director explained that in order for a student to be removed from Academic Probation, the student must not fail any classes and must have a cumulative GPA above 2.0 and that after three semesters on Academic Probation a student's academic record is reviewed by the Academic Standards Committee to determine if the student should be academically dismissed from the school. The veteran had asked that he be withdrawn from a class that he had failed for medical reasons. The veteran had not, at that time, provided an adequate physician's note to be withdrawn from the class and his grade remained an F. The veteran was reported to have asked an instructor to sign a form indicating that supplies, including very expensive lenses, were required for a class. Both the instructor and the department head refused to sign the form citing that the items were not necessary for the course work and were not required of the other photography students. The Dean of Faculty reviewed the request and also refused to sign the form and instead signed a second supply list consisting of supplies including film, processing, and miscellaneous supplies, that were necessary for all photography students. The Director reported that the veteran had indicated that he planned to "crucify himself for his senior thesis project" and that the veteran stated that he had four physician's approvals and instructions on how to perform the project without doing damage to himself. The Director expressed concern for the veteran's safety and indicated that school policy does not permit students to injure themselves or others and that exhibition displays are subject to legal and safety considerations. The Director noted that the veteran had conversations with staff members regarding his medications, the difficulties maintaining the proper dosage, and the consequences of being over-medicated. She noted how school personnel are concerned about the amount of, combinations of, and dosages of medication that the veteran was taking and how they affected his behavior. The Director reported that questions had been asked regarding whether the veteran could make rational decisions given the amount of medication he was taking. The veteran was reported to have attended classes in a wheelchair and to have taken liquid morphine in class without the staff being made aware of any condition that would require these treatments. The Director reported that the veteran had intimidated the staff and faculty members by threatening to sue the school, report the school to legislators, and have the school's ability to educate veterans revoked if he does not get what he wants. In August 2003 the veteran made threats against the Dean of Faculty. The Director indicated that this was "typical threatening behavior" from the veteran. In response to the Director's letter, the veteran's vocational rehabilitation benefits were placed into interrupt status in August 2003, pursuant to 38 C.F.R. §§ 21.197 and 21.364 the veteran's case manager found that the veteran's behavior represented unsatisfactory conduct and cooperation. In November 2003 the veteran's interrupt status was reviewed and approved by the head of Vocational Rehabiliation and Employment. It was found that the vocational rehabilitation case manager provided appropriate levels of supplies and made appropriate determinations regarding reimbursement requests. It was further found that it was questionable as to whether it was feasible for the veteran to complete the program of study and that the case manager took appropriate action in interrupting the veteran's case and advising the veteran to seek treatment to stabilize his medical and psychological conditions. The Board notes that the veteran's case manager was in continuous contact with the veteran, as demonstrated by his case notes, and that the veteran left numerous uncooperative, aggressive, and threatening messages for the case manager. The veteran demonstrated through these messages his unwillingness to cooperate with the procedures of the vocational rehabilitation program Special Reports of Training were produced in March 2002, October 2002, and March 2003 regarding the veteran's progress and the problems the veteran was encountering in his program. In March 2003, the report indicated that interruption of the veteran's program may be necessary in light of his mental health issues. The Board notes that the veteran's VA psychologist indicated in May 2003 that the veteran was capable of returning to class at Ringling. A VA psychiatrist also stated in April 2003 that he was able to attend two classes through Vocational Rehabilitation. However, the veteran's VA psychology examinations revealed that the veteran's function was seriously impaired. In February 2004, the veteran's case manager found the veteran's vocational rehabilitation plan infeasible based upon unsatisfactory conduct and cooperation due to the veteran's continued mental instability and failure to cooperate with the vocational rehabilitation program's procedures. In a letter dated in March 2004, the President of Ringling indicated that the veteran was qualified to reapply and would be considered a senior upon readmission to a program. However, the letter made no reference to the veteran's behavior. The claims folder reveals that in June 2004 the veteran was arrested for shoplifting and being under the influence at a Walmart. The veteran was noted to be in a disassociative state and not to know where he was or what he was doing. In July 2004 readjustment counseling was requested to create an Individualized Independent Living Plan (IILP) and a consent form was forwarded to the veteran. The veteran returned signed, modified copies of the consent forms provided. However, the veteran never adequately responded to the request for consent for the release of information or to the creation of an IILP. In January 2005 the veteran was proposed to be discontinued from his vocational rehabilitation program due to infeasibility and, subsequently, in February 2005, the veteran was discontinued from his vocational rehabilitation program. In February 2005, a letter from L. Thompson to a U.S. Senator indicated that there was no finding of unusual or disruptive behaviors in Fall 2003. He also indicated that the veteran was enrolled in two classes that semester. There was no reference to the veteran's grades. In light of the evidence the Board finds that interruption and subsequent discontinuance of the veteran's vocational rehabilitation benefits was proper. The veteran did not conform to the procedures established by VA governing the pursuit of his rehabilitation plan by failing to maintain the specified GPA without obtaining any D or F grades. As a result the veteran was placed on academic probation. In addition, the veteran failed to obtain the proper documentation for reimbursement for the alleged necessary expenses incurred while pursuing his education. The Board notes that the veteran attempted to obtain the proper documentation, however, the veteran's faculty and the Dean of the program area refused to sign off on all of the expenses claimed by the veteran citing that they were not necessary for completion of the program or required of the other students in the program. The veteran failed to conform to the rules and regulations of the training facility by attempting to complete a project which the school found to be potentially dangerous and by threatening the staff and faculty. A Vocational Rehabilitation Panel met in February 2004 and after reviewing medical records, correspondence from the school, and the counselor's reasons for interruption, concluded that it was not then feasible for the veteran to continue his vocational rehabilitation program. While his condition was being treated with medication, his behavior was not being treated. A recommendation was made that the veteran be provided readjustment counseling by an independent provider to stabilize his behavior. If his behavior were to stabilize then the question of feasibility would have been revisited. An independent living program was also suggested. See 38 C.F.R. § 21.53(e)-(f). As the veteran did not complete the consent forms as required and therefore did not participate in either private counseling or an independent living program, VA was not thereafter able to consider whether it was feasible for him to participate in a Return to Work program. Based on the facts known at the time the veteran was placed in interrupted status, that he was exhibiting erratic and threatening behavior, interruption and the subsequent discontinuance were proper based on unsatisfactory conduct and cooperation. 38 C.F.R. §§ 21.197, 21.198, 21.364. While a VA psychologist and psychiatrist both stated that the veteran was able to participate in vocational rehabilitation, such statements were issued months prior to the behaviors that resulted in the veteran's benefits being interrupted and discontinued. It is noted that the veteran's GPA did increase to above the mark set by the initial vocational rehabilitation plan and a letter from the President of Ringling indicated that the veteran would be welcome to reapply to continue his studies at Ringling and would continue as a senior. The President of the school also wrote a letter in February 2005 on the veteran's behalf, however, it was not written contemporaneous to the Fall 2003 semester which resulted in the veteran being placed in an interrupted status. Moreover, it is noted that the veteran has alleged that VA discriminated against him and that his civil rights were violated. However, the Board finds that the evidence supports the interruption and eventual termination and there is no evidence of discrimination or violations of his civil rights. Accordingly, the Board finds that the interruption and subsequently discontinuance of the veteran's vocational rehabilitation benefits was proper. In reaching the decisions above the Board considered the doctrine of reasonable doubt, however, as the preponderance of the evidence is against the veteran's claim, the doctrine is not for application. Gilbert v. Derwinski, 1 Vet. App. 49 (1990). ORDER The interruption and subsequent discontinuance of vocational rehabilitation benefits under the provisions of 38 U.S.C.A. Chapter 31 was proper. ____________________________________________ S. S. TOTH Veterans Law Judge, Board of Veterans' Appeals Department of Veterans Affairs