Incapacity Determination - PEP Step II

Revised on: March 28, 2018

WAC 388-447-0040 Progressive evaluation process step II - How does the department determine the severity of mental impairments?


Clarifying Information

  1. Any symptom that affects work function and is contained in the current Diagnostic and Statistical Manual of Mental Disorders (DSM) may be listed by the mental health provider.
  2. Only consider symptoms that have an impact on work function when determining incapacity.
  3. See the learning disabilities and deficits chapter when a learning disorder is diagnosed. Most learning disorders aren't incapacitating.
NOTE: The DSHS 13-865 Psychological/Psychiatric Evaluation form, DOC 13-450 Behavioral Health Discharge Summary, or typed narrative evaluation may be used to assess mental health impairments.