60RRBH25R0009 CMOS Form SSA-2506-BK Attachment 4.pdf

This document is a Psychiatric Review Technique form from the Social Security Administration (SSA) for a disability determination. The form focuses on documenting a medical evaluation for an individual with schizophrenia spectrum and other psychotic disorders. Key details include:

The evaluation indicates moderate limitations in the individual's ability to understand, remember, and apply information; interact with others; concentrate, persist, or maintain pace; and adapt or manage oneself. Medical notes reveal a diagnosis of paranoid schizophrenia, with the onset date of 1-14-15. The individual has experienced significant functional impairments, including difficulty completing tasks, maintaining personal hygiene, managing money, and requiring assistance with daily activities. The medical records show multiple psychiatric hospitalizations, medication management challenges, and ongoing mental health treatment, with the individual being eligible for Serious Mental Illness (SMI) services.