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Cognitive impairment

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7 years 3 months ago #177406 by Sallygreat
Cognitive impairment was created by Sallygreat
I read in an earlier post that DWP normally associate cognitive impairment with learning difficulties or brain damage but struggle seeing that MH or tiredness is related to this.

My partner has Aspergers and Directional Dyselxia and this makes it really difficult to plan a new route or follow a route because of the level of cognitive impairment in both. Do the DWP accept this and have an understanding of this?

There is not much in his diagnostic report to support this. I think you said in an earlier post that if we do not have medical evidence then we need to be really detailed in our responses to the descriptors?

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7 years 3 months ago #177422 by Gordon
Replied by Gordon on topic Cognitive impairment

Sally wrote: I read in an earlier post that DWP normally associate cognitive impairment with learning difficulties or brain damage but struggle seeing that MH or tiredness is related to this.

My partner has Aspergers and Directional Dyselxia and this makes it really difficult to plan a new route or follow a route because of the level of cognitive impairment in both. Do the DWP accept this and have an understanding of this?

There is not much in his diagnostic report to support this. I think you said in an earlier post that if we do not have medical evidence then we need to be really detailed in our responses to the descriptors?


You need to describe the issues that they have with navigation in detail giving examples.

I think it unlikely that they will accept the Asperger's as causing cognitive problems directly, so you will need to explain about the anxiety and distress that they suffer when placed under stress or being in an unfamiliar place (assuming that this is the case) and how this impairs cognitive capability.

For the Dyslexia, I would tackle it head as an issue with being able to navigate.

Gordon

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7 years 3 months ago #179248 by Sallygreat
Replied by Sallygreat on topic Cognitive impairment
Thank you Gordon so much for this feedback. I have done a lot of work on directional dyslexia for my partner and this is going well.

I have noted the recent Upper Tribunals decision which goes in our favour if you have mental health problems and are autistic as well...which is excellent.

I seem to still have great difficulty understanding travelling by bus even though I have read previous posts that you have given members on this site.

Does it mean that if you have difficulties with travelling on buses due to being on the autism spectrum because if there was a delay or the bus was late or the bus stopped was moved, etc. and you had difficulties with reading bus timetables and that created a situation where my partner cannot continue the journey on a familiar route, would that count as not being able to travel by bus to a familiar destination?. Apparently he would not board a bus to go to an unfamiliar destination and route.

Very grateful again for clarity on this Gordon.

Also another quickie...you mentioned that anxiety causes cognitive impairment but that we would need medical evidence for this on a previous post. Who would be able to provide this medical evidence. A Clinical Psychologist? Support worker? Both Autism specialists or would a GP need to put that in his letter?

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7 years 2 months ago #179308 by Gordon
Replied by Gordon on topic Cognitive impairment
Sally

Whilst you should certainly make arguments about his problems with using Public Transport, you should not rely on them to score the points for an award, although the DWP guidance makes reference to using Public Transport the legally defined Descriptors do not and we regularly see Decision Makers use this as a reason not to award points.

As to the cognitive impairment, I would start with your partners GP and see what they are prepared to state and then go from there.

Gordon

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7 years 2 months ago #180042 by Sallygreat
Replied by Sallygreat on topic Cognitive impairment
Thank you Gordon for your reply.

I'm not suggesting that we will do this, but as we are still trailblazers in the hope that DWP and DM "wake up"......its best then to say that you do not use public transport at all to get an award for standard or enhanced mobility?

Andy cannot use public transport at all for unfamiliar journeys owing to his severe cognitive impairment. He would not attempt this as he would get lost.

However, for familiar journeys he has problems that people with mh prooblems and autisitic individuals encounter but usually can get to his destination. The only time would be if there was a minor change, he would go into 'meltdown' and not be able to continue with his journey or anything else that day.

So within the legally defined descriptors could he be awarded standard mobility as long as I put in lots of details about his cognitive impairment via Directional Dyslexia and of course put in details the latest caselaw has stated regarding his distress and autism?

Could he do this on first attempt or are they still only awarding points/awards at Tribunal?

Sorry to keep labouring the point. PIP is as B&W say unclear and complicated.

So I am just removing the cobwebs! Thanking you in advance Gordon for your help and advice

Sally

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7 years 2 months ago #180061 by Gordon
Replied by Gordon on topic Cognitive impairment
Sally

To be clear, I am not suggesting that you do not mention any problems with Public Transport, you most certainly should, they just shouldn't be the only problem with Going Out that you include.

If his physical walking is not restricted then you will only score points through the Going Out activity, this covers the following;

- cognitive problems due to developmental issues and brain damage that cause issues with planning and following (navigating) a route.
- Sensory problems that cause issues with planning and following (navigating) a route.
- Mental health issues that prevent the claimant from going out or going out alone.
- Mental health issues that are severe enough to cause cognitive impairment that would prevent the following (navigating) a route.

A Standard award due to mental health issues is certainly possible, an Enhanced award is much more difficult but is still feasible.

Gordon

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