PART C -D ec ision under Appeal The M inistr y of S ocial Development and Soc i a l Inno da ted 11 Se p te mb e r 2014 determ i n ed that the a p pe r e quire me n ts o f s ection 2 of the Emplo yment a n d Assista de signat ion as a person wit h dis abi lities (PWD ). The mi requ iremen t and th at h er i m pair m en t i s likely t o c o w a s not s atisfi ed that the app ell ant h ad a s evere me ap pellant' s mental or ph ys ical c onditions, i n the opinion of a si gnificantly r e stricted her dail y l iv ing acti vitie s (DLA) ei periods . The minis tr y was also not satisfi ed th a t a s a result prescrib e d prof ess i onal, t he appellan t requ ir es help P ART D -Releva n t L e g isla tion Empl oyment and Ass i s ta nce for Pe rsons wit h Disa Empl oym ent and Ass i stance for P ers ons wi t h D isabilitie EAAT 003(10/06/01) I A P P EAL# vation ( t he min istry) recon si d er ation de ci sion l lant d id n o t mee t 3 o f the 5 statu tory nce for Persons with Disab i liti e s Act fo r n i s try f ound th a t th e app e llant met t he age nt in u e for a t lea s t 2 years. Ho we v e r , the mi nistr y n ta l or physical i mpai rment an d that the p rescr i b e d p rofe ssion a l , d i rectl y and th e r co n tinuou s l y or periodica l ly fo r extended o f those restr iction s , in the op inion of a to p e r f orm DLA. b iliti es Act (E APWDA), secti on 2 s Regulation ( EAP W D R ), sect ion 2
P A R T E S u m m a r y o f F a c t s T h e a p p e l l a n t w a s n o t i n a t t e n d a n c e a t t h e h e a r i n g t h e h e a r i n g p r o c e e d e d u n d e r s . 8 6 ( b ) o f t h e E m p l o T h e f o l l o w i n g e v i d e n c e w a s b e f o r e t h e m i n i s t r y a t t • A 3 p a g e P W D A p p l i c a t i o n A p p l i c a n t I n f o r m a b e f o r e a w i t n e s s a n d i n d i c a t i n g t h a t t h e a p p e l l a • A 8 p a g e P h y s i c i a n R e p o r t ( P R ) d a t e d 8 J u n e 2 p h y s i c i a n i n d i c a t e d t h e f o l l o w i n g : o S p e c i f i c d i a g n o s i s : D e p r e s s i o n , s o c i a l p h o H e a l t h h i s t o r y : L o n g h i s t o r y o f d e p r e s s i o w o r s e n e d i n t h e p a s t f e w y e a r s . I t i m p a c s e l d o m l e a v e s t h e h o u s e a n d s h e i s p r o n a n u m b e r o f t h e r a p i s t s o v e r t h e y e a r s , w a n t i d e p r e s s a n t s , w h i c h h a v e h e l p e d , b u t o N o p r e s c r i b e d m e d i c a t i o n o r t r e a t m e n t i n b u t t h e a n t i c i p a t e d d u r a t i o n o f " m e d i c a t i o o I n t e r m s o f f u n c t i o n a l s k i l l s t h e a p p e l l a n t n o t b e i n g a b l e t o l i f t m o r e t h a n 7 k g a n d h o u r s . o I n t e r m s o f s i g n i f i c a n t d e f i c i t s w i t h c o g n i t i d e n t i f i e s 5 a r e a s : E x e c u t i v e , e m o t i o n a l d o r s u s t a i n e d c o n c e n t r a t i o n b u t d o e s n o t o E v e n t h o u g h t h e p h y s i c i a n c o m p l e t e d t h c o m p l e t i n g t h e D L A p o r t i o n o f t h e P R , h e a t t h e q u e s t i o n w h e t h e r t h e a p p e l l a n t ' s i m D L A , h e i n d i c a t e d " U n k n o w n " . o N o D L A w a s i n d i c a t e d t o b e c o n t i n u o u s l y " S o c i a l f u n c t i o n i n g " . o A t t h e q u e s t i o n " I f p e r i o d i c , p l e a s e e x p l a i n t e r a c t i n s i t u a t i o n s w i t h m o r e t h a n a c o k n o w n t o h e r . " o F o r t h e t y p e o f a s s i s t a n c e r e q u i r e d , h e i n o H e i n d i c a t e d t h a t t h e a p p e l l a n t h a d b e e n t o 1 0 t i m e s w i t h i n t h e p a s t 1 2 m o n t h s . • A n 1 1 p a g e A s s e s s o r R e p o r t ( A R ) a l s o d a t e d 8 p h y s i c i a n a s t h e P R , i n d i c a t i n g t h e f o l l o w i n g : o T h e a p p e l l a n t l i v e s w i t h f a m i l y , f r i e n d s o r o S o c i a l p h o b i a a n d p a n i c d i s o r d e r a r e i m p o T h e a p p e l l a n t ' s a b i l i t y t o c o m m u n i c a t e b o I n t e r m s o f m o b i l i t y a n d p h y s i c a l a b i l i t y s o I n t e r m s o f c o g n i t i v e a n d e m o t i o n a l f u n c t i m p a i r m e n t o r b r a i n i n j u r y , h e r m e n t a l i m a s a m a j o r i m p a c t f o r e m o t i o n , m o d e r a t e a n d m i n i m a l i m p a c t f o r i m p u l s e c o n t r o l , i E AA T 0 0 3 ( 1 0 / 0 6 / 0 1 )I A P P E A L # . A f t e r c o n f i r m i n g t h a t t h e a p p e l l a n t w a s n o t i f i e d , y m e n t a n d A s s i s t a n c e R e g u l a t i o n ( E A R ) . h e t i m e o f r e c o n s i d e r a t i o n : t i o n d a t e d 5 J u n e 2 0 1 4 a n d s i g n e d b y t h e a p p e l l a n t n t c h o s e n o t t o c o m p l e t e t h e s e l f r e p o r t . 0 1 4 c o m p l e t e d a n d s i g n e d b y t h e a p p e l l a n t ' s o b i a a n d a n x i e t y d i s o r d e r . n , s o c i a l p h o b i a a n d p a n i c a t t a c k s t h a t h a s t s o n h e r s c h o o l a t t e n d a n c e , s o c i a l l i f e e t c . S h e e t o f r e q u e n t p a n i c a t t a c k s . S h e h a s b e e n s e e n b y i t h l i m i t e d s u c c e s s . C u r r e n t l y o n h i g h d o s e s t i l l l e a v e h e r w i t h s i g n i f i c a n t d i s a b i l i t y . t e r f e r e s w i t h t h e a p p e l l a n t ' s a b i l i t y t o p e r f o r m D L A n s / t r e a t m e n t s " i s i n d i c a t e d a s " I n d e f i n i t e " . d o e s n o t h a v e a n y l i m i t a t i o n i d e n t i f i e d o t h e r t h a n n o t b e i n g a b l e t o r e m a i n s e a t e d f o r m o r e t h a n 2 i v e a n d e m o t i o n a l f u n c t i o n s , t h e p h y s i c i a n i s t u r b a n c e , m o t i v a t i o n , m o t o r a c t i v i t y a n d a t t e n t i o n p r o v i d e a n y c o m m e n t . e A s s e s s o r R e p o r t , w h i c h e x e m p t e d h i m f r o m n o n e t h e l e s s c o m p l e t e d t h e s e c t i o n o n D L A a n d p a i r m e n t d i r e c t l y r e s t r i c t e d h e r a b i l i t y t o p e r f o r m r e s t r i c t e d o t h e r t h a n " U s e o f t r a n s p o r t a t i o n " a n d i n " , h e w r o t e : " C a n n o t u s e p u b l i c t r a n s i t . C a n n o t u p l e o f p e o p l e , e s p e c i a l l y i f t h e y a r e n o t w e l l d i c a t e d s h e n e e d e d h e l p o f f a m i l y . h i s p a t i e n t f o r 2 y e a r s a n d t h a t h e h a s s e e n h e r 2 J u n e 2 0 1 4 , c o m p l e t e d a n d s i g n e d b y t h e s a m e c a r e g i v e r . a i r m e n t s t h a t i m p a c t h e r a b i l i t y t o m a n a g e D L A . y s p e a k i n g , r e a d i n g , w r i t i n g a n d h e a r i n g i s g o o d . h e i s i n d e p e n d e n t w i t h a l l a c t i v i t i e s . i o n i n g w h e n t h e r e i s a n i d e n t i f i e d m e n t a l p a i r m e n t r e s t r i c t s o r i m p a c t s h e r d a i l y f u n c t i o n i n g i m p a c t f o r a t t e n t i o n / c o n c e n t r a t i o n a n d e x e c u t i v e n s i g h t a n d j u d g m e n t , m o t i v a t i o n , m o t o r a c t i v i t y a n d
" o t h e r e m o t i o n a l o r m e n t a l p r o b l e m s " . T a s s e s s o r i s a s k e d t o e x p l a i n i f t h e i m p a c o m m e n t i n t h a t r e s p e c t . o I n t e r m s o f D L A , s h e i s i n d e p e n d e n t e x c • S h e n e e d s c o n t i n u o u s a s s i s t a n c f r o m s t o r e s , t o u s e p u b l i c t r a n s i t t r a n s p o r t a t i o n ( w i t h a c o m m e n t t h h e r a b i l i t y t o d e a l a p p r o p r i a t e l y w • S h e n e e d s p e r i o d i c a s s i s t a n c e f r a p p r o p r i a t e s o c i a l d e c i s i o n s , w i t h i n t e r a c t a p p r o p r i a t e l y w i t h o t h e r s • T h e a s s e s s o r d i d n o t p r o v i d e a n y d u r a t i o n o f s u p p o r t / s u p e r v i s i o n o H e r m e n t a l i m p a i r m e n t w a s d e s c r i b e d a a n d e x t e n d e d s o c i a l n e t w o r k s a s " m a r g i o F o r t h e q u e s t i o n " i f t h e a p p e l l a n t r e q u i r e p l e a s e d e s c r i b e t h e s u p p o r t / s u p e rv i s i o c o m m u n i t y " , t h e a s s e s s o r a n s w e r e d " N o o H e i n d i c a t e d t h e a p p e l l a n t ' s f a m i l y p r o v i o T h e a p p e l l a n t d i d n o t h a v e a n a s s i s t a n c o T h e s o l e s o u r c e o f i n f o r m a t i o n u s e d b y i n t e r v i e w " w i t h h e r . o T h e a s s e s s o r d i d n o t i n d i c a t e h o w l o n g · c o n t a c t a n d i n t h e p a s t y e a r , h e h a d s e e p a t i e n t m e e t i n g " . • I n h e r R e q u e s t f o r R e c o n s i d e r a t i o n d a t e d 2 0 A i n d i c a t e d t h a t h e r a n x i e t y , d e p r e s s i o n a n d s o c i s h e i s i n c a p a b l e o f l e a v i n g h e r h o m e , a t t e n d i n g m e m b e r o r f r i e n d . S h e ' s i n c a p a b l e o f a s s u m i n g d a i l y s h o p p i n g , d o c t o r ' s a p p o i n t m e n t s , b a n k a p e m p l o y m e n t a n d m a n y o t h e r t y p i c a l D L A . S h e t r y i n g t o f i n d a m e d i c a t i o n t h a t c o u l d w o r k . S h e f o r e s e e a b l e f u t u r e a n d f e l t b e i n g o n d i s a b i l i t y w s t a b l e l i f e . • A l o n g w i t h t h e r e q u e s t , t h e r e i s a l e t t e r f r o m t h e A u g u s t 2 0 1 4 s t a t i n g t h a t s h e h a s s e e n t h e i m p h e a r t b r e a k i n g f o r h e r n o t b e i n g a b l e t o c u r e h e n o t a p h y s i c a l i l l n e s s , t h e q u e s t i o n s a s k e d o n t c o n d i t i o n a s o p p o s e d t o a m e n t a l i l l n e s s a n d s h e x a c t l y w o u l d p r o v e t h a t t h e a p p e l l a n t s u f f e r s f I n h e r N o t i c e o f A p p e a l d a t e d 2 3 S e p t e m b e r 2 0 1 4 , c r i t e r i o n 3 b e c a u s e t h e i n f o r m a t i o n p r o v i d e d b y h e c a n n o t l e a v e h o m e b y h e r s e l f . A s f o r t h e 4 t h c r i t e r i o a t t e n d a p p o i n t m e n t s f r e e l y d u e t o s o c i a l p h o b i a a n t h a t a s s i s t a n c e i s n e e d e d w i t h a c t i v i t i e s o u t s i d e h e E AA T 0 0 3 ( 1 0 / 0 6 / 0 1 )I A P P E A L # h e r e i s n o i m p a c t f o r t h e o t h e r a r e a s . W h i l e t h e c t i s e p i s o d i c o r v a r i e s o v e r t i m e , h e m a d e n o e p t f o r t h e f o l l o w i n g a c t i v i t i e s : e f r o m a n o t h e r p e r s o n o r i s u n a b l e t o g o t o a n d a n d f o r u s i n g t r a n s i t s c h e d u l e s a n d a r r a n g i n g a t s h e i s a f r a i d t o b e o n a b u s b y h e r s e l f) a n d w i t h i t h u n e x p e c t e d d e m a n d s . o m a n o t h e r p e r s o n t o m a k e a p p r o p r i a t e c h o i c e s , f o r h e r a b i l i t y t o d e v e l o p a n d m a i n t a i n r e l a t i o n s h i p s , a n d t o s e c u r e a s s i s t a n c e f r o m o t h e r s . c o m m e n t o r i n f o r m a t i o n a s t o t h e d e g r e e a n d r e q u i r e d . s i m p a c t i n g h e r r e l a t i o n s h i p s w i t h h e r i m m e d i a t e n a l f u n c t i o n i n g " . s h e l p , a s i n d i c a t e d a b o v e [ o n t h e s a m e p a g e ] , n r e q u i r e d w h i c h w o u l d h e l p t o m a i n t a i n h e r i n t h e " . d e s t h e h e l p r e q u i r e d f o r D L A . e a n i m a l . t h e a s s e s s o r t o c o m p l e t e t h e A R w a s " o f f i c e h e h a s k n o w n t h e a p p e l l a n t b u t i t w a s n o t a f i r s t n h e r 2 t o 1 0 t i m e s a n d w r o t e " r e g u l a r d o c t o r  u g u s t 2 0 1 4 a n d s i g n e d b y t h e a p p e l l a n t , s h e a l a n x i e t y i m p a i r h e r a b i l i t y t o l i v e a n o r m a l l i f e a s a p p o i n t m e n t s o r t r a v e l l i n g w i t h o u t a f a m i l y o n h e r o w n a n u m b e r o f a d u l t r e s p o n s i b i l i t i e s l i k e p o i n t m e n t s , a c h i e v i n g a n d m a i n t a i n i n g s t a r t e d t a k i n g m e d i c a t i o n a t a n e a r l y a g e a n d i s s t i l l d i d n o t s e e h e r c o n d i t i o n i m p r o v i n g i n t h e o u l d h e l p h e r t o b e a b l e t o l i v e a m o r e n o r m a l a n d a p p e l l a n t ' s m o t h e r d a t e d a n d s i g n e d o n 2 0 a c t o f h e r d a u g h t e r ' s m e d i c a l c o n d i t i o n a n d i t i s r . S h e f i n d s t h a t s i n c e h e r d a u g h t e r ' s c o n d i t i o n i s h e f o r m s w e r e m o r e a p p r o p r i a t e f o r a p h y s i c a l e s e e k s d i r e c t i o n f r o m t h e m i n i s t r y a s t o w h a t r o m a m e n t a l i m p a i r m e n t . t h e a p p e l l a n t s t a t e d t h a t s h e d i s a g r e e s w i t h r p h y s i c i a n c o n f i r m s m e n t a l i m p a i r m e n t , a s s h e n , s h e s t a t e d t h a t s h e c a n n o t w o r k , b a n k , s h o p o r d a n x i e t y . F i n a l l y f o r t h e 5 t h c r i t e r i o n , s h e s t a t e d r h o m e .
I APPEAL# 7 Prior to the hearing, the appellant provided a letter from her physician dated 27 October 2014 stating that he filled the initial forms and wanted to elaborate on her condition. He indicated that the appellant had "a long history of depression, social phobia and panic disorder. She was unable to finish high school because of the difficulty she had being in a classroom. She is currently under treatment and has made some progress, and I do believe that things will improve substantially over the next few years with the current treatment. She is looking into finishing her high school diploma with online courses from home. Once she has a high school diploma, I do believe that she will go on to further education, if the right environment is in place." In terms of impairment, he wrote: "I do believe that she has a severe mental impairment which restricts her daily activities and limits her interaction with other people. She is unable to take transit and relies on her family for transportation to appointments and for shopping. She had numerous panic attacks when outside of the house. These are quite terrifying and involve sweating, shakes and nausea." He completed the letter by stating "It is likely that her PWD status will be temporary, likely for a couple of years, until she has completed further education. With medical treatment and possible cognitive behavioral therapy, I do feel that the prognosis is good. Currently however she does require support from her family and healthcare providers." The ministry did not object to the admissibility of this new evidence and the panel determined the additional documentary evidence was admissible under s. 22(4) of the Employment and Assistance Act as it was in support of the records before the minister at reconsideration and provided more information about the medical condition of the appellant, consistent with the physician's previous information. EAAT 003(10/06/01)
P A R T F R e a s o n s f o r P a n e l D e c i s i o n T h e i s s u e u n d e r a p p e a l i s w h e t h e r t h e m i n i s t r y ' s d t h e e l i g i b i l i t y c r i t e r i a f o r d e s i g n a t i o n a s a P W D b e c s e v e r e p h y s i c a l a n d / o r m e n t a l i m p a i r m e n t t h a t , i n t a n d s i g n i f i c a n t l y r e s t r i c t s h e r a b i l i t y t o p e r f o r m D L A p e r i o d s r e s u l t i n g i n t h e n e e d f o r h e l p t o p e r f o r m D L l e g i s l a t i o n o r r e a s o n a b l y s u p p o r t e d b y t h e e v i d e n c r e q u i r e m e n t h a d b e e n m e t a n d t h a t t h e a p p e l l a n t h T h e c r i t e r i a f o r b e i n g d e s i g n a t e d a s a p e r s o n w i t h d E A P W O A a n d s . 2 o f t h e E A P W O R , w h i c h a r e s e t S e c t i o n 2 o f t h e E A P W D A s t a t e s : 2 ( 1 ) I n t h i s s e c t i o n : " a s s i s t i v e d e v i c e " m e a n s a d e v i c e d e s i g n e d t o e n b e c a u s e o f a s e v e r e m e n t a l o r p h y s i c a l i m p a i r m e n " d a i l y l i v i n g a c t i v i t y " h a s t h e p r e s c r i b e d m e a n i n g " h e a l t h p r o f e s s i o n a l " r e p e a l e d " p r e s c r i b e d p r o f e s s i o n a l " h a s t h e p r e s c r i b e d m e ( 2 ) T h e m i n i s t e r m a y d e s i g n a t e a p e r s o n w h o h a s r d i s a b i l i t i e s f o r t h e p u r p o s e s o f t h i s A c t i f t h e m i n i s t e o r p h y s i c a l i m p a i r m e n t t h a t ( a ) i n t h e o p i n i o n o f a m e d i c a l p r a c t i t i o n e r i s l i k ( b ) i n t h e o p i n i o n o f a p r e s c r i b e d p r o f e s s i o n a l ( i ) d i r e c t l y a n d s i g n i f i c a n t l y r e s t r i c t s t h e p e ( A ) c o n t i n u o u s l y , o r ( 8 ) p e r i o d i c a l l y f o r e x t e n d e d p e r i o d s , ( i i ) a s a r e s u l t o f t h o s e r e s t r i c t i o n s , t h e p e r ( 3 ) F o r t h e p u r p o s e s o f s u b s e c t i o n ( 2 ) , ( a ) a p e r s o n w h o h a s a s e v e r e m e n t a l i m p a i r m ( b ) a p e r s o n r e q u i r e s h e l p i n r e l a t i o n t o a d a i l y r e q u i r e s ( i ) a n a s s i s t i v e d e v i c e , ( i i ) t h e s i g n i f i c a n t h e l p o r s u p e r v i s i o n o f a n ( i i i ) t h e s e r v i c e s o f a n a s s i s t a n c e a n i m a l . ( 4 ) T h e m i n i s t e r m a y r e s c i n d a d e s i g n a t i o n u n d e r s S e c t i o n 2 o f t h e E A P W D R p r o v i d e s f u r t h e r c l a r i f i c a 2 ( 1 ) F o r t h e p u r p o s e s o f t h e A c t a n d t h i s r e g u l a t i o n ( a ) i n r e l a t i o n t o a p e r s o n w h o h a s a s e v e r e p h m e a n s t h e f o l l o w i n g a c t i v i t i e s : ( i ) p r e p a r e o w n m e a l s ; ( i i ) m a n a g e p e r s o n a l f i n a n c e s ; ( i i i ) s h o p f o r p e r s o n a l n e e d s ; ( i v ) u s e p u b l i c o r p e r s o n a l t r a n s p o r t a t i o n f ( v l_ _E) e r f o r m h o u s e w o r k t o m a i n t a i n t h e p e r E AA T 0 0 3 ( 1 0 / 0 6 / 0 1 )I A P P E A L # 7 e t e r m i n a t i o n t h a t t h e a p p e l l a n t h a s n o t m e t a l l o f a u s e i t w a s n o t s a t i s f i e d t h a t t h e a p p e l l a n t h a d a h e o p i n i o n o f a p r e s c r i b e d p r o f e s s i o n a l , d i r e c t l y e i t h e r c o n t i n u o u s l y o r p e r i o d i c a l l y f o r e x t e n d e d A w a s e i t h e r a r e a s o n a b l e a p p l i c a t i o n o f t h e e . T h e m i n i s t r y d e t e r m i n e d t h a t t h e a g e a s a n i m p a i r m e n t t h a t w i l l l a s t f o r 2 y e a r s . i s a b i l i t i e s ( P W D ) a r e s e t o u t i n s . 2 o f t h e o u t b e l o w . a b l e a p e r s o n t o p e r f o r m a d a i l y l i v i n g a c t i v i t y t h a t , t , t h e p e r s o n i s u n a b l e t o p e r f o r m ; ; a n i n g ; e a c h e d 1 8 y e a r s o f a g e a s a p e r s o n w i t h r i s s a t i s f i e d t h a t t h e p e r s o n h a s a s e v e r e m e n t a l e l y t o c o n t i n u e f o r a t l e a s t 2 y e a r s , a n d r s o n ' s a b i l i t y t o p e r f o r m d a i l y l i v i n g a c t i v i t i e s e i t h e r a n d s o n r e q u i r e s h e l p t o p e r f o r m t h o s e a c t i v i t i e s . e n t i n c l u d e s a p e r s o n w i t h a m e n t a l d i s o r d e r , a n d l i v i n g a c t i v i t y i f , i n o r d e r t o p e r f o r m i t , t h e p e r s o n o t h e r p e r s o n , o r u b s e c t i o n ( 2 ) . t i o n : , " d a i l y l i v i n g a c t i v i t i e s " , y s i c a l i m p a i r m e n t o r a s e v e r e m e n t a l i m p a i r m e n t , a c i l i t i e s ; s o n ' s p l a c e o f r e s i d e n c e i n a c c e p t a b l e s a n i t a ry
condition; ( vi) m o ve abo u t indoors and outdoors; (v ii) p er form pe rs o n al hygi e ne a n d self care; (vi ii) manage per s o na l med i cation, and (b) in relation to a person who has a s ever e men (i) make decis ions about per s on a l ac t ivities, c (ii) re late to, com municate or interact with other (2) For the p u r poses of t he Act, "prescr ibed prof ess (a) authorize d un d er an enactment to practise the prof (i) medical practitioner, (ii) registered psychologist, (iii) r eg istere d nurse or r e g istered psy chiat (iv) occupational therapist, (v) physical t h erapi st, (vi) socia l wor ker, ( vii) c h i ropractor, o r ( vii i) nurs e pract itioner , or ( b) a ct ing i n the c o urse of the person 's e mployment as ( i) an autho r i t y, as th at t erm i s de fined in (ii) a board or a fran copho n e edu ca ti on a u of the School Act, if qualificat i ons in psych Th e minis tr y ac knowl e dges that t he a ppell ant meets she is at l e ast 18 ye a rs o f age and her impairment is li t he ministry argues that s h e doe s not mee t th e other 3 Se ver e p h ysica l im pairment: The minis t ry a rg ued tha t the e vidence was i nsuffi ci sin ce t he on ly evid en ce offere d wa s some limitat ion hours ) . The ap pellant did not argu e that she had a se vere The panel f inds th e re is little i f an y evidence supporting a physical impairment since the diagnosis from the physician is restricted to mental disorders and that the ministry reasonably determined there was not enough evidence to demonstrate the appellant suffered from Severe mental impairment: The ministry argued that while there was ev idence i mpairment, there w as no t enough evidence t o determine that i ministry based its argument on the PR and the AR that show the appellant can independently manage the majority of her DLA, some with periodic assistance, as well as managing the majority of her social functioning with periodic support or supervision. At the hearing, the ministry also suggested that a PWD designation could not address or even alleviate anv of the restrictions mentioned in the EAAT 003(10/06/01) I APPEAL# tal i mpairme n t , inc ludes the following activit ies: a re or fi nances; s effectively. io n al " m eans a person who is es sion of ric n urse, a sch ool psycho l og ist by s ecti o n 1 (1) o f t h e Indep endent Schoo l Act, o r t hori t y, as t hose t e r ms ar e def ined i n sec tion 1 ( 1) o logy are a conditio n o f such e m pl o yment. 2 o f the co n ditio n s for P WD designatio n i n t h at kel y to con t i nue f or 2 years o r more . H o wever, criteria . e n t to de m ons tra te a seve re p hysic al impair me nt in lifting (2-7 kg) a n d remaini ng se ated (1-2 phys ical i m pa i rm ent. a severe physical impairment. that t he a p pellant suffere d from a mental t was a se vere mental impairment. The
r e p o r t s . T h e a p p e l l a n t a r g u e d t h a t h e r c o n d i t i o n a m o u n t e d n o t d o a n y o u t s i d e a c t i v i t i e s , b e i n g p r o n e t o p a n i c m e m b e r s t o g o o u t w i t h h e r w h e r e v e r s h e g o e s a n c o u l d n o t p e r f o r m m a n y n o r m a l a d u l t r e s p o n s i b i l i t i e e m p l o y m e n t . S h e f i n a l l y a r g u e d t h a t h e r p h y s i c i a n t h a t r e s t r i c t e d h e r D L A . T h e p a n e l n o t e s t h a t t h e l e g i s l a t i o n d e t e r m i n e s i t i s h a s a s e v e r e m e n t a l i m p a i r m e n t ( s . 2 ( 2 ) o f t h e E A P p r a c t i t i o n e r o r a p r e s c r i b e d p r o f e s s i o n a l i s n o t s o l e t h e e v i d e n c e p r o v i d e d b y t h e p h y s i c i a n i s o f t e n i n c i n d i c a t e d a b o v e i n t e r m s o f l i f t i n g a n d r e m a i n i n g s e r e s p e c t o f m o b i l i t y a n d p h y s i c a l a b i l i t y i n t h e A R . I n p h y s i c i a n c h e c k e d s i g n i f i c a n t d e f i c i t s w i t h c o g n i t i v e e x p l a n a t i o n , n o c o m m e n t s , a s t o w h a t t h e y w e r e . W q u e s t i o n n a i r e i n t h e P R a n d i n d i c a t e d " U n k n o w n " t r e s t r i c t t h e p e r s o n ' s a b i l i t y t o p e rf o r m D L A ? " Y e t , h t r a n s p o r t a t i o n a n d S o c i a l f u n c t i o n i n g a n d t h a t t h o s q u e s t i o n " I f ' p e r i o d i c ' , p l e a s e e x p l a i n , h e d o e s p r o v p u b l i c t r a n s i t o r i n t e r a c t i n s i t u a t i o n s w h e r e t h e r e a Y e t , i n t h e A R , t h e s a m e p h y s i c i a n i n d i c a t e d o n l y 1 a n d o n l y 2 w h e r e t h e r e i s a m o d e r a t e i m p a c t ( a t t e n o t h e r a r e a s o f c o g n i t i v e a n d e m o t i o n a l f u n c t i o n i n g t h e r e i s a m a j o r o r m o d e r a t e i m p a c t , h e d i d n o t p r o w e r e . I n t e r m s o f s o c i a l f u n c t i o n i n g , t h e p h y s i c i a n r a r e a s ) o r c o n t i n u o u s s u p p o r t / s u p e r v i s i o n ( a b l e t o d d i d n o t o f f e r a n y e x p l a n a t i o n o r d e s c r i p t i o n o f t h e d r e q u i r e d . Y e t , d o w n o n t h e s a m e p a g e , a t t h e q u e s a b o v e , p l e a s e d e s c r i b e t h e s u p p o r t / s u p e r v i s i o n r e q c o m m u n i t y " , h e w r o t e " N o " . T h e p h y s i c i a n d i d n o t o O c t o b e r 2 0 1 4 , o n l y g i v i n g h i s o p i n i o n t h a t t h e a p p e r e s t r i c t s h e r d a i l y a c t i v i t i e s a n d l i m i t s h e r i n t e r a c t i o n a d d e d " i t i s l i k e l y t h a t h e r P W D s t a t u s w i l l b e t e m p o c o m p l e t e d f u r t h e r e d u c a t i o n . . . I d o f e e l t h e p r o g n o e d u c a t i o n m i g h t b e a f a c t o r r e s t r i c t i n g h e r f u n c t i o n i G i v e n t h o s e c i r c u m s t a n c e s , t h e p a n e l f i n d s t h e r e i s i m p a i r m e n t a n d s i g n i f i c a n t i m p a c t o n h e r D L A , i n p D L A a r e b e i n g i m p a c t e d , a n d t h e r e f o r e f i n d s t h a t t h s a t i s f i e d t h e a p p e l l a n t h a d a s e v e r e m e n t a l i m p a i r m D a i l y L i v i n g A c t i v i t i e s ( D L A ) : E AA T 0 0 3 ( 1 0 / 0 6 / 0 1 )I A P P E A L t t o a s e v e r e m e n t a l i m p a i r m e n t b e c a u s e s h e c o u l d a t t a c k s a n d s o c i a l a n x i e t y . S h e n e e d s f a m i l y d s h e c a n n o t u s e p u b l i c t r a n s i t . S h e a r g u e d s h e s , i n c l u d i n g a c h i e v i n g a n d m a i n t a i n i n g d e t e r m i n e d s h e h a d a s e v e r e m e n t a l i m p a i r m e n t f o r t h e m i n i s t e r t o b e s a t i s f i e d t h a t t h e a p p e l l a n t W D A ) a n d t h a t t h e o p i n i o n o f a m e d i c a l l y d e t e r m i n a t i v e o f t h e i s s u e . T h e p a n e l n o t e s t h a t o n s i s t e n t . F o r i n s t a n c e , t h e r e a r e l i m i t a t i o n s a s a t e d i n t h e P R b u t s h e i s s t i l l i n d e p e n d e n t i n t h e P R , t h e r e a r e m a n y a r e a s w h e r e t h e a n d e m o t i o n a l f u n c t i o n s b u t t h e r e a r e n o h i l e h e d i d n o t h a v e t o , h e d i d c o m p l e t e t h e D L A o t h e q u e s t i o n " D o e s t h e i m p a i r m e n t d i r e c t l y e d o e s m e n t i o n 2 D L A t h a t a r e i m p a c t e d : U s e o f e r e s t r i c t i o n s a r e " c o n t i n u o u s " ; b u t t h e n a t t h e i d e t h e e x p l a n a t i o n t h a t t h e a p p e l l a n t c a n n o t u s e r e a c o u p l e o f p e r s o n s u n k n o w n t o h e r . a r e a w h e r e t h e r e i s a m a j o r i m p a c t ( e m o t i o n s ) t i o n / c o n c e n t r a t i o n a n d e x e c u t i v e ) w h i l e a l l t h e a r e a s s e s s e d a s n o o r m i n i m a l i m p a c t a n d , w h e r e v i d e a n y i n f o r m a t i o n o r c o m m e n t s a s t o w h a t t h e y e p o r t e d e i t h e r p e r i o d i c s u p p o r t / s u p e r v i s i o n ( 4 e a l a p p r o p r i a t e l y w i t h u n e x p e c t e d d e m a n d s ) b u t e g r e e a n d d u r a t i o n o f s u p p o r t / s u p e r v i s i o n t i o n " I f t h e a p p l i c a n t r e q u i r e s h e l p , a s i n d i c a t e d u i r e d w h i c h w o u l d h e l p t o m a i n t a i n h e r i n t h e f f e r a n y m o r e d e t a i l e d e v i d e n c e i n h i s l e t t e r o f 2 7 l l a n t " h a s a s e v e r e m e n t a l i m p a i r m e n t w h i c h w i t h o t h e r p e o p l e " . C o n v e r s e l y , t h e p h y s i c i a n r a r y , l i k e l y f o r a c o u p l e o f y e a r s , u n t i l s h e h a s s i s i s g o o d . " T h i s s e e m s t o s u g g e s t t h a t t h e l a c k o f n g . l i t t l e e v i d e n c e s u p p o r t i n g a s e v e r e m e n t a l a r t i c u l a r t h e r e i s l i t t l e i n f o r m a t i o n a s t o h o w h e r e m i n i s t r y r e a s o n a b l y d e t e r m i n e d i t w a s n o t e n t .
T h e m i n i s t r y a r g u e d t h a t t h e r e i s n o t e n o u g h e v i d e p h y s i c i a n ) t h a t h e r D L A a r e d i r e c t l y a n d s i g n i f i c a n t i n c o n s i s t e n c i e s . F o r i n s t a n c e , w h i l e i t a c k n o w l e d g e t r a n s i t , t h e p h y s i c i a n i n d i c a t e s t h e a p p e l l a n t g o t r i d w h y s h e n e e d e d c o n t i n u o u s a s s i s t a n c e u s i n g t r a n s T h e a p p e l l a n t a r g u e d t h a t m a n y o f h e r D L A w e r e i m s o m e e x a m p l e s t h a t a r e g e n e r a l l y c o n s i s t e n t w i t h w T h e p a n e l n o t e s t h a t m a n y o f t h e r e s t r i c t i o n s t h e a p t h e b a n k e t c . ) w e r e b e c a u s e s h e n e e d e d t r a n s p o r t u s e p u b l i c t r a n s i t b u t t h e r e i s n o e v i d e n c e a s t o w h i m p a c t s o n h e r D L A . T h e r e i s n o i n d i c a t i o n a s t o w c o u l d d r i v e a c a r o r u s e a b i c y c l e o r w a l k t o h e r d e s m e n t i o n e d b y t h e p h y s i c i a n i s i n t e r m s o f " m a k i n g a " p e r i o d i c a s s i s t a n c e " b u t t h e r e i s n o e x p l a n a t i o n a s a b i l i t i e s i n t e r m s o f r e a d i n g a n d h e a r i n g a r e g o o d a i m p a c t " o n " l a n g u a g e " t h a t i n c l u d e s c o m p r e h e n s i o n p h y s i c i a n i n c l u d e d t h a t i n " e x e c u t i v e " w h e r e h e a s s a n y e x p l a n a t i o n a n d t h e p a n e l c a n n o t s p e c u l a t e . A s m e n t i o n e d a b o v e , i n t e r m s o f s o c i a l f u n c t i o n i n g , p a g e o f t h e A R a n d t h e r e i s n o i n d i c a t i o n a s t o w h a t h e e x t e n t o f t h e s u p p o r t / s u p e r v i s i o n r e q u i r e d , w h a s u p p o r t / s u p e r v i s i o n i s r e q u i r e d . T h e r e i s n o i n d i c a t i t h a t s h e n e e d s c o n t i n u o u s s u p p o r t / s u p e r v i s i o n i n r e u n e x p e c t e d d e m a n d s o r h o w o f t e n s h e i s f a c e d w i t t h e p h y s i c i a n d i d n o t c l a r i f y a n y o f t h o s e q u e s t i o n s , a t t a c k s w h e n o u t s i d e t h e h o u s e i s t h a t w h y s h e n t r a n s p o r t a t i o n o r b o t h ? A g a i n , t h e p a n e l c a n n o t s p e G i v e n a n u m b e r o f i n c o n s i s t e n c i e s a n d m a n y u n a n c o n d i t i o n o n h e r D L A , t h e p a n e l f i n d s t h e m i n i s t r y r e v i d e n c e t o e s t a b l i s h t h a t t h e a p p e l l a n t ' s i m p a i r m e c o n t i n u o u s l y o r p e r i o d i c a l l y f o r e x t e n d e d p e r i o d s a s t e r m s o f s o c i a l f u n c t i o n i n g , o n l y p e r i o d i c s u p p o r t o f b u t o n e a r e a . A s a r e s u l t o f t h o s e r e s t r i c t i o n s , h e l p r e q u i r e d t o p e T h e m i n i s t r y a r g u e d t h a t s i n c e D L A a r e n o t s i g n i f i c a s i g n i f i c a n t h e l p i s r e q u i r e d f r o m o t h e r p e r s o n s a n d a s s i s t a n c e a n i m a l . T h e a p p e l l a n t a r g u e d t h a t s h e n e e d e d h e l p t o p e r f o s h e c o u l d n o t p e r f o r m s o m e o f t h e m i f s h e d i d n o t h E AA T 0 0 3 ( 1 0 / 0 6 / 0 1 )I A P P E A L # n c e b y t h e p r e s c r i b e d p r o f e s s i o n a l ( t h e a p p e l l a n t ' s l y i m p a c t e d f o r l a c k o f i n f o r m a t i o n a n d d t h a t s h e r e q u i r e d a s s i s t a n c e w i t h u s i n g p u b l i c e s f r o m h e r f a m i l y a n d f u r t h e r t h e r e i s n o e v i d e n c e i t s c h e d u l e s a n d a r r a n g i n g t r a n s p o r t a t i o n . p a c t e d b y h e r m e n t a l i m p a i r m e n t a n d p r o v i d e d h a t t h e p h y s i c i a n i n d i c a t e d i n b o t h P R a n d A R . p e l l a n t f a c e d ( s h o p p i n g , g o i n g t o a p p o i n t m e n t s , t o a t i o n . T h e p a n e l a c c e p t s t h a t t h e a p p e l l a n t c a n n o t e t h e r s h e n e e d s t o u s e p u b l i c t r a n s i t a n d w h y i t h a t h e r t r a n s p o r t a t i o n n e e d s a r e , w h e t h e r s h e t i n a t i o n . O n c e t h e r e , t h e o n l y r e s t r i c t i o n p p r o p r i a t e c h o i c e s " w h e r e i t s t a t e s t h a t s h e n e e d s t o w h y o r w h a t i s m e a n t b y " p e r i o d i c " ; y e t , h e r c c o r d i n g t o t h e p h y s i c i a n a n d h e i n d i c a t e d " n o p r o b l e m s , i n a b i l i t y t o u n d e r s t a n d . P e r h a p s t h e e s s e d a m o d e r a t e i m p a c t b u t h e d i d n o t p r o v i d e t h e r e w e r e s i g n i f i c a n t i n c o n s i s t e n c i e s i n t h a t o n e t p e r i o d i c s u p p o r t / s u p e r v i s i o n i s r e q u i r e d , w h a t i s t a r e t h e c h a l l e n g e s s h e f a c e s w h e n s u c h o n a s t o w h a t t h e p h y s i c i a n m e a n t w h e n h e s t a t e d s p e c t o f h e r a b i l i t y t o d e a l a p p r o p r i a t e l y w i t h h u n e x p e c t e d d e m a n d s . I n h i s l e t t e r o f 2 7 O c t o b e r , r a t h e r s t a t i n g t h a t s h e h a d n u m e r o u s p a n i c e e d s a s s i s t a n c e / s u p e r v i s i o n o r i s i t f o r c u l a t e . s w e r e d q u e s t i o n s a s t o t h e i m p a c t o f h e r m e d i c a l e a s o n a b l y d e t e r m i n e d t h e r e w a s n o t e n o u g h n t d i r e c t l y a n d s i g n i f i c a n t l y r e s t r i c t e d h e r D L A m o s t D L A a r e m a n a g e d i n d e p e n d e n t l y a n d , i n u n k n o w n d u r a t i o n a n d f r e q u e n c y i s r e q u i r e d f o r a l l rf o r m D L A : n t l y r e s t r i c t e d , i t c a n n o t b e d e t e r m i n e d t h a t t h a t n o a s s i s t i v e d e v i c e s a r e r e q u i r e d n o r a n r m s o m e o f h e r D L A a s m e n t i o n e d a b o v e a n d t h a t a v e t h a t a s s i s t a n c e .
F r o m t h e e v i d e n c e p r e s e n t e d , i t i s n o t c l e a r w h a t h o r t o w h a t e x t e n t i t i s r e q u i r e d . T h u s , t h e p a n e l f i n d d i d n o t m e e t t h e l e g i s l a t i v e t e s t o f t h e n e e d f o r h e l p D L A e i t h e r c o n t i n u o u s l y o r p e r i o d i c a l l y f o r e x t e n d e d C o n c l u s i o n : T h e p a n e l c o m e s t o t h e c o n c l u s i o n t h a t t h e m i n i s t r y h a v e a s e v e r e p h y s i c a l o r m e n t a l i m p a i r m e n t a n d t t h a t a n i m p a i r m e n t d i r e c t l y a n d s i g n i f i c a n t l y r e s t r i c t p e r i o d i c a l l y f o r e x t e n d e d p e r i o d s a n d t h a t , a s a r e s p e r f o r m t h o s e a c t i v i t i e s u n d e r s . 2 ( 2 ) o f t h e E A P W D d e c i s i o n w a s r e a s o n a b l y s u p p o r t e d b y t h e e v i d e n c e E AA T 0 0 3 ( 1 0 / 0 6 / 0 1 )I A P P E A L # e l p i s r e q u i r e d b y t h e a p p e l l a n t t o p e r f o r m h e r D L A s t h e m i n i s t r y r e a s o n a b l y d e t e r m i n e d t h e a p p e l l a n t a r i s i n g f r o m s i g n i f i c a n t r e s t r i c t i o n s t o p e r f o r m p e r i o d s . r e a s o n a b l y d e t e r m i n e d t h e a p p e l l a n t d o e s n o t h a t t h e p r e s c r i b e d p r o f e s s i o n a l d i d n o t e s t a b l i s h e d h e r a b i l i t y t o p e r f o r m D L A e i t h e r c o n t i n u o u s l y o r u l t o f t h o s e r e s t r i c t i o n s s h e r e q u i r e d h e l p t o A . C o n s e q u e n t l y , t h e p a n e l f i n d s t h e m i n i s t r y ' s a n d c o n f i r m s t h e d e c i s i o n .
You are being directed to the most recent version of the statute which may not be the version considered at the time of the judgment.