[2012] AATA 881
Division Veterans' Appeals Division File Number
2011/3708
Re
JOHN SANDAVER
APPLICANT
And
REPATRIATION COMMISSION
RESPONDENT
DECISION
Tribunal Senior Member Dr K S Levy, RFD and
Dr G J Maynard, Brigadier (Rtd), MemberDate 14 December 2012 Place Brisbane The decision under review is affirmed.
......................[Sgd]..................................................
Senior Member Dr K S Levy, RFD
CATCHWORDS
VETERANS’ AFFAIRS – Pensions and entitlements – Compensation – War-caused injury or disease – Posttraumatic stress disorder – Statement of Principles – Hypothesis connecting injury to circumstance of service – Beyond reasonable doubt that the veteran’s condition was not war-caused – Decision under review affirmed
LEGISLATION
Veterans’ Entitlements Act 1986 (Cth) ss 9, 13, 120, 120A
CASES
Border v Repatriation Commission (2010) FCA 1430
Deledio v Repatriation Commission (1998) 83 FCR 82
Mines v Repatriation Commission (2004) 86 ALD 62
O’Neill v Repatriation Commission (2001) FCA 1492
Trigge and Repatriation Commission [2012] AATA 176
Woodward v Repatriation Commission (2003) 131 FCR 473SECONDARY MATERIALS
Statement of Principles Instrument No 3 of 1999
Statement of Principles Instrument No 5 of 2008
REASONS FOR DECISION
Senior Member Dr K S Levy, RFD and
Dr G J Maynard, Brigadier (Rtd), MemberINTRODUCTION
John Sandaver served with the Royal Australian Navy from 29 May 1964 until 2 February 1966. He has some medical disabilities which have been recognised but certain psychiatric disabilities which have been rejected. He has made a number of claims for recognition of alcohol dependence/abuse, anxiety disorder, depressive disorder and posttraumatic stress disorder. These applications have all been unsuccessful, including a previous appeal to this Tribunal on 26 March 2003. A further application was made to the Repatriation Commission which was refused on 8 August 2008. An appeal against that decision was subsequently heard by the Veterans’ Review Board but the decision was affirmed on 22 July 2011. Mr Sandaver has now applied to this Tribunal for a review of the Repatriation Commission decision of 8 August 2008 (see application dated 31 August 2011). Since lodgement, the application has been narrowed to appeal only in respect of posttraumatic stress disorder.
ISSUES
The question for the Tribunal is whether the applicant suffers from posttraumatic stress disorder; and if so, whether that condition is “war caused” in terms of Statement of Principle No. 5 of 2008 (“the SOP”).
EVIDENCE
The applicant was born on 21 March 1947 and is now 65 years of age. His service with the Royal Australian Navy (RAN) was a period of less than two years when he was aged 17 to 19 years. Relevant to this application is the period which he served on HMAS Yarra in 1965. It is not in dispute that he had three periods which are recognised as “operational service” when HMAS Yarra served within the waters of Malaysia, Singapore and Brunei. Mr Sandaver was discharged on 2 February 1966 on the grounds, according to his evidence, that his services were no longer required. He described excessive alcohol and behavioural problems being the reasons for his departure from…
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CaseChat Overview and Summary
The primary legal issue was whether the Tribunal was correct in concluding that Mr Sandaver's PTSD was not attributable to his service, based on the requirement under section 120(1) of the Veterans' Entitlements Act 1986 (Cth) that the disease must be war-caused unless it is established beyond reasonable doubt that there is no sufficient ground for such a determination. The court also had to consider whether the Tribunal appropriately assessed the reliability of the evidence and whether a reasonable hypothesis connecting Mr Sandaver's condition to his service could be formed.
The court found that the Tribunal had correctly applied the legal principles in making its decision. It held that the varying accounts provided by Mr Sandaver to different psychiatrists, along with inconsistencies in his statements about the onset of his drinking and drug use, undermined the reliability of his evidence. Despite acknowledging that Mr Sandaver might have PTSD, the court upheld the Tribunal's conclusion that the evidence did not establish a sufficient connection between his condition and his military service. Consequently, the court affirmed the decision of the AAT, denying Mr Sandaver's claim for a war-caused PTSD pension.
Orders
Orders of the court
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Background
Background to the litigation
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Evidence
Evidence Before The Court
Decision
Reasons for decision
Ratio Decidendi
Legal Principle Established
A question from the bench was put by Dr Maynard about the applicant’s exposure to alcohol at his father’s hotel. He denied ever drinking there. Dr Maynard also asked him whether he was drinking alcohol before the scare charges incident, to which Mr Sandaver replied he only commenced drinking after the incident in Singapore.CONSIDERATION If the applicant’s PTSD is a “war caused” disease (see s 9 of the Veterans’ Entitlements Act 1986 (Cth) (“the Act”)) and he has incapacity as a result, he would be entitled to a pension as compensation (see s 13 of the Act and definition of “incapacity” in s5D of the Act). In assessing whether a condition is “war caused” for the purposes of s 9, the Tribunal must, in considering a claim based on operational service, determine that the disease is war caused “unless it is satisfied beyond reasonable doubt that there is no sufficient ground for making that determination (s 120(1)). In making a determination under s 120(1), the Tribunal will be satisfied beyond reasonable doubt there are no sufficient grounds for determining the injury or disease is related to service if, after considering the whole of the material, it is of the opinion that the material does not raise a reasonable hypothesis connecting the injury or disease with the circumstances of a person’s defence service (s 120(3)). For all claims made after 1 June 1994, the assessment above requires a hypothesis to be regarded as reasonable only if an SOP has been issued by the Repatriation Medical Authority for the particular condition or disease (s 120A(3)). The relevant SOP here is Instrument No. 5 of 2008 – Posttraumatic Stress Disorder. Mr Sandaver also has a retained right under Instrument No. 3 of 1999 as amended by No. 54 of 1999 to have his claim considered under those former SOPs if he is unsuccessful under SOP No. 5 of 2008. The Incident The Tribunal must be reasonably satisfied that the incident which is the basis of the claim actually occurred (Mines v Repatriation Commission (2004) 86 ALD 62 at [48] per Gray J). In that respect, there is a report of HMAS Yarra for June 1965 (dated 4 July 1965). The Tribunal accepts the report of HMAS Yarra, documented shortly after the incident, that there was some activity corroborates the basis of the claim upon which Mr Sandaver relies. The Diagnosis In considering the SOP, there is a matter of diagnosis to be determined. The SOP sets out the minimum factors which must exist and, further, the factors must be related to service which will form part of the assessment as required by s 196B(2)(d) and (e) of the Act. The factors which point to a diagnosis of PTSD are set out in para 3(b) of the SOP. There are the reports of Dr Anderson in 2006 and Dr Danesi in 2012 which support a diagnosis of PTSD. The reports of Dr Foxcroft, Dr Mulholland and Dr Shaikh state that the applicant does not satisfy all the criteria required to justify a diagnosis of PTSD. There are two psychiatrists who accept that on the basis of the applicant’s accounts he has PTSD. The accounts by the applicant to each psychiatrist differ in some important respects and three psychiatrists deny that he has PTSD. We are equivocal as to whether he does have PTSD based on the accounts of symptoms he has presented at various times and after considering the differing opinions of all the psychiatrists. While in our final analysis of experts we have preferred the opinion of Dr Mulholland, in the interests of giving Mr Sandaver the benefit of the doubt (in the light of the fact that the psychiatrists did not have a consistent view), we are prepared to find that Mr Sandaver does have PTSD. The Hypothesis