Alicea v. Commissioner of Social Security
2:13-cv-00300
S.D. OhioSep 29, 2014Background
- Plaintiff Christine Alicea applied for disability benefits, SSI, and child benefits alleging disability beginning in 1983 at age seven.
- Medical records show borderline intellectual functioning, polysubstance abuse disorder, and major depressive disorder with psychotic features.
- ALJ determined on January 24, 2012 that Alicea was not disabled through that date and did not meet Listing 12.05(C).
- Magistrate Judge Abel issued a Report and Recommendation on January 17, 2014 recommending affirmance; Alicea filed objections January 24, 2014.
- Court reviews the R&R de novo and considers substantial evidence supporting the ALJ’s decision and the applicable legal standards.
- Court adopts the R&R in part, overrules Alicea’s objections, and affirms the Commissioner's decision, finding no adaptive deficits before age 22.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Does Listing 12.05(C) require a mental retardation diagnosis? | Alicea argues no diagnosis is required. | Colvin/Agency argues diagnosis is required. | 12.05(C) does not require a diagnosis; still requires adaptive deficits. |
| Is an IQ score before age 22 required to satisfy 12.05? | Not required. | Not explicitly required but must be supported by adaptive deficits. | IQ score before 22 not required; adaptive functioning evidence needed. |
| Should Dr. Radio’s assessment have controlling weight? | Dr. Radio’s assessment should have controlling weight. | Court may assign lesser weight based on subsequent improvement. | Dr. Radio’s later assessment given less weight; ALJ’s weighing consistent. |
Key Cases Cited
- Sheeks v. Comm'r of Soc. Sec. Admin., 544 F. App'x 639 (6th Cir. 2013) (borderline intellectual functioning can under 12.05(C) despite lack of mental retardation diagnosis)
- West v. Comm'r of Soc. Sec., 240 F. App'x 692 (6th Cir. 2007) (pre-22 adaptive deficits required for 12.05; IQ not sole criterion)
- Ealy v. Comm'r of Soc. Sec., 594 F.3d 504 (6th Cir. 2010) (standard of review for substantial evidence)
