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KMID : 0376520020210000034
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Mental Health Research
2002 Volume.21 No. 0 p.34 ~ p.55
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Study of Disability Evaluation of Traumatic Brain Injury Patients: A Survey for Forensic Neuropsychiatric Evaluation of Traumatic Brain Injury Claimants
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정한용/Jung HY
김영철/박기창/안동현/노승호/서동우/최지은/Kim YC/Park KC/Ahn DH/Rho SH/Suh TW/Choi JE
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Abstract
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Psychiatrist will be increasingly required to evaluate concerning traumatic brain injury patients. While disability evaluation is determined by the courts, the courts rely heavily on the opinions of neuropsychiatrists. The forensic neuropsychiatric evaluation of the traumatic brain injury claimant differs in a number of significant ways from the traditional psychiatric evaluation of the traumatic brain injury patients. In the litigation context, the distinction between the role of treating psychiatrist and that of forensic evaluation must be firmly maintained.
Neuropsychiatrists who engage in these legal issues need expert knowledge regarding both bio-psycho-social aspects and legal aspects of traumatic brain injury. In evaluating the mental status of the claimant, the neuropsychiatrist must conduct a through and reliable mental status examination. The role of neuropsychological testing must be critically evaluated in each case. The diagnostic evaluation of traumatic brain injury claimants be made according to the official diagnostic system. In addition to the neuropsychiatric diagnosis, an assessment of functional impairment and disability must be made.
The purpose of this study was to explore the difference of disability evaluation of traumatic brain injury patients of neuropsychiatrists by questionnaire for forensic neuropsychiatric evaluation of traumatic brain injury claimants. There were significant differences of many aspects of questionnaire among neuropsychiatrists, especially labour disability rate, fee and duration of aftercare, causation and apportionment analysis, and life expactancy. In reevaluation of same cases with supposed clinical guidelines for disability evaluation, those differences were relatively reduced.
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