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The issue of DAA (drug/alcohol abuse) materiality
can surface in a number of different types of cases, either
physical, psychiatric, or psychological in nature.
Essentially, materiality has to do with scenarios of this
sort: in a disability
claim for which the medical evidence indicates either recent
or ongoing drug and/or alcohol abuse, is the condition for
which the claimant alleges disability exacerbated---or even
caused---by such use?
In other words, is the claimant's disabling condition caused
by, or made worse by, the use of alcohol or drugs.
If the answer is yes, the claimant's drug or alcohol use
may be considered material
to the alleged impairment. In such a case, the claimant
may be found ineligible to receive disability benefits.
To use an example, if a claimant has seizures, and the records
indicate substance abuse, an Examiner or Judge (depending
on the level the claim is at) will have to question what
role is played by the claimant's use of substances.
How is the materiality or immateriality of alcohol or drug
abuse evaluated, relative to a disability claim? It is a
judgment call in every case.
However, to use our example, if the conclusion were made
that a claimant's seizure condition would medically improve
provided that the substance abuse came to an end, then the
substance abuse would be labeled as material
to the seizure condition.
Consequently, the claimant could not be awarded benefits
on the basis of seizure disorder.
If, however, the conclusion was made that the claimant's
frequency of seizures would continue regardless of whether
or not the alcohol abuse was discontinued, such use would
be considered immaterial---in
other words, irrelevant.
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