If the client has any of the following Presumptive Impairments, he may meet the SSI/SSDI disability criteria:
1. Amputation of two limbs
2. Amputation of a leg at the hip
3. Total deafness
4. Total blindness
5. Bed confinement or immobility without a wheelchair, walker, or crutched due to a condition that has lasted or is expected to last a minimum of six months.
6. Stroke more than three months ago with marked difficulty walking or using a hand or an arm
7. Cerebral palsy, muscular dystrophy, and marked difficulty walking, speaking or coordinating hands or arms
8. Diabetes with amputation of a foot
9. Down’s Syndrome
10. Severe mental deficiency requiring care and supervision of routine daily activities
11. Acquired Immune Deficiency Syndrome (AIDS)
If the client has three of the following physical, mental, or vocational factors, he may meet the SSI/SSDI disability criteria. At least one of the factors must be physical or mental. Any one physical or mental problem, if sever enough, may meet the SSI/SSDI disability criteria.
12. Multiple hospitalizations in the last five years for any cause
13. Arthritis with complaints of joint pain/swelling/redness/deformity. Bone destruction of ankles, knees, hips, reconstructive surgery. Difficulty bending or moving.
14. Arthritic condition with frequent fractures (Osteoporosis)
15. Bad back/herniated disk with complaint of pain, difficulty bending, sitting, walking
16. Inability to use artificial limbs/amputation of leg above ankle – irritations, infections
17. Fractures of a limb that will not heal or multiple surgeries to correct a fracture
18. Soft tissue injuries requiring multiple surgeries to correct (torn ligaments, muscles, tendons, etc.)
19. Deafness not fully restored by hearing aid, with defective speech
20. Loss of vision in one eye and remaining vision is not well corrected with glasses
21. Chronic breathing problems
asthma and frequent hospitalization (emergency room visits and/or inpatient)
emphysema
Chronic obstructive pulmonary disease, difficulty breathing while working, with activity and by weather
22. Coronary artery disease with recent heart attack, shortness of breath, chest pain, arm pain, heart palpitations, chest tightness
23. High blood pressure with damage to other organs, i.e., kidneys, eyes, etc.
24. Chest pain from the heart (angina) medicated with Nitroglycerin
25. Chronic liver disease, cirrhosis, hepatitis
26. Recurrent bleeding ulcer despite surgery. Ulcers that are inoperable and weight loss
27. Chron’s disease/colitis with frequent bloody stools and severe weight loss
28. Weight loss due to a digestive disorder such as throat blockage, intestinal obstruction or abscesses
29. Chronic kidney disease requiring dialysis or kidney transplant
30. Chronic anemia (low blood count)
31. Sickle cell disease
32. Leukemia/Myeloma/Aplastic anemia (blood disorders)
33. Thyroid disorder with bone deterioration
34. Diabetes with other organ damage – eyes, kidney, pancreas or amputations
35. Leprosy (Hansen’s disease)
36. Lupus
37. Obesity with
pain and difficulty walking, bending, sitting, or standing
high blood pressure
heart problems
varicose veins
difficulty breathing
38. Malnutrition due to eating disorders
39. Epilepsy with uncontrolled seizures
40. Stroke with
ineffective speech
inability to walk or use hands
41. Brain tumor(s)
42. Parkinson’s disease/Cerebral Palsy/Multiple Sclerosis/Myasthenia Gravis/Muscular Dystrophy/Huntington’s chorea/Head trauma/Syringomyelia
43. Cancer of any body organ or system
44. HIV positive and other symptoms present
A Activities of daily living
cooking
cleaning
shopping.
managing money/checkbook
keeping house
B Social functioning
making friends
group activities
concentration, poor memory for recent past events or inability to concentrate in interviews
task persistence
adaptation
45. Organic mental disorder – damage to the brain due to any cause, resulting in a change in behavior
46. Schizophrenia
47. Depression, manic, manic/depression
48. Mental retardation/unable to handle interview without assistance
49. Anxiety related disorder/post traumatic stress disorder
50. Somatoform disorder – physical complaints of which there is not objective medical basis
51. Personality disorder
52. Psychiatric hospitalization within the last five years
53. Currently receiving psychiatric/psychological treatment either private or through MH/MR
54. Work history of numerous jobs of short duration
55. Abnormal or bizarre behavior
56. Unusual speech patterns such as extreme rapid speech, very slow speech, or the individual goes off on a tangent
57. Unusual or unpredictable mood swings
58. Abnormal thought patterns such as paranoia, delusions, hallucinations or suicidal thoughts
59. Disorientation and confusion
60. Poor personal hygiene or bizarre appearance
These factors should be considered in conjunction with the above described criteria and not as sole factors.
Age 50 or over
Limited education, 11th grade or less
Illiteracy
Inability to sit or stand for longer than six hours at a time
Education from 20-25 years ago
Unskilled work history
In addition to all the above mentioned physical and mental factors, the worker should assess if the child is able to grow develop or mature, physically, emotionally, and mentally and to attain age appropriate developmental milestones. Ascertain if the child has the inability to engage in age appropriate activities of daily living in:
self-care
play/recreation
school/academics
vocational settings
peer relationships
family life
Issued: June 13, 2003; reviewed March 16, 2012