P A R T C D e c i s i o n u n d e r A p p e a l T h e d e c i s i o n u n d e r a p p e a l i s t h e M i n i s t r y o f S o c i a l D " m i n i s t r y " ) r e c o n s i d e r a t i o n d e c i s i o n d a t e d O c t o b e r 2 m e e t t w o o f t h e f i v e s t a t u t o r y r e q u i r e m e n t s o f S e c t i o P e r s o n s w i t h D i s a b i l i t i e s A c t f o r d e s i g n a t i o n a s a p e t h a t t h e a p p e l l a n t m e t t h e a g e r e q u i r e m e n t a n d t h a t 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 e l y t o c o n t i n u e w a s n o t s a t i s f i e d t h a t t h e e v i d e n c e e s t a b l i s h e s t h a t : • t h e a p p e l l a n t ' s d a i l y l i v i n g a c t i v i t i e s ( " D L A " ) a 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 e i t h e r c o n t • a s a r e s u l t o f t h e s e r e s t r i c t i o n s , t h e a p p e l l a n t a n o t h e r p e r s o n , t h e u s e o f a n a s s i s t i v e d e v i c e p e rf o r m D L A . P A R T D R e l e v a n t L e g i s l a t i o n E m p l o y m e n t a n d A s s i s t a n c e f o r P e r s o n s w i t h D i s a b E m p l o y m e n t a n d A s s i s t a n c e f o r P e r s o n s w i t h D i s a b E AA T 0 0 3 ( 1 0 / 0 6 / 0 1 )A P P E A L # I e v e l o p m e n t a n d S o c i a l I n n o v a t i o n ( t h e , 2 0 1 4 w h i c h f o u n d t h a t t h e a p p e l l a n t d i d n o t n 2 o f t h e E m p l o y m e n t a n d A s s i s t a n c e fo r r s o n w i t h d i s a b i l i t i e s ( " P W D " ) . T h e m i n i s t r y f o u n d h e 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 t h a t , i n t h e f o r a t l e a s t t w o y e a r s . H o w e v e r , t h e m i n i s t r y r e , 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 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 n d , r e q u i r e s 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 , o r 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 t o i l i t i e s A c t ( " E A P W D A " ) , s e c t i o n 2 i l i t i e s R e g u l a t i o n ( " E A P W D R " ) , s e c t i o n 2
P A R T E S u m m a r o f F a c t s T h e i n f o r m a t i o n b e f o r e t h e m i n i s t r y a t t h e t i m e o f r e • T h e a p p e l l a n t ' s P W D a p p l i c a t i o n f o r m c o n s i s 2 0 1 4 ] , a p h y s i c i a n ' s r e p o r t ( " P R " ) s i g n e d b y 2 0 1 4 ] a n d a n a s s e s s o r ' s r e p o r t ( " A R " ) a l s o s 2 0 1 4 ] . • T h e a p p e l l a n t ' s 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 a n d a t t a c h e d l e t t e r f r o m t h e a p p e l l a n t ' s p s y c • A d m i s s i o n s a n d d i s c h a r g e i n f o r m a t i o n f r o m a a n d J a n u a r y 2 0 1 3 ( t h e " A d m i s s i o n / D i s c h a r g • V a r i o u s o t h e r m e d i c a l r e p o r t s , i n c l u d i n g a n i m A d m i s s i b i l i t y o f A d d i t i o n a l I n fo r m a t i o n P r i o r t o t h e a p p e a l h e a r i n g , t h e a p p e l l a n t s u b m i t t e d E m p l o y m e n t a n d A s s i s t a n c e A p p e a l T r i b u n a l : A l e t t e r f r o m t h e a p p e l l a n t ' s p s y c h i a t r i s t , d a t e d N o v w r o t e t h a t : • T h e a p p e l l a n t ' s o r i g i n a l P W D a p p l i c a t i o n h a d s u b s e q u e n t c l i n i c a l i n f o r m a t i o n h a s b e c o m e • I n t h e p s y c h i a t r i s t ' s o p i n i o n , t h e a p p e l l a n t ' s m o c c u p a t i o n a l f u n c t i o n i n g . • T h e a p p e l l a n t h a s t o d a t e d e c l i n e d r e c o m m e • T w o p s y c h o l o g i c a l a s s e s s m e n t s b y t w o p s y c p s y c h o t i c d i s o r d e r . • T h e a p p e l l a n t i s u n a b l e t o w o r k f o r s e v e r a l r e • H i s p s y c h o t i c s y m p t o m s d i r e c t l y i n t e r f e r e w i t a p p r o p r i a t e l y w i t h o t h e r s . • H e e x p e r i e n c e s a u d i t o r y h a l l u c i n a t i o n s a n d o • H e i s u n a b l e t o " f i l t e r " h i s t h i n k i n g , l e a d i n g t o f u n c t i o n i n g , a n d s e l f c a r e . • H e r e q u i r e s t h e s u p p o r t o f h i s t r e a t m e n t t e a m c o r r e c t i o n s . T h e a p p e l l a n t a l s o p r o v i d e d o r a l t e s t i m o n y a t t h e a p e v i d e n c e b e l o w . T h e a p p e l l a n t ' s o r a l t e s t i m o n y a n d t h e N o v e m b e r 1 i n f o r m a t i o n t h a t i s c o n s i s t e n t w i t h , a n d t e n d s t o c o r r r e g a r d i n g t h e i m p a c t s t h e a p p e l l a n t i s e x p e r i e n c i n g a d m i t t e d t h i s i n f o r m a t i o n r e s p e c t i v e l y a s o r a l a n d w s e c t i o n 2 2 ( 4 ) o f t h e E m p l o y m e n t a n d A s s i s t a n c e A c T h e m i n i s t r e l i e d o n i t s r e c o n s i d e r a t i o n d e c i s i o n a E AA T 0 0 3 ( 1 0 / 0 6 / 0 1 )A P P E A L # I c o n s i d e r a t i o n i n c l u d e d t h e f o l l o w i n g : t i n g o f t h e a p p e l l a n t ' s s e l f r e p o r t [ d a t e d A p r i l 7 , t h e a p p e l l a n t ' s g e n e r a l p r a c t i t i o n e r [ d a t e d M a y 2 , i g n e d b y t h e g e n e r a l p r a c t i t i o n e r [ d a t e d A p r i l 8 , d a t e d A u g u s t 2 9 , 2 0 1 4 w i t h h i s w r i t t e n s t a t e m e n t , h i a t r i s t a l s o d a t e d A u g u s t 2 9 , 2 0 1 4 . p s y c h i a t r i c f a c i l i t y f o r t h e p e r i o d D e c e m b e r 2 0 1 2 e D o c u m e n t s . " ) a g i n g r e p o r t . t h e f o l l o w i n g d o c u m e n t t o t h e o f f i c e s o f t h e e m b e r 1 4 , 2 0 1 4 . I n t h i s l e t t e r , t h e p s y c h i a t r i s t b e e n c o m p l e t e d b y a d i f f e r e n t a s s e s s o r a n d a v a i l a b l e s i n c e t h a t t i m e . e n t a l d i s o r d e r i s d i r e c t l y i m p a c t i n g h i s s o c i a l a n d n d e d p s y c h o t i c m e d i c a t i o n . h i a t r i s t s h a v e i d e n t i f i e d t h a t t h e a p p e l l a n t h a s a a s o n s . h h i s a b i l i t y t o i n t e r a c t a n d c o m m u n i c a t e t h e r r e l i g i o u s d e l u s i o n s . i m p a i r m e n t s i n c o n c e n t r a t i o n , e x e c u t i v e a t f o r e n s i c p s y c h i a t r i c s e r v i c e s a n d c o m m u n i t y p e a l h e a r i n g , a s d e t a i l e d i n t h e r e v i e w o f t h e 4 , 2 0 1 4 l e t t e r f r o m t h e p s y c h i a t r i s t i n c l u d e o b o r a t e , i n f o r m a t i o n t h a t w a s b e f o r e t h e m i n i s t r y a s a r e s u l t o f h i s m e n t a l c o n d i t i o n . T h e p a n e l h a s r i t t e n t e s t i m o n y i n s u p p o r t , i n a c c o r d a n c e w i t h t . n d s u b m i t t e d n o a d d i t i o n a l i n f o r m a t i o n .
I APPEAL# * * * The panel reviewed the evidence as follows: Diagnoses • In the PR the general practitioner (the "GP") diagnosed the appellant has having post traumatic stress disorder ("PTSD"), subdural bleed, sensory disorder (olfactory), mood disorders, and chronic fatigue syndrome. The GP reported that as a result of subdural hemorrhage, the appellant experienced post-concussive symptoms such as vertigo, decreased memory, decreased concentration, worsening of anxiety/depression, and bulimia. • The Admission/Discharge Documents, completed by a different psychiatrist than the appellant's current psychiatrist, diagnose Axis I R/O religious type delusional disorder, Axis II Schizotypal Personality Disorder, Axis Ill skull fracture (healing) with brain contusion and a minor subdural bleed, and Axis V GAF-50. Physical Impairment • In describing the appellant's physical functional skills in the PR the GP reported that the appellant can walk 4+ blocks unaided on a flat surface, climb 5+ stairs, and has no limitations in ability to lift or remain seated. • In the Mobility and Physical Ability portion of the AR the GP reported that the appellant independently manages walking indoors and outdoors, climbing stairs, standing, lifting, and carrying/holding. • In the Additional Information section of the AR the GP wrote that the appellant continues to have bouts of dizziness relating to post-concussive symptoms/subdural bleed. • In his oral testimony the appellant said that he has had bulimia in the past. He stated that he was fasting for religious reasons while he was in custody and his fast was misinterpreted by the authorities as a hunger strike. The fasting caused him to get dizzy, fall down and injure his head. He said he suffers ongoing vertigo and loss of his sense of smell because of the head injury. DLA • In the PR the GP reported that the appellant has not been prescribed any medication or treatments that interfere with his ability to perform DLA, and the appellant has no difficulty with communication. • In the AR the GP commented that chronic fatigue and depression get in the way of AOL's and motivation to do things. The GP also wrote that depressive symptoms inhibit the appellant from performing any job that requires concentration/interaction with the public. • In the AR the GP indicated that the appellant lives alone and that he independently manages all tasks related to the DLA of personal self-care, daily shopping, meal preparation, management of personal finances (pay rent and bills), management of personal medications, and use of transportation. • The GP reported that the appellant takes significantly longer than typical with laundry-related tasks because he "cannot smell dirty clothes." Otherwise the GP indicated the appellant's impairment does not directly restrict his ability to manage the DLA of basic housekeeping. • With res ect to the DLA of social functionin , the GP reported. the a ellant independent! EAAT 003( 10/06/01)
I APPEAL# manages the tasks of making appropriate social decisions, interacting appropriately with others, and securing assistance from others. He assessed the appellant as requiring periodic support/supervision with respect to developing/ maintaining relationships ("PTSD from court case prevents him from developing meaningful relationships") and dealing appropriately with unexpected demands ("impacted by depression, PTSD symptoms.") The GP reported the appellant as having good functioning with respect to his immediate social network ("limited by his probation [conditions] -currently appealing this.") and marginal functioning with his extended social network ("limited by probation orders -cannot go to church.") • In his oral testimony the appellant, through his advocate (a forensic social worker), explained that the appellant finds it challenging to interact with others and to develop a relationship. The advocate said that the appellant is very pleasant to speak with, but in time his delusions and persistent religious themes are challenging for other people. The advocate stated that the appellant will not be able to be employed full time in the community for several years. • The appellant said that previous allegations of criminal conduct made against him are well known in the community where he resides and he has been subject to name-calling and shunning. • In response to questions from the panel the appellant stated that: o He does his own grocery shopping and also goes to the food bank. o He looks after his own financial affairs and pays his own bills. o Walking is pretty much his sole means of getting around. He takes public transportation (a ferry) to attend his medical appointments. o The loss of his sense of smell challenges him socially since he can't ever be sure whether he has an inappropriate level of body odour. He was at lunch with two friends at a restaurant when one friend told him he didn't want to sit with the appellant because of his body odour. The other friend told him he couldn't detect any odour. o He has trouble sleeping -if he wakes up in the night his mind gets active. Help • In the PR the GP reported that the appellant does not require any prostheses or aids for his impairment. In the AR the GP indicated that the appellant receives assistance for DLA from friends ("helps with social functioning.") He identified no assistive devices being used by the appellant, and reported that the appellant does not have an assistance animal. EAAT 003(1 0/06/01)
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 o n t h i s 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 P W D w a s r e a s o n a b l y s u p p o rt e d b y t h e e v i d e n c e o r e n a c t m e n t i n t h e c i r c u m s t a n c e s o f t h e a p p e l l a n t . I n d e t e r m i n i n g t h a t t h e a p p e l l a n t d o e s n o t h a v e a s e v e a 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 i m p a i r m e n f r o m p e r f o r m i n g 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 t h o s e r e s t r i c t i o n s t h e a p p e l l a n t d o e s n o t r e q u i r e h e l T h e r e l e v a n t l e g i s l a t i o n i s a s f <;> l l o w s : E A P W D A : 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 a c t i v i t y t h a t , b e c a u s e o f a s e v e r e m e n t a 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 y " h a s t h e p r e " 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 ( 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 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 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 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 y e a r s , a n d ( b ) i n t h e o p i n i o n o f a p r e s c ( i ) d i r e c t l y a n d s i g n i f l i v i n g a c t i v i t i e s e i t h e r ( A ) c o n t i n u o u ( B ) p e r i o d i c a l ( i i ) a s a r e s u l t o f t h o s t h o s e a c t i v i t i e s . ( 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 m e n t a l d i s o r d e r , a n d ( b ) a p e r s o n r e q u i r e s h e l p i n p e r f o r m i t , t h e p e r s o n r e q u i r ( 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 ( i i i ) t h e s e r v i c e s o f a n E AA T 0 0 3 ( 1 0 / 0 6 / 0 1 )I /' 0 P E A L # e c i s i o n t o d e n y t h e a p p e l l a n t d e s i g n a t i o n a s a w a s 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 a p p l i c a b l e p a r t i c u l a r , w a s t h e m i n i s t r y r e a s o n a b l e i n r e p h y s i c a l i m p a i r m e n t , a n d t h a t i n t h e o p i n i o n o f t s d o n o 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 h i m 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 u l t o f p t o p e r f o r m D L A . e d t o e n 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 l o r p h y s i c a l i m p a i r m e n t , t h e p e r s o n i s u n a b l e t o s c r i b e d m e a n i n g ; e p r e s c r i b e d m e a n i n g . w h o h a s r 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 t h e m i n i s t e 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 a l p r a c t i t i o n e r i s l i k e l y t o c o n t i n u e f o r a t l e a s t 2 r i b e d p r o f e s s i o n a l i c a n t l y r e s t r i c t s t h e p e 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 s l y , o r l y f o r e x t e n d e d p e r i o d s , a n d e r e s t r i c t i o n s , t h e p e r s o n r e q u i r e s h e l p t o p e r f o r m r e m e n t a l i m p a i r m e n t i n c l u d e s a p e r s o n w i t h a r e l a t i o n t o a d a i l y 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 e s , l p o r s u p e r v i s i o n o f a n o t h e r p e r s o n , o r a s s i s t a n c e a n i m a l .
E A P W D R s e c t i o n 2 ( 1 ) : 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 ( a ) i n r e l a t i o n t o a p e r s o n m e n t a l i m p a i r m e n t , m e a n ( i ) p r e p a r e o w n m ( i i ) m a n a g e p e r s o n ( i i i ) s h o p f o r p e r s o ( i v ) u s e p u b l i c o r p ( v ) p e r f o r m h o u s e a c c e p t a b l e s a n i t a r ( v i ) m o v e a b o u t i n ( v i i ) p e r f o r m p e r s o ( v i i i ) m a n a g e p e r s ( b ) i n r e l a t i o n t o a p e r s o n f o l l o w i n g a c t i v i t i e s : ( i ) m a k e d e c i s i o n s ( i i ) r e l a t e t o , c o m m ( 2 ) F o r t h e p u r p o s e s o f t h e A c t , " p r e s c r ( a ) a u t h o r i z e d u n d e r a n e ( i ) m e d i c a l p r a c t i t ( i i ) r e g i s t e r e d p s y ( i i i ) r e g i s t e r e d n u ( i v ) o c c u p a t i o n a l ( v ) p h y s i c a l t h e r a ( v i ) s o c i a l w o r k e r , ( v i i ) c h i r o p r a c t o r , ( v i i i ) n u r s e p r a c t i t { b ) a c t i n g i n t h e c o u r s e o b y ( i ) a n a u t h o r i t y , a I n d e p e n d e n t S c h o ( i i ) a b o a r d o r a f r d e f i n e d i n s e c t i o n i f q u a l i f i c a t i o n s i n p s y c h o l o g y a r e a c o n d i t * S e v e r e P h y s i c a l I m p a i r m e n t T h e a p p e l l a n t d i d n o t a d v a n c e a n a r g u m e n t w i t h r e s t o t h e v e r t i g o a n d l o s s o f s e n s e o f s m e l l r e s u l t i n g f r o T h e m i n i s t ' s o s i t i o n , a s s e t o u t i n i t s r e c o n s i d e r a t E AA T 0 0 3 ( 1 0 / 0 6 / 0 1 )I A P P E A L # e g u l a 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 " , w h o h a s a s e v e r e p h 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 s t h e f o l l o w i n g a c t i v i t i e s : e a l s ; a l f i n a n c e s ; n a l n e e d s ; e r s o n a l t r a n s p o r t a t i o n f a c i l i t i e s ; w o r k t o m a i n t a i n t h e p e r s o n ' s p l a c e o f r e s i d e n c e i n y c o n d i t i o n ; d o o r s a n d o u t d o o r s ; n a l h y g i e n e a n d s e l f c a r e ; o n a l m e d i c a t i o n , a n d 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 e n t , i n c l u d e s t h e a b o u t p e r s o n a l a c t i v i t i e s , c a r e o r f i n a n c e s ; u n i c a t e o r i n t e r a c t w i t h o t h e r s e f f e c t i v e l y . i b e d p r o f e s s i o n a l " m e a n s a p e r s o n w h o i s n a c t m e n t t o p r a c t i s e t h e p r o f e s s i o n o f i o n e r , c h o l o g i s t , r s e o r r e g i s t e r e d p s y c h i a t r i c n u r s e , t h e r a p i s t , p i s t , o r i o n e r , o r f t h e p e r s o n ' s e m p l o y m e n t a s a s c h o o l p s y c h o l o g i s t s t h a t t e r m i s d e f i n e d i n s e c t i o n 1 ( 1 ) o f t h e o l A c t , o r a n c o p h o n e e d u c a t i o n a u t h o r i t y , a s t h o s e t e r m s a r e 1 ( 1 ) o f t h e S c h o o l A c t , i o n o f s u c h e m p l o y m e n t . * * * * * * p e c t t o s e v e r e p h y s i c a l i m p a i r m e n t , b u t d i d r e f e r m t h e h e a d i n j u r y h e r e c e i v e d w h i l e i n c u s t o d y . i o n d e c i s i o n , i s t h a t t h e i n f o r m a t i o n r o v i d e d i s
n o t suf ficient to de m o n strate that the ap pel lant h as appella nt in dependently m ana ges all area s o f mob ilit evid enc e to i ndi c a t e tha t the appel lant' s diffi culty w i Pane l Decis ion A d iagnos is of a s erio us medica l conditi on does not severe i mpai r m ent. A n "i mpairm ent" is a med ica l c ondit a bility to fu nct io n in depen d e n tly o r e f fe c tive ly. To a ss ess t he seve rity o f a n im p ai rme nt one mus t c extent of its im p act on d ail y f unc tioning a s e viden ced b which p erfo r ming DLA is restricted. The legi s l a tion makes it at th e di scre t i on of the mini ster , tak ing i nt o acco unt also c lear that the fundam e n tal b asis for the a n a lysis in this ca se, th e GP, th e admissions/discharge p s ych I n t he a p pell ant's ca se, t he GP h as no t indicated any s kills . The G P r epo r ted th at t he a ppell ant ind e penden ph ysical ability , wh ile noti n g th e dif ficult y th e app e llant has l imitat ions on t he appellan t' s sense of smel l. The GP's evi c hallen g ed . A s di sc u s sed in more d e tail in thes e r easons f or deci to DLA, the limitation s to t he app el lan t's physi ca l functionin sig n ificant restr ictions to h is ability t o mana g e DLA . For t he foregoin g reaso ns, the p anel fi nds th a t the mini falls short of establ ishi ng that t he appe llan t has a sev Si gn ificant R estricti o ns to DLA T he appe llant argued t hat at t he tim e of rec o n sideration, psychological assessment. He stated con side r a t i on supports his position that his mental impairment, in conjunction with the symptoms of dizziness and loss of sense of smell, significantly restricts him from ma his difficulties with personal hygiene and with social functioning. The ministry's position is that the evidence i s not su impairment significantly restricts his abilit y to perform DLA either continuously or periodically for extended p eriods . The min istry stated that there is no evidence with respect t than typical it takes t he appellant to manage the t ask supp ort/supervision require d for social f unctioning. Panel Decision The le islation -s. 2 2 of the EAP W D A -re uires the minister to substantial! EAAT 003( 10/06/01) l� P E_A_L_ # --------� a sev ere phy si cal i mpai r ment. It sa i d tha t t he y and phys ical abili t y , a nd th a t th er e is n o th hea ring high no te s i s a severe impa irment. in its elf determine PWD e ligibi lity o r e sta bl i sh a ion tha t resul ts i n restric tion s to a per s o n 's onsider th e nat ur e of the im pairme nt a nd the y f u nc ti onal sk il l li mita ti on s an d the degree to c le a r that the de t e rm ination o f severi t y i s a l l of the evidenc e. H oweve r, t he le gislation is i s the evidenc e from a pre scri bed pr ofess ional iatrist, an d th e a p pe llant 's current psyc hiatr ist. li mitations t o the appellant' s ph y sica l fu nctional tly manages th e t a sks re la ted t o m o b ility and wit h hearing high n o tes a nd also th e dence on thes e points has not be en sion un der t he head ing Signi fican t Restri ctions g do n ot a p pe ar t o have transl ate d into stry re a sonab ly determined tha t th e ev idenc e ere physica l i mpairme n t . h is psy ch ia trist had no t comple ted his of the psychiat rist 's l etter of N o vember 1 4, 2 014 naging his DLA. He particularly empha s ized f ficient to demonstrate that the appellant's o h ow much longer of doing laundry, or the degre e or duration of assess direct
a n d s i g n i f i c a n t r e s t r i c t i o n s o f D L A i n c o n s i d e r a t i o n d o e s n ' t m e a n t h a t o t h e r e v i d e n c e s h o u l d n ' t b e f a c t o p r o f e s s i o n a l e v i d e n c e , b u t t h e l e g i s l a t i v e l a n g u a g e o p i n i o n i s f u n d a m e n t a l t o t h e m i n i s t r y ' s d e t e r m i n a t i T h e l e g i s l a t i o n r e q u i r e s t h a t a s e v e r e i m p a i r m e n t d 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 p e r i o d m e a n s t h a t t h e r e m u s t b e a c a u s a l l i n k b e t w e e n t h e r e s t r i c t i o n m u s t a l s o b e s i g n i f i c a n t . F i n a l l y , t h e r e i s d i r e c t a n d s i g n i f i c a n t r e s t r i c t i o n m a y b e e i t h e r c o n t i e x t e n d e d t i m e . I n h e r e n t l y , a n y a n a l y s i s o f p e r i o d i c f r e q u e n c y . A l l o t h e r t h i n g s b e i n g e q u a l , a r e s t r i c t i o s i g n i f i c a n t t h a n o n e w h i c h o c c u r s s e v e r a l t i m e s a w e v i d e n c e i n d i c a t e s t h a t a r e s t r i c t i o n a r i s e s p e r i o d i c a e v i d e n c e o f t h e d u r a t i o n a n d f r e q u e n c y o f t h e r e s t r i c r i t e r i o n i s m e t . I n t h e a p p e l l a n t ' s c a s e , a l t h o u g h t h e G P w r o t e t h a t i n t h e w a y o f p e r f o r m i n g A O L ' s , t h e G P r e p o r t e d t h a m a n a g e s v i r t u a l l y a l l t a s k s r e l a t e d t o a l l D L A . T h e p n o t s u b s t a n t i a l l y c o n f l i c t w i t h t h e G P ' s a s s e s s m e n t S e c t i o n 2 ( 1 ) ( b ) o f t h e E A P W D R p r e s c r i b e s t w o D L A d e c i s i o n s a b o u t p e r s o n a l a c t i v i t i e s , c a r e o r f i n a n c e s i n t e r a c t w i t h o t h e r s e ff e c t i v e l y ( s o c i a l f u n c t i o n i n g ) . T h e G P ' s e v i d e n c e i n d i c a t e s t h a t t h e a p p e l l a n t i s n o m a k i n g i n t h a t h e i n d e p e n d e n t l y m a n a g e s t h e d e c i s p l a n n i n g ) , d a i l y s h o p p i n g ( m a k i n g a p p r o p r i a t e c h o i c ( f i l l i n g / r e f i l l i n g / t a k i n g a s d i r e c t e d ) , m a n a g e p e r s o n a f u n c t i o n i n g ( 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 ) . T h i s c o n a p p e l l a n t ' s p s y c h i a t r i s t , w h o i n d i c a t e d i n t h e N o v e m s u f f i c i e n t m e n t a l c o m p e t e n c e t h a t t h e p s y c h i a t r i s t h t a k e r e c o m m e n d e d a n t i p s y c h o t i c m e d i c a t i o n . T h e e v i d e n c e o f t h e G P i s t h a t t h e a p p e l l a n t h a s g o s o c i a l n e t w o r k , a n d m a r g i n a l f u n c t i o n i n g w i t h r e s p e n o t e d b y t h e G P a r e r e l a t e d t o P T S D , d e p r e s s i o n , a d e p r e s s i v e s y m p t o m s i n h i b i t t h e a p p e l l a n t f r o m p e r i n t e r a c t i o n w i t h t h e p u b l i c . A t t h e h e a r i n g , t h e a d v o a p p e l l a n t ' s m e n t a l h e a l t h c o n d i t i o n i m p a c t s h i s s o c i u n l i k e l y t h a t h e w i l l b e e m p l o y e d f u l l t i m e i n t h e c o m 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 ' s d e l u s i o n s a n d r e l i g i o s t o e s t a b l i s h a n d m a i n t a i n r e l a t i o n s h i p s . T h e a p p e l l a c r i m i n a l a l l e g a t i o n s a g a i n s t h i m h a v e c a u s e d i n h i s e v i d e n c e ( i n c l u d i n g t h e G P ' s e v i d e n c e a b o u t t h e a p a p p e l l a n t i s m a n a g i n g t o s a t i s fy h i s b a s i c n e e d s i n t E AA T 0 0 3 ( 1 0 / 0 6 / 0 1 )I A P P E A L # o f 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 . T h i s r e d i n a s r e q u i r e d t o p r o v i d e c l a r i f i c a t i o n o f t h e m a k e s i t c l e a r 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 ' s o n a s t o w h e t h e r i t i s " s a t i s f i e 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 a p p e l l a n t ' s i c a l l y f o r e x t e n d e d p e r i o d s . T h e t e r m " d i r e c t l y " s e v e r e i m p a i r m e n t a n d t h e r e s t r i c t i o n . T h e d i r e c t a c o m p o n e n t r e l a t e d t o t i m e o r d u r a t i o n . T h e n u o u s o r p e r i o d i c . I f i t i s p e r i o d i c i t m u s t b e f o r a n i t y m u s t a l s o i n c l u d e c o n s i d e r a t i o n o f t h e n t h a t o n l y a r i s e s o n c e a y e a r i s l e s s l i k e l y t o b e e e k . A c c o r d i n g l y , i n c i r c u m s t a n c e s w h e r e t h e l l y , i t i s a p p r o p r i a t e f o r t h e m i n i s t r y t o r e q u i r e c t i o n i n o r d e r t o b e " s a t i s f i e d " t h a t t h i s l e g i s l a t i v e t h e a p p e l l a n t ' s c h r o n i c f a t i g u e a n d d e p r e s s i o n g e t t t h e a p p e l l a n t l i v e s a l o n e a n d i n d e p e n d e n t l y s y c h i a t r i s t ' s l e t t e r o f N o v e m b e r 1 4 , 2 0 1 4 d o e s o n t h i s p o i n t . t h a t a r e s p e c i f i c t o m e n t a l i m p a i r m e n t m a k e ( d e c i s i o n m a k i n g ) , a n d r e l a t e t o , c o m m u n i c a t e o r t s i g n i f i c a n t l y r e s t r i c t e d w i t h r e s p e c t t o d e c i s i o n i o n m a k i n g a s p e c t s o f m e a l p r e p a r a t i o n ( m e a l e s ) , m a n a g e p e r s o n a l m e d i c a t i o n l f i n a n c e s ( b a n k i n g , b u d g e t i n g ) a n d s o c i a l c l u s i o n i s s u p p o r t e d b y t h e e v i d e n c e o f t h e b e r 1 4 , 2 0 1 4 l e t t e r t h a t t h e a p p e l l a n t h a s a s b e e n r e s p e c t i n g t h e a p p e l l a n t ' s d e c i s i o n n o t t o o d f u n c t i o n i n g w i t h r e s p e c t t o h i s i m m e d i a t e c t t o h i s e x t e n d e d s o c i a l n e t w o r k . L i m i t a t i o n s n d p r o b a t i o n o r d e r s . T h e G P w r o t e t h a t f o r m i n g a n y j o b t h a t r e q u i r e s c o n c e n t r a t i o n / c a t e e m p h a s i z e d t h e c l i n i c a l o p i n i o n t h a t t h e a l a n d o c c u p a t i o n a l f u n c t i o n i n g a n d m a k e s i t m u n i t y f o r s e v e r a l y e a r s . T h e p s y c h i a t r i s t i t y t e n d t o p u t p e o p l e o f f , m a k i n g i t d i f f i c u l t f o r h i m n t a l s o e m p h a s i z e d t h e s o c i a l b a r r i e r s t h a t t h e l o c a l c o m m u n i t y . H o w e v e r , o n b a l a n c e , t h e p e l l a n t ' s c o m m u n i c a t i o n s k i l l s ) i n d i c a t e s t h a t t h e e r m s o f i n t e r a c t i n Q w i t h o t h e r s .
T h e p a n e l n o t e s t h a t o n e ' s a b i l i t y t o p a r t i c i p a t e i n p a d e s i g n a t i o n a s a P W D . T h e f o c u s o f t h e l e g i s l a t i o n r e s t r i c t s a p e r s o n f r o m m a n a g i n g h i s D L A i n d e p e n d r e g i m e f r o m t h e C a n a d a P e n s i o n P l a n d i s a b i l i t y p e n C o n s i d e r i n g t h e e v i d e n c e a s a w h o l e , t h e p a n e l c o n t h a t t h e e v i d e n c e f a l l s s h o r t o f d e m o n s t r a t i n g t h a t t h s i g n i f i c a n t l y r e s t r i c t e d 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 H e l p w i t h D L A T h e a p p e l l a n t ' s p o s i t i o n i s t h a t h e r e q u i r e s h e l p w i t h p a r t i c u l a r , h e a r g u e d t h a t h e r e l i e s o n s u p p o r t a n d s f u n c t i o n i n g . T h e m i n i s t r y ' s p o s i t i o n i s t h a t s i n c e i t h a s n o t b e e n e s i g n i f i c 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 P a n e l D e c i s i o n A f i n d i n g t h a t a s e v e r e 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 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 a n e x t e n d " h e l p " a s d e f i n e d b y s e c t i o n 2 ( 3 ) ( b ) o f t h e E A P W D A p r e c o n d i t i o n h a s n o t b e e n s a t i s f i e d o n t h e b a l a n c e o A c c o r d i n g l y , t h e p a n e l f i n d s t h a t t h e m i n i s t r y r e a s o n t h e a p p e l l a n t r e q u i r e s h e l p w i t h D L A a s d e f i n e d b y s C o n c l u s i o n T h e p a n e l a c k n o w l e d g e s t h a t t h e a p p e l l a n t ' s m e d i c a H o w e v e r , h a v i n g r e v i e w e d a n d c o n s i d e r e d a l l o f t h e f i n d s t h a t t h e m i n i s t r y ' s d e c i s i o n f i n d i n g t h e a p p e l l a n a p p l i c a t i o n o f t h e l e g i s l a t i o n i n t h e c i r c u m s t a n c e s o f m i n i s t r y ' s d e c i s i o n . E AA T 0 0 3 ( 1 0 / 0 6 / 0 1 )A P P E A L # I i d e m p l o y m e n t i s n o t a s t a t u t o r y c r i t e r i o n f o r i s w h e t h e r a s e v e r e i m p a i r m e n t s i g n i f i c a n t l y e n t l y . T h i s d i ff e r e n t i a t e s t h e d i s a b i l i t y a s s i s t a n c e s i o n w h e r e e m p l o y a b i l i t y i s a k e y c o n s i d e r a t i o n . c l u d e s t h a t 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 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 h i s D L A i s a l l y f o r e x t e n d e d p e r i o d s . D L A d u e t o t h e r e s t r i c t i o n s h e e x p e r i e n c e s . I n u p e r v i s i o n o f h i s p s y c h i a t r i s t f o r s o c i a l s t a b l i s h e d t h a t t h e a p p e l l a n t ' s D L A a r e 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 . f i c a n t l y r e s t r i c t s a p e r s o n ' s a b i l i t y t o m a n a g e h i s e d p e r i o d i s a p r e c o n d i t i o n t o a p e r s o n r e q u i r i n g . F o r t h e r e a s o n s p r o v i d e d a b o v e , t h a t f p r o b a b i l i t i e s i n t h i s c a s e . a b l y c o n c l u d e d i t c o u l d n o t b e d e t e r m i n e d t h a t e c t i o n 2 ( 3 ) ( b ) o f t h e E A P W D A . l c o n d i t i o n s a f f e c t h i s a b i l i t y t o f u n c t i o n . e v i d e n c e a n d t h e r e l e v a n t l e g i s l a t i o n , t h e p a n e l t i n e l i g i b l e f o r P W D d e s i g n a t i o n i s a r e a s o n a b l e t h e a p p e l l a n t . T h e p a n e l t h e r e f o r e c o n f i r m s t h e
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.