| Anxiety |
Has ever been Disabled due to Anxiety, Hospitalized/Missed Work due to Anxiety within 1 year, Taking Anxiety Medication and Pain Medication |
Hospitalized for Anxiety within 6 mo, Currently unable to work/Disabled, Medication Combination of Benzodiazepines and Opiates |
Depression Questionnaire |
| Depression |
Has ever been Disabled due to Depression, Ever attempted Suicide, Hospitalized/Missed Work due to Depression within 1 year, Taking Depression Medication and Pain Medication, Depression and Marijuana Use |
Hospitalized for Depression within 6 mo, Currently unable to work/Disabled, Suicide Attempt within 2 years or with history of Drug/Alcohol Abuse, Medication Combination of Benzodiazepines and Opiates |
Depression Questionnaire |
| Post Partum Depression |
Auto-Trial |
Hospitalized for Depression within 6 mo, Currently unable to work/Disabled, Suicide Attempt within 2 years or with history of Drug/Alcohol Abuse, Medication Combination of Benzodiazepines and Opiates |
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| Bipolar Disorder |
Auto-Trial, All Details are recorded on a Depression Questionnaire |
Hospitalized for Bipolar within 6 mo, Currently unable to work/Disabled, Suicide Attempt within 2 years or with history of Drug/Alcohol Abuse, Medication Combination of Benzodiazepines and Opiates |
Depression Questionnaire, Will pull Medical Records |
| Schizophrenia/Psychosis |
Auto-Trial, All Details are recorded on a Depression Questionnaire |
Has not achieved 'Effective Control' (Currently experiencing impairments with day to day living), Medication Combination of Benzodiazepines and Opiates |
Depression Questionnaire, Will pull Medical Records |
| Mental Retardation/Intellectual Disability |
Applicant is unemployed/has a power of attorney |
Severe Mental Retardation (Cannot be employed, Unable to sign application, Cannot live independently) |
Will pull Medical Records or have phone interview with member |
| ADD/ADHD |
Currently Disabled |
Diagnosed and Currently under the age of 9 |
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| Autism |
Currently Disabled |
Diagnosed and Currently under the age of 9 |
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| Down Syndrome |
Auto-Trial |
Over the age of 40, Severe Mental Retardation (Cannot be employed, Unable to sign application, Cannot live independently) |
— |
| PTSD |
Auto-Trial, All Details are recorded on a Depression Questionnaire |
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