Your Adult Social Security Disability or SSI Claim:
The First 15 Minutes (continued)
Considered including Age, Education,
History and Diagnoses
Age : age
as a factor is important because older disabled claimants have much fewer employment options than younger
workers do, in certain instances, and Social Security uses a grid consisting of many factors to determine
if you are disabled. So the grid begins with which age group you fall into. When I worked at DDS a several years
ago, the age group categories for adult disability claims were from 18-44 years, from 45-49, from 50-54, from
55-60, and Approaching Retirement.
For example a 22 year old who
is unable to do his past job of medium-level work because of his disability may be found to be able to still do
light work, in spite of his limitations. Because he is a younger individual, the SS regulations theorize that
while he may not be able to return to his previous level of work where he had to lift 50 pounds on occasion, he
may be able to be rehabilitated or gain skills that would allow him to do light or sedentary level work in the
Consequently this younger
individual would not be found disable, while an older worker over the age of 55 with the same physical
disability and limitations might be found to be disabled based on the fact that he could not reasonably be
expected at his age to take on a new skill or learn a new trade without great difficulty.
persons who are well educated or have specialized technical or professional skills may be more marketable in the
employment arena and thus, SS has this element as part of its grid which is used in the assessment of
Education listed on the application
can also clue the disability examiner in on the possibility that the claimant was placed in special education
classes during his primary schooling (i.e. grades K-12th).
If a claimant was a special
education student, per information obtained on his application, then this could indicate a mental challenge or
impairment which could signal an additional block to that individual being able to obtain gainful employment
after you consider his mental capacity when combined with any other physical disability he or she may be
For purposes of SS disability, any
individual who indicates a history of special education in his schooling is in effect alleging a mental
impairment as well. This knowledge of a history of special education alerts the examiner that the disability
claim will have to be assessed for a mental disability even if the claimant is only alleging a physical cause of
And since additional evidence has
to be collected in mental disability claims, the examiner can begin sooner, rather than later, gathering
required evidence to determine the extend of any cognitive or mental challenges.
Usually additional collateral
contact (third party) forms will have to be sent to the claimant’s relatives, caregivers, friends or others who
know of his mental limitations.
Ultimately, the disability examiner will be determining whether or not a claimant can a) go back to his past
work, b) be able to do less demanding work, whether mental or physical in nature, or c) whether or not the
claimant is unable to do any type of work because of the work limitations that his disability causes.
So work history, though it is
generally one of the last areas assessed in a disability claim decision, it is a very important factor in the
decision, especially as it relates to older individuals. So the claimant’s current work level is
For physical disability
claims—those not alleging a mental impairment--examiners can take a quick look at the grids, based on the
claimant’s age, education and past work level, i.e. sedentary, light, medium of heavy work, and determine what
level of work the claimant has to get down to in order to qualify for disability benefits.
So with the level of work needed to
allow benefits, the focus now for the examiner now shifts to getting objective medical records and statements
that support a work level at or below the Grid requirements.