The Social Security Blue Book
To qualify for disability benefits from the SSA, you will have to prove that you are disabled according to their criteria. That usually means proving that you have a condition that is either listed in the Blue Book and meets the SSAs Blue Book criteria or that you have a condition that is equal to a section in the Blue Book.
The Blue Book lists all of the conditions that could potentially qualify an individual for Social Security Disability benefits, along with the criteria that must be met with each condition. For example, if an individual wanted to apply for Social Security Disability with Attention Deficit Hyperactivity Disorder they would have to follow the Blue Book guidelines for that condition. ADHD is only listed in the childhood section or the Blue Book under Section 112.00 Childhood Mental Disorders. As ADHD begins in early childhood, there is no similar section for the adult listings. You could receive benefits with ADHD as an adult, if youre able to prove that:
- You have had ADHD since childhood, and
- ADHD has impaired your ability to complete schoolwork and to be gainfully employed as an adult.
Specifically, the listing for ADHD is covered in the childhood segment of the Blue Book under Section 112.11 Attention Deficit Hyperactivity Disorder. According to this section of the Blue Book you must be able to prove that:
Ddx And Comorbid Conditions
- Many conditions can cause symptoms of ADHD
- Addressing the comorbid condition may result in elimination of ADHD symptoms, e.g. treating iron deficiency anemia
- Evidence-based parent and/or teacher-administered behavior strategies
- Examples include parent education, parent management training such as Triple P, Incredible Years
Ssdi For Adults With Adhd
The reality is that adult ADHD can make it difficult to cope with day-to-day life, including work, family, and social obligations. The good news is that you can qualify for Social Security benefits. It is a challenge, and it can be a complex process but you can prevail.
Until recently, ADHD as a disability was only recognized in children. The Social Security Administration added new listing categories in 2016; these guide how the SSA evaluates mental health conditions. Included in these additions is section 12.11: Neurodevelopmental Disorders .
ADHD is a neurodevelopmental disorder; to qualify for disability benefits, you must prove that you cannot participate in gainful work activity and you must provide the following evidence:
- One or both of the following:
- Frequent distractibility, difficulty sustaining attention, and difficulty organizing tasks; OR
- Hyperactive or impulsive behavior .
- Extreme limitation of one, or marked limitation of two, in the following areas:
- Understanding, remembering, or applying information.
- Interacting with others
- Concentrating, persisting or maintaining pace
- Adapting or managing yourself
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Helping A Child At School
For children and youth who have problems with attention:
- Get the students attention first, before asking a question or making a request.
- Make sure you dont ask for too many things at once
- Write down what you want to say and give it to the child .
For children and youth who get easily distracted:
- Move the child closer to the front of the class to prevent distractions from classmates
- Move the student away from visual distractions like open windows or the classroom door
- Many ADHD students tune out when there is too much lecturing or verbal instruction.
Try other learning strategies, like:;
For children and youth who are hyperactive and those who need to move to think:
- Dont expect a hyperactive child to be able to sit still for long periods Alternate thinking activities with movement activities; times given here are guidelines only.
- Thinking activities for 10-20 minutes
- Body Break session of 2-5 minutes of physical movement,
- Give the child more washroom breaks to walk around, send the child for errands, ask her to clean the board.
- Arrange for special seating that allows for movement like ball chairs or the Sitfit ® cushion.
For children and youth who have trouble with organization:
- Break down complicated tasks into smaller ones
- Use schedules
- Ensure the student writes down assignments right away, because he may forget if he waits until the end of class
For children and youth who have trouble with motivation:
Basic Eligibility For Benefits
The SSA must see that you meet basic eligibility requirements before further reviewing your application for benefits. This basic eligibility includes having:
- A formal diagnosis of a potentially disabling condition
- A diagnosed condition that will disable you for 12 months of longer
After the SSA confirms that you meet basic eligibility, they will then move on to review your medical condition in detail and verify that you meet all program requirements for SSDI and/or SSI.
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What Do I Do Next
Finding adisability expert who will accept and assist with child applications is few and far betweenhowever, at Disability Experts of Florida, we always give every case due diligence, care and consideration concerning your childs application for disability. Childrens cases can have very subtle difficulties and nuances that, without experience, can be overlooked and result in a denial in your childs application.
Whether your child has ADHD or another documented medical condition or illness, contact us today or read our guide on how to get disability benefits for children in Florida for more information. We are compassionate and available for you to answer questions and handle your childs disability claim efficiently and effectively.
Types Of Professionals Who Make The Diagnosis
School-age and preschool children are often evaluated by a school psychologist or a team made up of the school psychologist and other specialists.
But if the school doesnt believe the student has a problem, or if the family wants another opinion, a family may need to see a specialist in private practice. In such cases, who can the family turn to? What kinds of specialists do they need?
|Speciality||Can prescribe medications, if needed||Provides counseling or training|
The family can start by talking with the childs pediatrician or their family doctor. Some pediatricians may do the assessment themselves, but more often they refer the family to an appropriate specialist they know and trust.
In addition, state and local agencies that serve families and children, as well as some of the volunteer organizations listed in the back of this booklet, can help identify an appropriate specialist.
Knowing the differences in qualifications and services can help the family choose someone who can best meet their needs. Besides school psychologists, there are several types of specialists qualified to diagnose and treat ADHD.
Child psychiatrists are doctors who specialize in diagnosing and treating childhood mental and behavioral disorders. A psychiatrist can provide therapy and prescribe any needed medications. Child psychologists are also qualified to diagnose and treat ADHD.
Applying For Ssi Disability Benefits For Your Child With Adhd
You can call the Social Security Administration at 800-772-1213 or contact your local SSA office to submit an application. Your claim for benefits, including all of the information and records you provide, will be evaluated by a claims examiner, who will request any further information or records it may need. The SSA will then make a determination on your child’s case.
If your claim is denied , you have the right to an appeal. If your appeal goes to a hearing in front of an administrative law judge, and you feel that your child is severely limited by his or her ADHD, you should try to bring a disability lawyer to the hearing.
What Kind Of Social Security Disability Benefits Are Available To Louisiana Citizens Who Can Get Disability Benefits Under The Social Security Administration
The Social Security Act provides benefits to disabled individuals under Title II and Title XVI .
Under Title II there are three basic categories of individuals who can qualify for benefits on the basis of disability:
- ;A disabled insured worker under 65.;
- ;A person disabled since childhood who is a dependent of a deceased;insured;parent or parent entitled to Title II disability or retirement benefits.;
- ;A disabled widow or widower age 50-60 if the deceased spouse was insured under Social;Security.
Under Title XVI there are two basic categories under which a financially needy person with limited income and resources can get payments on the basis of disability:
- ;An adult age 18 or over who is disabled.;
- ;A child under 18 who is disabled.
Is Adhd A Learning Disability
Learning disabilities are defined as a subtype of developmental disabilities. According to the National Institute of Neurological Disorders and Stroke, a person with a learning disability has difficulty understanding either written or spoken word, and performing calculations and other tasks.
According to the Learning Disabilities Association of America, ADHD is not considered a learning disability. However, research suggests that up to half of all children with ADHD also have a concurrent learning disability that can make learning particularly challenging for those individuals.
Can Someone Receive Disability Benefits For Adhd
Since ADHD is a disability, can people with the disorder receive disability benefits? The short answer is yes, an individual can receive disability benefits for ADHD. However, there are very strict rules about whether a person with ADHD qualifies for benefits under the United States government. First, the process for filing social security disability with a diagnosis of ADHD can be lengthy. In order to obtain social security disability income for ADHD, individuals must have been diagnosed with the condition since childhood. Additionally, a person must be able to prove that their ability to participate in schoolwork or to maintain a job was severely hindered by their diagnosis.
A government official will examine school performance and look for patterns suggesting severe functional impairments during childhood and into adulthood via medical documents, standardized test scores and life history. In addition, several other requirements must be met in order to qualify for social security disability including:
- The individual must have documentation from a medical professional of an ADHD diagnosis, with the following symptoms: inattentiveness, impulsiveness and hyperactivity
- The person must have documentation that two of three conditions were a direct result of ADHD: problems with communicating, functioning in social settings or functioning in ones personal life relative to people of the same age
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Can An Adult With Adhd Get Disability Benefits
Coping with adult ADHD? Its more difficult than many people think.
Imagine: you struggle at work because you cannot concentrate, follow instructions, or complete tasks on time. You have difficulty at home because organizing is all but a foreign concept. You feel adrift in social situations because you have trouble remembering information. The symptoms of adult ADHD invade virtually every aspect of your life but can you qualify for Social Security Disability benefits?
If your ADHD symptoms make it difficult or impossible to work, consult a Florida disability attorney immediately. You may be entitled to benefits.
Can A Child With Adhd Get Ssi Payments
Is it possible for a child to receive SSI for being diagnosed with ADHD? Yes. Although possible, its not necessarily probable, and heres why: much like anadults ability to work or not is a main determining factor for disability, a childs ability to function on-level with other children their age is the parallel criterion.
Your child must meet the Social Security Administrations severity requirement from the childrens official list of impairments in order to receive payments under the SSI program .
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When Can A Child With Adhd Get Disability Benefits
If your family income is low enough to qualify for SSI , and if the severity of your child’s ADHD meets the Social Security Administration’s disability listing for neurodevelopmental disorders, your child will be granted benefits. The disability listing used to evaluate ADHD is listing 112.11 of the children’s listings. In 2017, Social Security changed the title of listing 112.11 from Attention Deficit Hyperactivity Disorder to Neurodevelopmental Disorders, to cover more conditions. The listing was also updated significantly.
Listing 112.11 now requires that your child meets two sets of criteria. First, your child’s condition must be characterized by one of the following:
- hyperactive and impulsive behavior
- frequent distractibility
- recurrent motor movement or vocalization, or
- significant difficulties learning and using academic skills.
Second, you must show that your child’s ADHD or ADD causes them to have severe limitations in at least one area of functioning. Your child must have either an extreme limitation in one of the following areas or a “marked” limitation in two of the following areas:
- concentrating on tasks
- interacting with others
- adapting or managing oneself
- learning, understanding and remembering information .
Ssi Program For Adhd Other Disabled Kids Under Scrutiny
This story was produced in collaboration with
To those who believe the federal Supplemental Security Income program for severely disabled children is a lifesaver and not a boondoggle, Hulston Poe is a great example.
After four-year-old Hulston Poe was;diagnosed with severe ADHD last October, case workers said there wasnt much they could do for him.; But when doctors recommended his mother enroll him in the SSI program this year, everything changed.
The four-year-old;was diagnosed with severe ADHD last October, after more than a year of violent temper tantrums, and kicked out of preschool. Case workers said there wasnt much they could do for him. We were at a standstill, said his mother, Suzanne Poe, who was scraping by as a single parent of two in Des Moines, Iowa.
But when doctors recommended she enroll her son in the SSI program this year, everything changed. A monthly check of $674 helps pay for Hulstons day care, a private tutor and medicines. Perhaps most importantly, the program made Hulston newly eligible for Medicaid, the joint state-federal health insurance program for the poor. He gained access to the doctors he needed.;
I can see a light in his eyes again, Poe says with relief.; He just looks so much happier.
Is Adhd A Disability
ADHD is a disability under the legal definition. In cases with moderate, untreated, and/or severe disorders the individual may not be able to hold onto any job and therefore cannot engage in SGA .
A childâs ADHD may include learning disabilities and will usually lead to special education services. Children are protected by the Rehabilitation Act of 1973, section 504, from discrimination in school due to a disability. Even in moderate cases, academic performance and academic achievement will suffer for a child with ADHD or ADD. When kids suffer at school, it impacts major life activities like sports and family gatherings.
According to Social Security guidelines for SSI and SSDI, the definition of disability is an impairment that precludes the ability to work. For a child, this refers to interference with a major like activity that lasts for 12 months or more. ADHD and ADD can, therefore, result in an award of disability benefits under the official SSA definition.
When And Where To Refer
- Consider referral to
- Psychiatry for:
- ADHD with comorbid conditions that require additional treatment such as mental health issues
- When first-line treatment options have been unsuccessful
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When Is Adhd A Disability
During periods of stress or fatigue, people without ADHD can show the same symptoms as someone who has no mental illness. It is important to be aware that an ADHD diagnosis requires a pattern of exhibiting symptoms since childhood. The pattern should include multiple combinations of symptoms that are severe enough to interfere with daily living.
If there is a strong family history of ADHD, learning disabilities, mood disorders, or substance abuse there is a good chance that genetics are at play. In some cases, there can be specific causes of ADHD/ADD, such as brain injury, developmental disability, and/or in utero exposure to drugs, such as nicotine. Often, such factors are hard to document and even more difficult to prove.
In many cases, adults with ADHD received special education services throughout childhood. They may have received every reasonable accommodation given by special education services, including intensive behavioral therapy and one-on-one instruction, yet failed to adapt or thrive.
ADHD becomes disabling under the law when it is severe enough to result in poor performance at work or in school. Adults who are unable to maintain employment and children who receive special education services are both likely candidates for disability.
Additional information to support ADHD as a disability may include:
Both children and adults, in any case, must meet the requirements of both Paragraph A and Paragraph B :