Link v. Commissioner Social Security Administration
Filing
17
Opinion and Order. The Commissioners decision is REVERSED and this action is REMANDED to the Agency for further proceedings. Signed on 10/16/2012 by Magistrate Judge John Jelderks. (sm)
IN THE UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF OREGON
STEVEN J. LINK,
) Civil No. 3:11-cv-01025-JE
)
Plaintiff,
)
) OPINION AND ORDER
v.
)
)
MICHAEL J. ASTRUE,
)
Commissioner of Social Security,
)
)
Defendant.
)
____________________________________)
James S. Coon
Swanson Thomas & Coon
820 SW 2nd Avenue
Suite 200
Portland, OR 97204
Attorney for Plaintiff
S. Amanda Marshall, U.S. Attorney
Adrian L. Brown, Asst. U.S. Attorney
1000 S.W. 3rd Avenue, Suite 600
Portland, OR 97204-2902
OPINION AND ORDER - 1
Mathew Pile
Social Security Administration
Office of the General Counsel
701 Fifth Avenue, Suite 2900, M/S 221A
Seattle, WA 98104
Attorneys for Defendant
JELDERKS, Magistrate Judge:
Plaintiff Steven Link brings this action pursuant to 42 U.S.C. § 405(g) seeking judicial
review of a final decision of the Commissioner of Social Security (the Commissioner) denying
his applications for Disability Income Benefits (DIB) and Supplemental Security Income (SSI)
under the Social Security Act (the Act).
For the reasons set out below, the Commissioner’s decision is reversed and remanded for
further proceedings.
Procedural Background
Plaintiff filed applications for DIB and SSI on March 18, 2007, alleging that he had been
disabled since February 1, 2007.
After his claims were denied initially and on reconsideration, Plaintiff timely requested an
administrative hearing.
On August 13, 2010, a hearing was held before ALJ Richard Say. Plaintiff; Mark Link,
Plaintiff’s brother; and Paul Morrison, a Vocational Expert (VE); testified at the hearing.
In a decision filed on August 20, 2010, ALJ Say found that Plaintiff was not disabled
within the meaning of the Act.
On July 1, 2011, the Appeals Council denied Plaintiff’s request for review, rendering the
ALJ’s decision the final decision of the Commissioner. In the present action, Plaintiff challenges
that decision.
OPINION AND ORDER - 2
Background
Plaintiff was born on June 23, 1964, and was 46 years old at the time of the hearing
before the ALJ. Plaintiff completed the eleventh grade. He has past relevant work experience as
a parts driver, mechanic helper, forklift driver, and groundskeeper. He alleges that he is disabled
because of a ring chromosome 21 defect, depression, anxiety, diabetes, high blood pressure, and
attention deficit hyperactivity disorder (ADHD).
Disability Analysis
The ALJ engages in a five-step sequential inquiry to determine whether a claimant is
disabled within the meaning of the Act. 20 C.F.R. §§ 404.1520, 416.920. Below is a summary
of the five steps, which also are described in Tackett v. Apfel, 180 F.3d 1094, 1098-99 (9th Cir.
1999).
Step One. The Commissioner determines whether the claimant is engaged in substantial
gainful activity (SGA). A claimant engaged in such activity is not disabled. If the claimant is
not engaged in substantial gainful activity, the Commissioner proceeds to evaluate the claimant’s
case under Step Two. 20 C.F.R. § 404.1520(b).
Step Two. The Commissioner determines whether the claimant has one or more severe
impairments. A claimant who does not have such an impairment is not disabled. If the claimant
has a severe impairment, the Commissioner proceeds to evaluate the claimant’s case under Step
Three. 20 C.F.R. § 404.1520(c).
Step Three. Disability cannot be based solely on a severe impairment; therefore, the
Commissioner next determines whether the claimant’s impairment “meets or equals” one of the
presumptively disabling impairments listed in the Social Security Administration (SSA)
OPINION AND ORDER - 3
regulations, 20 C.F.R. Part 404, Subpart P, Appendix 1. A claimant who has such an impairment
is disabled. If the claimant’s impairment does not meet or equal an impairment listed in the
regulations, the Commissioner’s evaluation of the claimant’s case proceeds under Step Four.
20 C.F.R. § 404.1520(d).
Step Four. The Commissioner determines whether the claimant is able to perform
relevant work he or she has done in the past. A claimant who can perform past relevant work is
not disabled. If the claimant demonstrates he or she cannot do work performed in the past, the
Commissioner’s evaluation of the claimant’s case proceeds under Step Five. 20 C.F.R.
§ 404.1520(e).
Step Five. The Commissioner determines whether the claimant is able to do any other
work. A claimant who cannot perform other work is disabled. If the Commissioner finds that
the claimant is able to do other work, the Commissioner must show that a significant number of
jobs exist in the national economy that the claimant can do. The Commissioner may satisfy this
burden through the testimony of a vocational expert (VE) or by reference to the
Medical-Vocational Guidelines, 20 C.F.R. Part 404, Subpart P, Appendix 2. If the
Commissioner demonstrates that a significant number of jobs exist in the national economy that
the claimant can do, the claimant is not disabled. If the Commissioner does not meet this burden,
the claimant is disabled. 20 C.F.R. § 404.1520(f)(1).
At Steps One through Four, the burden of proof is on the claimant. Tackett, 180 F.3d at
1098. At Step Five, the burden shifts to the Commissioner to show that the claimant can perform
jobs that exist in significant numbers in the national economy. Id.
OPINION AND ORDER - 4
ALJ’s Decision
At the first step of his disability analysis, the ALJ found that Plaintiff had not engaged in
substantial gainful activity since the alleged onset of his disability on February 1, 2007.
At the second step, the ALJ found that Plaintiff had the following severe impairments:
attention deficit hyperactivity disorder (ADHD), a learning disorder, personality disorder,
borderline intellectual functioning, and a chromosome 21 anomaly to which those mental
impairments were attributable.
At the third step, the ALJ found that Plaintiff did not have an impairment or combination
of impairments that met or equaled a presumptively disabling impairment set out in the listings,
20 C.F.R. Part 404, Subpart P., App.1.
The ALJ next assessed Plaintiff’s residual functional capacity (RFC). He found that
Plaintiff retained the capacity to work at all exertional levels, could read and follow specific
detailed instructions and lists of duties, and had the following nonexertional limitations: He had a
limited ability to write and use numbers; could understand, remember, and carry out only short,
simple instructions and perform routine tasks; could have no interaction with the general public;
could have only superficial interaction with coworkers; and needed specific, detailed instructions
and lists of work tasks. The ALJ found that Plaintiff’s statements concerning the intensity,
persistence, and limiting effects of his impairments were not credible to the extent that they were
inconsistent with this assessment.
Based upon the testimony of the VE, at the fourth step of his disability analysis the ALJ
found that Plaintiff could perform his past relevant work as a parts driver, mechanic helper,
OPINION AND ORDER - 5
forklift driver, and groundskeeper. Based on that conclusion, he found that Plaintiff was not
disabled within the meaning of the Act.
Standard of Review
A claimant is disabled if he or she is unable “to engage in substantial gainful activity by
reason of any medically determinable physical or mental impairment which . . . has lasted or can
be expected to last for a continuous period of not less than 12 months.” 42 U.S.C. §
423(d)(1)(A). Claimants bear the initial burden of establishing disability. Roberts v. Shalala, 66
F.3d 179, 182 (9th Cir. 1995), cert. denied, 517 U.S. 1122 (1996). The Commissioner bears the
burden of developing the record, DeLorme v. Sullivan, 924 F.2d 841, 849 (9th Cir. 1991), and
bears the burden of establishing that a claimant can perform “other work” at Step Five of the
disability analysis process. Tackett, 180 F.3d at 1098.
The district court must affirm the Commissioner’s decision if it is based on proper legal
standards and the findings are supported by substantial evidence in the record as a whole.
42 U.S.C. § 405(g); see also Andrews v. Shalala, 53 F.3d 1035, 1039 (9th Cir. 1995).
“Substantial evidence means more than a mere scintilla but less than a preponderance; it is such
relevant evidence as a reasonable mind might accept as adequate to support a conclusion.”
Andrews, 53 F.3d at 1039. The court must weigh all of the evidence, whether it supports or
detracts from the Commissioner’s decision. Martinez v. Heckler, 807 F.2d 771, 772 (9th Cir.
1986). The Commissioner’s decision must be upheld, however, even if “the evidence is
susceptible to more than one rational interpretation.” Andrews, 53 F.3d at 1039-40.
OPINION AND ORDER - 6
Discussion
Plaintiff contends that the ALJ failed to provide legally sufficient reasons for rejecting the
testimony of lay witnesses, erred in failing to address a State Vocational Rehabilitation Division
determination that he was “Most Significantly Disabled,” improperly reversed the “proper
manner of considering credibility,” and erred in finding that Plaintiff was not wholly credible.
1. Rejection of Statements of Lay Witnesses
a. Lay Witness Testimony At Issue
Mark Link, Plaintiff’s brother, testified at the hearing before the ALJ, and six other lay
witnesses submitted written statements describing Plaintiff’s impairments and limitations.
Plaintiff contends that the ALJ did not provide legally sufficient reasons for rejecting this
testimony. Though he argues that the ALJ did not provide adequate reasons for rejecting any of
the lay witness testimony, Plaintiff asserts that the statements of ReNae True, Kerry McMullin,
Terry Taylor, and Mark Link provided the “most relevant evidence,” and confines his specific
arguments to these witnesses.
ReNae True
ReNae True, one of Plaintiff’s sisters, submitted a statement describing Plaintiff’s mental
limitations. True stated that Plaintiff “has a difficult time in social situations. He has no
confidence in himself and . . . has no close friends . . . . He has a very difficult time
communicating and/or maintaining a conversation with other adults on an adult level.” She
added that Plaintiff lost his concentration, cowered, became flustered, and gave up if anyone
became stern with him or raised their voice. True described her experience of hiring Plaintiff to
work around her house as follows:
OPINION AND ORDER - 7
If I gave him a verbal list of 5 things to do, he would be able to do about two of them
the way I requested. If I were to write it down step by step, he would be able to
follow the instructions, but I would have to give them to him on a daily basis even
if they were the same repetitive thing . . . he would require consistent verbal direction
on a day to day basis.
She added that Plaintiff had difficulty understanding “acceptable hygiene,” and that,
because he could not express himself effectively, he had a history of unintentional “verbally
inappropriate” behavior.
Kerry McMullin
Kerry McMullin, another of Plaintiff’s sisters, also submitted a written statement
describing Plaintiff’s limitations. McMullin stated that Plaintiff needed help “prioritizing and
understanding how to manage day to day living situations. He frequently becomes so frustrated
with these tasks that he ignores them until a family member steps in and helps him with it.” She
added that:
One of his biggest limitations is his inability to grasp new concepts without constant
guidance and repetition, and a lot of patience from those around him. I have watched
Steven obtain job after job, although almost all of them are extremely short lived.
Within a year or so of being hired, he is usually terminated. Frequently the reason
given has been because Steven is not able to understand that he must follow
instructions and do what is asked of him. He also lacks the ability to communicate
clearly with his supervisors about his needs and what he does not understand.
McMullin stated that Plaintiff was always willing to work, but that he usually gave up
before he completed tasks because he forgot, or did not understand, “how to do something.”
Terry Taylor
Terry Taylor, one of Plaintiff’s former supervisors at Barkduster’s, Inc., submitted a
written statement describing Plaintiff’s difficulties in a work setting. Taylor stated that he had
known Plaintiff for four years, and had supervised him “on a regular basis.” He asserted that
OPINION AND ORDER - 8
Plaintiff
had a problem retaining instruction. He would listen carefully, was unable to
remember all the tasks given to him and had to be prompted as to what he had
missed getting done. Steven was a hard worker, and it was clear that he wanted to
please me and do a good job, so he found it very frustrating when he would
continuously make mistakes or forget something.
Steven also had difficulty with judgment. I could tell he really had tried to make a
good decision, but he was unable to realize outcomes and would misinterpret
instruction . . . it was easy for me to see it was not a lack of work ethic . . . but
clearly was a learning disability of some sort. He also exhibited problems staying
on task, dealing with distractions and staying focused. He would not realize when
he was off task. I attempted to structure his responsibilities so that he was able to
do repetitive jobs and not have to be constantly learning new things, but that
resulted in him losing focus and getting off task.
Taylor added that Plaintiff had made numerous mistakes which were costly and difficult to
manage.
Mark Link
Mark Link testified that Plaintiff suffers from an “inability to comprehend . . . simple
tasks, simple math, he has a hard time following basic instructions [and] doing a satisfactory
job.” He testified that he needed to redo “any job” that he had hired Plaintiff to do, or seen
Plaintiff do. Mark Link stated that, even if he were given clear instructions, Plaintiff was unable
to do simple, repetitive tasks such as sweeping a patio or splitting wood. He added that Plaintiff
could not “stay on task” and took offense if he was told that his work was unsatisfactory. Mark
Link testified that, though Plaintiff wanted to work, he needed constant supervision and did not
know what to do if he was not given constant instructions. He added that Plaintiff had difficulty
with comprehension and had trouble setting priorities.
b. ALJ’s Assessment of Lay Testimony
The ALJ briefly summarized the statements of the lay witnesses, and concluded that
OPINION AND ORDER - 9
because these parties have a personal relationship with the claimant and lack the
expertise and possibly the motivation to offer an objective or functional assessment,
their statements regarding the claimant’s symptoms and limitations are considered
with caution. It should also be noted that many of their statements regarding
claimant’s functional limitations are inconsistent with activities of daily living
discussed above.
Plaintiff contends that the ALJ improperly rejected the lay witnesses’ statements. He
argues that rejection of these statements on the basis of lay witnesses’ “personal relationship” to
him was improper, and that the activities of daily living to which the ALJ referred were not
inconsistent with the witnesses’ statements.
I agree. Lay testimony as to a claimant’s symptoms or as to how an impairment affects a
claimant’s ability to work is competent evidence which an ALJ must consider. Molina v. Astrue,
674 F.3d 1104, 1114 (9th Cir. 2012) (citing Nguyen v. Chater, 100 F.3d 1462, 1467 (9th Cir.
1995); Dodrill v. Shalala, 12 F.3d 915, 919 (9th Cir. 1993)). An ALJ who rejects the testimony of
lay witnesses must provide reasons for doing so that are “germane” as to each witness. Id.
Plaintiff’s relationship to the lay witnesses and the lay witness’s lack of “expertise” were
not germane reasons for rejecting the testimony at issue here: Friends and family members in a
position to observe a claimant’s symptoms and activities are competent to testify as to a
claimant’s condition. Dodrill, 12 F.3d at 918 (citing Sprague v. Bowen, 812 F.3d 1226, 1232 (9th
Cir. 1987)). Disregarding testimony of a claimant’s family and friends violates the requirement
that lay testimony be considered, Sprague, 12 F.3d at 1232, and an ALJ cannot reject a witness’s
testimony on the grounds that he or she is a family member. Smolen.v. Chater, 80 F.3 1273,
1288 (9th Cir. 1996). Disregarding the testimony because the witnesses lacked the expertise to
offer an objective functional assessment was also improper: By definition all lay testimony is
OPINION AND ORDER - 10
given by witnesses who are not “expert,” and ALJs are required to consider evidence from
witnesses who are not expert medical sources. See 20 C.F.R. § 404.1513(e)(2).
The ALJ’s assertion that the lay witnesses’ “statements regarding claimant’s functional
limitations are inconsistent with Plaintiff’s activities of daily living” discussed earlier in his
decision is not accurate. Those activities included vacuuming, mowing the grass, maintaining
the yard, taking care of parents, running errands, taking care of pets, preparing meals, and
“performing personal care.” Though Plaintiff had indicated that he carried out these activities,
the ALJ cited no evidence that Plaintiff had performed them in a manner that was inconsistent
with the lay witnesses’ statements. The mere fact that Plaintiff could perform certain activities of
daily living is not a germane basis for rejecting lay testimony that Plaintiff could not function in a
manner that would support employment.
The Commissioner acknowledges that Plaintiff’s relationship with the lay witnesses
and these witnesses’ lack of expertise were not proper bases for discounting the lay witnesses’
statements. He contends, however, that this error was harmless because Plaintiff’s activities of
daily living were a germane basis upon which to reject the lay witness testimony. Plaintiff
contends that the ALJ failed to provide an adequate basis for rejecting the lay witness testimony,
and that his failure requires remand for an award of benefits.
Though I agree with the Plaintiff’s contention that the ALJ failed to provide a legally
adequate basis for rejecting the lay witnesses’ testimony, I disagree with his contention that
remand for an award of benefits is appropriate. Plaintiff has cited, and I have found, no reported
Ninth Circuit appellate decisions in which an action has been remanded for an award of benefits
solely because an ALJ failed to provide germane reasons for rejecting lay testimony.
OPINION AND ORDER - 11
Plaintiff cites only Smolen, 80 F.3d at 1292, in support of his contention that the ALJ’s
failure to provide an adequate basis for rejecting lay witness evidence requires remand for an
award of benefits. However, in Smolen, the court concluded that, in addition to failing to
provide legally sufficient reasons for rejecting lay witness evidence, the ALJ had also erred in
rejecting the opinions of the Plaintiff’s treating physicians, in rejecting the Plaintiff’s own
testimony, and in finding that the Plaintiff could work. The court applied the three-part test
typically used in the Ninth Circuit to determine whether an ALJ’s error requires remand for an
award of benefits or for further proceedings. Id., (citations omitted). Under that test, remand for
an award of benefits is appropriate if an ALJ has improperly rejected the plaintiff’s evidence, the
record is fully developed, and it is clear that a finding of disability would be required if the
improperly rejected evidence were accepted. Id.
Here, the ALJ failed to provide adequate reasons for rejecting evidence from lay
witnesses and the record is fully developed, but it is not clear that the ALJ would have been
required to find Plaintiff disabled if he had accepted that evidence. Though the lay witnesses
described Plaintiff as significantly impaired, other substantial evidence, which the ALJ cited and
discussed, supported the conclusion that Plaintiff retained the functional capacity required to
work. Under these circumstances, remand for an award of benefits is not appropriate.
Though remand for an award of benefits is not appropriate, I am satisfied that this action
must be remanded for reexamination of the lay witness testimony. The lay witnesses appeared to
have had substantial opportunities to observe and interact with Plaintiff, and their carefully
articulated observations required a more thorough consideration than that reflected in the ALJ’s
decision. On remand, an ALJ must either credit the lay witnesses’ testimony or provide truly
OPINION AND ORDER - 12
“germane” and legitimate reasons its rejection. If the ALJ accepts the testimony, Plaintiff’s own
credibility, Plaintiff’s RFC, and the ultimate question of disability must be reexamined as well.
2. ALJ’s Credibility Determination
The ALJ found that Plaintiff had medically determinable impairments that could
reasonably be expected to cause some of the symptoms he alleged, but concluded that his
“allegations and statements concerning the intensity, persistence and limiting effects of
symptoms are not credible to the extent they are inconsistent with the . . . residual functional
capacity assessment.”
Credibility Analysis
The ALJ is responsible for determining credibility, resolving conflicts in medical
testimony, and resolving ambiguities. Andrews v. Shalala, 53 F.3d 1035, 1039 (9th Cir. 1995). If
a claimant produces medical evidence of an underlying impairment that is reasonably expected to
produce some degree of the symptoms alleged, and there is no affirmative evidence of
malingering, an ALJ must provide “clear and convincing reasons” for an adverse credibility
determination. Smolen v. Chater, 80 F.3d 1273, 1281 (9th Cir. 1996); Gregor v. Barnhart, 464
F.3d 968, 972 (9th Cir. 2006). If substantial evidence supports the ALJ’s credibility
determination, that determination must be upheld, even if some of the reasons cited by the ALJ
are not correct. Carmickle v. Commissioner of Social Security, 533 F.3d 1155, 1162 (9th Cir.
2008).
The ALJ must examine the entire record and consider several factors, including the
claimant's daily activities, medications taken and their effectiveness, treatment other than
medication, measures other than treatment used to relieve pain or other symptoms, and "any other
OPINION AND ORDER - 13
factors concerning the individual's functional limitations and restrictions due to pain or other
symptoms." SSR 96-7.
Analysis
a. Method of Credibility Assessment and Specificity of Testimony Found Not Wholly
Credible
Plaintiff contends that the ALJ erred in reversing the proper order of credibility analysis
by first assessing his RFC, and then simply concluding that any of his testimony that was
inconsistent with that assessment was not credible. He also contends that the ALJ failed to
specifically identify the testimony he found not credible, and failed to provide legally sufficient
reasons supporting his credibility determination.
Inclusion of a finding that a claimant “is not credible to the extent his testimony is
inconsistent with the RFC” has become a common practice in decisions denying applications for
disability benefits. See, e.g., Tilton v. Astrue, 2011 WL 4381745, Slip. Op. at 30 n.5 (D. Or.
2011) (noting frequent appearance of statement in ALJ decisions). This recitation has appeared
in most of the ALJs’ decisions I have reviewed during the past several years.
There is no doubt that this sort of formulaic recitation is inappropriate and inadequate if
an ALJ does not also provide sufficient reasons supporting a finding that a claimant is not wholly
credible. See, e.g., Allen v. Astrue, 2012 WL 2921454 at 8 (D. Or. 2012) (“boilerplate”
statement that claimant is not credible to extent testimony is inconsistent with RFC used
inappropriately in many decisions; does not provide reasons required to discredit testimony).
However, in most of the decisions that I have reviewed, this “boilerplate” statement has not
described the ALJ’s method of evaluating a claimant’s credibility or explained why a claimant’s
testimony has been found less than wholly credible, but instead has simply indicated the degree
OPINION AND ORDER - 14
to which the ALJ has found that a Plaintiff’s statements are not credible. I have concluded that,
though this recitation may add little, its inclusion is not a basis for setting aside a credibility
determination that is otherwise sound.
The threshold question here is whether the ALJ’s reference to Plaintiff’s RFC indicates
that the ALJ first assessed Plaintiff’s RFC, and then simply concluded that any of Plaintiff’s
assertions that were inconsistent with that assessment were not credible. A careful review of the
ALJ’s decision supports the conclusion that the ALJ did not analyze Plaintiff’s credibility in this
manner, because the ALJ set out a number of reasons, independent of the RFC assessment,
supporting his credibility determination.
The ALJ also identified the testimony that he found not credible with sufficient
specificity. He stated that Plaintiff’s allegations that his impairments were too severe to allow
him to perform substantial gainful activity, and that his functional limitations rendered him
incapable of performing “all work activity,” were not credible. The ALJ specifically noted that
Plaintiff alleged that he could not work because his depression, anxiety, diabetes, ring
chromosome 21 defect, and ADHD caused poor concentration, made it difficult to remember
assigned work tasks and instructions, required him to rely on written instructions, caused
moodiness and irritability, and resulted in poor social skills. In addition, in his discussion of the
specific reasons he found Plaintiff less than wholly credible, the ALJ sufficiently identified the
allegations that he necessarily found were not adequately supported by the record. For example,
in his review of the medical evidence that he found was inconsistent with Plaintiff’s allegations,
the ALJ cited evidence in the medical record indicating that Plaintiff was able to socialize at
work and maintain “good relationships with his wife and family that suggest his personality
disorder is not as severe as he alleges.”
OPINION AND ORDER - 15
b. ALJ’s Reasons for Credibility Finding
Because Plaintiff produced medical evidence of an underlying impairment that was
reasonably expected to produce some degree of the symptoms he alleged, and there is no
affirmative evidence of malingering, the ALJ was required to provide “clear and convincing
reasons” for his adverse credibility determination.
The ALJ satisfied that requirement here by providing a number of clear and convincing
reasons supporting his credibility determination. These included the ALJ’s reference to certain
inconsistencies between Plaintiff’s allegations concerning the severity of his impairments and
evidence in the medical record. He noted that a psychological evaluation showed that Plaintiff
had an average IQ and no deficits in attention, and that, despite his ADHD diagnosis, Plaintiff
had strengths in some areas of mental function. The ALJ also noted that Plaintiff had engaged in
substantial gainful activity for some time after he had been diagnosed with what he alleged was a
disabling ring 21 chromosome anomaly.
These inconsistencies supported the ALJ’s credibility assessment, because the
inconsistency of a claimant’s testimony with the medical records is a legitimate basis for
discounting a claimant’s credibility. Carmickle v. Commissioner, 533 F.3d at 1155, 1161 (9th
Cir. 2008); SSR 97-6p (consistency of claimant’s testimony “both internally and with other
information in the case record” is significant indication of a claimant’s credibility).
The ALJ also cited Plaintiff’s noncompliance “with his medical or vocational treatment.”
He noted that Plaintiff missed “multiple appointments” with his treating physician, who told
Plaintiff that he should find another health care provider if was going to continue to do so. The
ALJ cited treatment notes from the Office of Vocational Rehabilitation indicating that Plaintiff
OPINION AND ORDER - 16
had “dropped out of sight” and “made no attempt to follow-up with vocational training . . . .”1
He concluded that these records indicated that Plaintiff did not have a “sincere interest in
achieving medical and functional improvement.”
Failure to follow up with medical and vocational treatment is relevant in considering
credibility. See SSR 96-7p at *7 (claimant’s statements may be less credible if medical reports
or records show failure to follow treatment as prescribed); Burch v. Barnhart, 400 F.3d 676, 681
(9th Cir. 2005) (lack of treatment for mental condition legitimate consideration in assessing
credibility). An ALJ may consider a claimant’s resistance to treatment in evaluating credibility.
See Molina v. Astrue, 674 F.3d 1104, 1114 (9th Cir. 2012).
The ALJ concluded that Plaintiff’s ability to work despite his diagnosed ring 21
chromosomal anomaly was inconsistent with his allegations of disabling impairments. Records
indicate that Plaintiff earned between $17,500 and $31,000 every year between 1999 and 2007,
and establish that Plaintiff engaged in substantial gainful activity for four years following his
diagnosis of a chromosomal anomaly. The ALJ also cited evidence from Rowe Brothers
Rebuilders, which had employed Plaintiff in 2008 --after the alleged date of the onset of
disability--as inconsistent with Plaintiff’s allegations of disabling impairments. He noted that
Mike Kearney, president of Rowe Brothers, had completed an employer questionnaire stating
that this employer had never noticed Plaintiff having difficulty doing his work. The ALJ noted
that Kearney had reported that Plaintiff “did a great job of driving and picking up parts,” but
disliked cleaning the shop and was terminated for his failure to perform that task. He further
1
Treatment notes from the Office of Vocational Rehabilitation indicated that Plaintiff’s “motivation level”
would need to be assessed if Plaintiff returned for services because, though he talked about wanting to work “that is
as far as it goes.” Notes also indicated that Plaintiff tended to blame others for his “circumstances.”
OPINION AND ORDER - 17
noted that Kearney had opined that Plaintiff’s “only failures stemmed from unwillingness rather
than inability.”
These reasons are relevant in assessing Plaintiff’s credibility. A claimant’s previous
ability to work despite an impairment is relevant in assessing the credibility of a claimant
alleging that the impairment is subsequently disabling. See Gregory v. Bowen, 844 F.2d 664,
666-67 (9th Cir. 1988). The ability to maintain employment “with a fair amount of success”
during a period of alleged disability supports the conclusion that a claimant’s impairments are
less severe than alleged. Drouin v. Sullivan, 966 F.2d 1255, 1258 (9th Cir. 1992). Certainly, a
work attempt that fails because a claimant’s impairments preclude satisfactory performance
cannot support an adverse credibility finding. E.g., Lingenfelter v. Astrue, 504 F.3d 1028, 1038
(9th Cir. 2007). However, here the ALJ had a reasonable basis for concluding that Plaintiff’s
failure at Rowe Brothers, after the alleged onset of his disability, resulted at least in part because
Plaintiff did not perform aspects of the job that he disliked.
Based upon a careful review of the ALJ’s decision and the record, I conclude that the
above are clear and convincing reasons which support the ALJ’s credibility determination.
However, in addition to these, the ALJ provided two reasons that did not support his credibility
analysis. The first of these was the assertion that Plaintiff’s “course of medical treatment and use
of medication” was inconsistent with the severity of symptoms that Plaintiff alleged. The ALJ
asserted that, despite his allegations, Plaintiff “received only conservative and routine treatment,”
and that there was no evidence that he took any medications that caused significant side effects.
In his response to Plaintiff’s opening memorandum, the Commissioner asserts that because the
ALJ “did not cite to specific evidence in support of this reason or discuss what other treatment
may have been available” he does not rely on this reason.
OPINION AND ORDER - 18
The second insufficient reason is the ALJ’s assertion that Plaintiff’s activities of daily
living were inconsistent with “what he has alleged in his application and testimony.” As noted in
the above discussion of the ALJ’s evaluation of lay witness testimony, these activities included
vacuuming, mowing the grass, maintaining the yard, taking care of parents, running errands,
taking care of pets, preparing meals, and “performing personal care.”
In the discussion of lay witness testimony above, I concluded that these activities were
not inconsistent with the lay witnesses’ description of Plaintiff’s limitations. I noted that the ALJ
had cited no evidence that Plaintiff performed these activities of daily living in a manner that was
inconsistent with lay witness statements concerning Plaintiff’s impairments and limitations.
This applies as well to Plaintiff’s own statements concerning his impairments. Though Plaintiff
testified that he engaged in these activities, he did not state that he did so in a manner that was
inconsistent with his allegations of disabling impairments. For example, Plaintiff testified that he
tended to “give up early” on tasks, forgot things quickly, needed one to two hours to prepare a
meal, did very little housework, had substantial difficulty concentrating and staying focused on
tasks, and that his wife thought he did too little. Under these circumstances, Plaintiff’s activities
of daily living do not provide a clear and convincing reason for discounting Plaintiff’s credibility.
The ALJ’s inclusion of two insufficient reasons does not invalidate his finding that
Plaintiff was not wholly credible. Where, as here, substantial evidence supports the ALJ’s
credibility determination despite the inadequacy of some of an ALJ’s reasons, the credibility
determination will be upheld. See Carmickle 533 F.3d at 1162.
3. Oregon Office of Vocational Rehabilitation Services’ “Eligibility Determination”
In 2008, Plaintiff sought rehabilitation services from the Oregon Office of Vocational
Rehabilitation Services. In a letter dated July 29, 2008, Susan Hendry, a Vocational
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Rehabilitation Counselor, informed Plaintiff that he was eligible for vocational rehabilitation
services, and asked him to consider the type of work he was interested in and capable of
performing. A form sent with the letter, titled “Eligibility Determination,” indicated that
Plaintiff’s “Disability Priority” was “Most Significantly Disabled - Priority 1.” The form
identified certain impediments to employment, and stated that the Vocational Rehabilitation
Counselor had determined that Plaintiff “requires and can benefit from VR services to prepare
for, enter into, engage in, or retain gainful employment.”
Plaintiff contends that this document constituted a “disability decision” within the
meaning of Social Security Ruling (SSR) 06-03p, which provides that a “disability decision by
another governmental or nongovernmental agency cannot be ignored and must be considered.”
He further asserts that, even if the Eligibility Determination is not considered a “disability
decision,” it is an “other source” opinion that must be addressed as lay witness testimony.
I disagree. The Vocational Rehabilitation Services’ “Eligibility Determination” cannot be
fairly characterized as a “disability determination” within the meaning of SSR 06-03. That this
form is not the kind of formal finding of disability made by the Agency is evident from the
provision indicating the determination that VR services would help Plaintiff prepare for or retain
gainful employment: This means that an individual may be characterized as “most significantly
disabled” even if he or she is presently employed and engaged in substantial gainful activity–a
fact which would of course preclude a finding of disability under the Act. The characterization
of Plaintiff as “most significantly disabled” simply indicated that Plaintiff was deemed qualified
to receive a certain level of vocational rehabilitation services.
As the Commissioner correctly notes, in his evaluation of Plaintiff’s RFC, the ALJ here
accounted for those “impediments to employment” identified in the notes in the Eligibility
OPINION AND ORDER - 20
Determination. The ALJ’s RFC assessment noted restrictions in Plaintiff’s ability to read, write,
and use numbers; limited Plaintiff to tasks requiring short, simple instructions; and precluded
interaction with the general public and allowed only brief interaction with coworkers. Under
these circumstances, there was no conflict that the ALJ needed to resolve through a discussion of
Counselor Hendry’s opinion.
Conclusion
The Commissioner’s decision is REVERSED and this action is REMANDED to the
Agency for further proceedings. On remand, an ALJ must reconsider the assessment of the lay
witness testimony discussed above. An ALJ must either provide “germane” reasons for rejecting
the testimony, or must credit the testimony and reconsider Plaintiff’s own credibility, reassess
Plaintiff’s RFC, and reassess the question of disability in light of that testimony.
DATED this 16th day of October, 2012.
/s/ John Jelderks
John Jelderks
U.S. Magistrate Judge
OPINION AND ORDER - 21
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