Citation Nr: 0812872 Decision Date: 04/18/08 Archive Date: 05/01/08 DOCKET NO. 05-14 114A ) DATE ) ) On appeal from the Department of Veterans Affairs Regional Office in Phoenix, Arizona THE ISSUE Whether new and material evidence has been received sufficient to reopen a previously denied claim for service connection for a psychiatric disorder. ATTORNEY FOR THE BOARD Amy M. Smith, Associate Counsel INTRODUCTION The veteran served on active military duty from February 1971 to April 1971. This matter comes before the Board of Veterans' Appeals (Board) on appeal from a June 2004 rating action of the Department of Veterans Affairs Regional Office (RO) in Phoenix, Arizona. The RO apparently determined that new and material evidence sufficient to reopen a previously denied claim for service connection for a psychiatric disorder (previously claimed as a nervous condition) had been received but denied the de novo issue of entitlement to service connection for a psychiatric disorder. Although the RO has reopened the previously denied claim for service connection for a psychiatric disorder, the Board is required to address this particular issue (e.g., the new and material claim) in the first instance. The Board has the jurisdiction to address a new and material issue and to reach the underlying de novo claim. If the Board determines that new and material evidence has not been received, the adjudication of the particular claim ends, and further analysis is neither required nor permitted. Any decision that the RO may have made with regard to a new and material claim is irrelevant. Barnett v. Brown, 83 F. 3d 1380, 1383-1384 (Fed. Cir. 1996), aff'g 8 Vet. App. 1 (1995). See also, Jackson v. Principi, 265 F. 3d 1366, 1369 (2001) (which holds that the statutes make clear that the Board has a jurisdictional responsibility to consider whether it was proper for a claim to be reopened, regardless of whether the previous action denying the claim was appealed to the Board). Thus, despite the fact that in the present case the RO has already determined that new and material evidence sufficient to reopen the veteran's previously denied claim for service connection for a psychiatric disorder has been received, the Board will proceed, in the following decision, to adjudicate this new and material issue in the first instance. FINDINGS OF FACT 1. In a September 1983 decision, the RO in Los Angeles, California denied service connection for a psychiatric disorder, claimed as a nervous condition. Following receipt of notification of that determination, the veteran did not initiate a timely appeal of the denial, and the decision became final. 2. The evidence received since the RO's September 1983 denial of service connection for a psychiatric disorder is new and material and raises a reasonable possibility of substantiating the claim. 3. No nexus between the veteran's active duty and his currently-shown psychiatric disorder, characterized as schizophrenia, has been demonstrated. CONCLUSIONS OF LAW 1. The RO's September 1983 decision that denied service connection for a psychiatric disorder is final. 38 U.S.C.A. § 7105 (West 2002) and 38 C.F.R. §§ 3.104, 20.200, 20.302, 20.1103 (2007). 2. The evidence received since the RO's September 1983 determination is new and material, and the claim for service connection for a psychiatric disorder is reopened. 38 U.S.C.A. § 5108 (West 2002); 38 C.F.R. § 3.156(a) (2007). 3. Service connection for a psychiatric disorder is not warranted. 38 U.S.C.A. §§ 1101, 1112, 1131, 1137, 5107 (West 2002); 38 C.F.R. §§ 3.102, 3.303, 3.307, 3.309 (2007). REASONS AND BASES FOR FINDINGS AND CONCLUSIONS I. Duties To Notify And Assist The Veterans Claims Assistance Act of 2000 (VCAA) describes VA's duty to notify and assist claimants in substantiating a claim for VA benefits. 38 U.S.C.A. §§ 5100, 5102, 5103, 5103A, 5107, 5126; 38 C.F.R. §§ 3.102, 3.156(a), 3.159, 3.326(a). Upon receipt of a complete or substantially complete application for benefits, VA is required to notify the claimant and his or her representative of any information, and any medical or lay evidence, that is necessary to substantiate the claim. 38 U.S.C.A. § 5103(a); 38 C.F.R. § 3.159(b). Proper VCAA notice must inform the claimant of any information and evidence not of record (1) that is necessary to substantiate the claim, (2) that VA will seek to provide, and (3) that the claimant is expected to provide; and (4) must ask the claimant to provide any evidence in his possession that pertains to the claim, in accordance with 38 C.F.R. § 3.159(b)(1). The U.S. Court of Appeals for Veterans Claims (Court) has held that VCAA notice should be provided to a claimant before the initial RO decision on a claim. Pelegrini v. Principi, 18 Vet. App. 112 (2004). As to the new and material aspect of the veteran's claim for entitlement to service connection for a psychiatric disorder, the Board is granting in full the benefit sought on appeal. Accordingly, assuming, without deciding, that any error was committed with respect to either the duty to notify or the duty to assist, such error was harmless and will not be further considered. As to the underlying de novo claim for service connection for a psychiatric disorder, the above notice requirements were satisfied by a January 2004 letter. In addition, following the letter, the April 2005 statement of the case, and November 2007 supplemental statement of the case were issued. Also, to whatever extent the decision of the United States Court of Appeals for Veterans Claims (Court) in Dingess v. Nicholson, 19 Vet. App. 473 (2006), requires more extensive notice in claims for compensation, e.g., as to potential downstream issues such as assigning a disability rating or effective date, the Board finds no prejudice to the appellant in proceeding with the present decision. As will be discussed in the following decision, the Board is denying the veteran's service connection claim. As such, no rating or effective date will be assigned. In addition, it appears that all obtainable evidence identified by the veteran relative to his claims has been obtained and associated with the claims file. The Board acknowledges that, in a statement which was received by the RO in January 2004, the veteran reports having received pertinent treatment at several hospitals in Arizona and California. Later that same month, the RO sent him a release form in order to obtain information regarding this treatment. A review of the record indicates that the veteran has not returned the release form. The veteran is responsible for providing pertinent evidence in his possession. See Wood v. Derwinski, 1 Vet. App. 190, 193 (1991) & Hayes v. Brown, 5 Vet. App. 60, 68 (1993) (in which the Court held that VA's duty to assist is not a one-way street and that, if a veteran wishes help, he/she cannot passively wait for it in those circumstances where his/her own actions are essential in obtaining the putative evidence). It is therefore the Board's conclusion that the veteran has been provided with every opportunity to submit evidence and argument in support of his claim, and to respond to VA notices. A remand to accord the veteran another opportunity to provide the names, dates, and locations of post-service psychiatric treatment is not necessary. The Board also acknowledges that the veteran has not been accorded a VA examination pertinent to the claim on appeal. However, as will be discussed in the following decision, service medical records are negative for complaints of, treatment for, or findings of a psychiatric disorder. Further, while available post-service medical records show a diagnosis of a psychiatric disorder, this condition has in no way been linked to the veteran's active duty. Thus, a remand to accord him an opportunity to undergo a VA examination that specifically addresses the etiology of the currently-shown psychiatric disorder is not necessary. VA's duty to assist is not invoked where "no reasonable possibility exists that such assistance would aid in substantiating the claim." Charles v. Principi, 16 Vet. App. 370 (2002) & 38 U.S.C.A. § 5103A(a)(2). See also & McLendon v. Nicholson, 20 Vet. App. 79 (2006). Accordingly, the Board finds that VA has satisfied its duty to assist the veteran in apprising him as to the evidence needed, and in obtaining evidence pertinent to his claims under the VCAA. Therefore, no useful purpose would be served in remanding this matter for yet more development. Such a remand would result in unnecessarily imposing additional burdens on VA, with no additional benefit flowing to the appellant. The Court has held that such remands are to be avoided. Sabonis v. Brown, 6 Vet. App. 426, 430 (1994). II. Standard Of Review Once the evidence has been assembled, it is the Board's responsibility to evaluate the record. 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; 38 C.F.R. § 3.102. 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 evidence must preponderate against the claim. Alemany v. Brown, 9 Vet. App. 518, 519 (1996), citing Gilbert, 1 Vet. App. at 54. III. Analysis A. New and Material Evidence According to the evidence of record at the time of the September 1983 decision, service medical records were negative for complaints of, treatment for, or findings of a psychiatric disorder. Consequently, the RO denied service connection for a "nervous condition." The veteran did not appeal this decision to the Board. Thus, the RO's decision is final. 38 U.S.C.A. § 7105, C.F.R. §§ 3.104, 20.200, 20.302, 20.1103. In a statement received by the RO in December 2003, the veteran requested that his claim for service connection for "mental problems" be reversed. A veteran may reopen a previously and finally denied claim by submitting new and material evidence. 38 C.F.R. § 3.156(a) (2007). New evidence is defined as existing evidence not previously submitted to agency decisionmakers. Material evidence means existing evidence that, by itself or when considered with previous evidence of record, relates to an unestablished fact necessary to substantiate the claim. New and material evidence can be neither cumulative nor redundant of the evidence of record at the time of the last prior final denial of the claim sought to be reopened and must raise a reasonable possibility of substantiating the claim. 38 C.F.R. § 3.156(a) (2007). See also Hodge v. West, 155 F.3d 1356, 1359 (Fed. Cir. 1998). In deciding the issue of whether newly received evidence is "new and material," the credibility of the evidence must be presumed. Justus v. Principi, 3 Vet. App. 510, 512, 513 (1992). At the time of the September 1983 RO decision, there was no evidence of a diagnosed psychiatric disorder. Additional evidence received since that earlier decision now includes such evidence. Specifically, in a January 2002 VA treatment report, the veteran was diagnosed with schizophrenia. This medical evidence is clearly probative because, for the first time, competent evidence of a diagnosed psychiatric disorder has been presented. Thus, the Board finds that the additional evidence received since the last prior final denial of service connection for a psychiatric disorder raises a reasonable probability of substantiating the claim for service connection. This additional evidence is, therefore, new and material, as contemplated by the pertinent law and regulations, and serves as a basis to reopen the veteran's claim for service connection for a psychiatric disorder. See 38 U.S.C.A. § 5108; 38 C.F.R. § 3.156(a) (2007). B. De Novo Decision On The Merits As the Board has determined that new and material evidence sufficient to reopen the previously denied claim for service connection for a psychiatric disorder has been received, the Board must now address the de novo issue of entitlement to service connection for this disability. In this regard, the Board notes that service connection may be established for disability resulting from personal injury suffered or disease contracted in the line of duty in the active military, naval, or air service. 38 U.S.C.A. §§ 1131 (West 2002). That an injury or disease occurred in service is not enough; there must be chronic disability resulting from that injury or disease. If there is no showing of a resulting chronic condition during service, then a showing of continuity of symptomatology after service is required to support a finding of chronicity. 38 C.F.R. § 3.303(b) (2007). Service connection may be granted for any injury or disease diagnosed after discharge, when all the evidence establishes that the disease or injury was incurred in service. 38 C.F.R. § 3.303(d) (2007). Additionally, service connection for certain diseases, such as psychosis, may be established on a presumptive basis by showing that they manifested themselves to a degree of 10 percent or more within one year from the date of separation from service. 38 C.F.R. §§ 3.307(a)(3), 3.309(a) (2007). In the present case, the veteran contends that his psychiatric disorder began in service. Specifically, in a statement received by the RO in January 2004, he asserted that after seeing three psychiatric doctors it was determined that he had a mental disorder and he was granted an honorable discharge. Service medical records are negative for complaints of, treatment for, or diagnosis of a psychiatric disorder. The report of an April 1971 medical evaluation indicates that the veteran "lack[ed] the mental ability" to be a Marine. He was honorably discharged later that same month. Post-service medical records reflect extensive treatment for, and evaluation of, a psychiatric condition variously diagnosed as schizophrenia (chronic and paranoid), a malingering schizoaffective disorder, a substance induced mood disorder, a personality disorder with antisocial and narcissistic traits, and polysubstance abuse and dependence since January 2002. However, none of these records associate the veteran's currently-diagnosed psychiatric condition to his three months of active military service. For the veteran to prevail on his claim, the evidence must show either continuity of symptomatology since service or a medical opinion linking his currently-shown psychiatric disorder to service. Neither has occurred in this case. Although the Board acknowledges the veteran's contention that his psychiatric disorder began in service, there is no evidence of record showing a diagnosis of a psychiatric disorder upon discharge from service. As such, little probative value attaches to his contentions that his psychiatric disorder developed in service. Additionally, there is no evidence showing a psychosis within one year of service (to trigger the application of the legal presumption of service connection for chronic disease). In fact, the lengthy period without post-service treatment (e.g., until 2002, more than thirty years after separation from service) weighs heavily against the claim. Maxon v. Gober, 230 F.3d 1330 (Fed. Cir. 2000). While post-service medical records provide a diagnosis of a psychiatric disorder, they do not in anyway attribute the disorder to the veteran's period of service. Thus, the Board finds that the preponderance of the evidence is against the veteran's claim for service connection for a psychiatric disorder. Service connection is not warranted, and the appeal is denied. ORDER Entitlement to service connection for a psychiatric disorder is denied. ____________________________________________ MICHAEL E. KILCOYNE Veterans Law Judge, Board of Veterans' Appeals Department of Veterans Affairs