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Starling v. Teachers' Pension and Annuity Fund

March 18, 2009


On appeal from a Final Agency Decision of the Teachers' Pension and Annuity Fund, Agency Docket No. 435078.

Per curiam.


Submitted February 23, 2009

Before Judges Carchman and Simonelli.

Pro se appellant Kathleen Starling appeals from the decision of the Board of Trustees of respondent Teachers' Pension and Annuity Fund (TPAF) granting the application for involuntary ordinary disability retirement benefits filed by the Linden Board of Education (Linden) on her behalf. The Board adopted the recommendations of an administrative law judge (ALJ) that appellant is totally and permanently disabled from performing her regular and assigned duties as a teacher. We affirm.

The following facts are relevant to this appeal. In September 1999, appellant was transported from her teaching job to the hospital on an emergency basis and involuntarily hospitalized. She was subsequently diagnosed with Bipolar Disorder and Narcissistic Personality Disorder with poor impulse control and poor logical reasoning. She refused treatment.

Appellant returned to work and caused various disruptions. As a result, Linden required her to undergo a psychiatric evaluation in 2005, and placed her on paid administrative leave pending the evaluation. The evaluation confirmed the diagnosis of Bipolar Disorder and Narcissistic Personality Disorder. Linden notified appellant that she could return to work in September 2005, provided she participate in counseling and take prescribed medication. Appellant returned to work and began treatment with a licensed clinical social worker. At the end of October 2005, the social worker notified Linden that appellant's condition had deteriorated, she was totally and permanently disabled, she could not perform her job functions, and her prognosis was poor. Appellant was placed on administrative leave in November 2005. In December 2005, Linden filed for involuntary disability retirement on appellant's behalf.

The TPAF Board approved Linden's application. Appellant appealed the Board's decision. The Board then transferred the case to the Office of Administrative Law for a hearing as a contested case. An Administrative Law Judge (ALJ) held a twoday plenary hearing at which Dr. Robert Latimer testified on behalf of the Board as an expert in psychiatry. Dr. Latimer opined that Starling "is functioning at a level below 50 according to DSM-4, which is the Diagnostic and Statistical Manual of the American Psychiatric Association. And 50 corresponds with serious psychiatric symptoms, which interfere socially and industrially." Dr. Latimer also testified that appellant suffers from a Psychotic Disorder. I clarify that she has a history of having being diagnosed as Bipolar Disorder and there are many symptoms that I found are more consistent with a more serious process than Bipolar Disorder which we call the "Schizo-Affective Disorder."

The Scizo-Affective Disorder is a variation of Schizophrenia, in which the prominent symptoms are changes in mood and behavior, rather than delusions and hallucinations.

And it is [] my opinion from review of the records that she has suffered from this condition for a substantial period of time, and that she has mixed symptoms of Bipolarity, which is typical of the Schizo-Affective type of Schizophrenia.

She has had a tendency towards, religiositynot religion, but religiosity which is considered a more- a[n] idiosyncratic of -of a psychiatric condition. Her condition has - it has not been characterized by ups and downs as the Bipolar usually do, but rather it had been uninterrupted, according the records that I read.

There's a mixture of moods and psychotic symptoms which diminishes her functional capacity, constricts her interests, including her social life. She appears to lack, from the history, pleasurable activities and she gives a history of substantial losses in her personal life, including the death of three siblings in tragic circumstances, which were not clarified in my examination.

And one of her treating professionals mentioned that at times she was paranoid, meaning that she was suspicious or that she was grandiose in her behavior.

Dr. Latimer concluded that appellant suffers from a substantial Psychiatric Disorder which remains mostly untreated and that she cannot be relied on to treat herself because she lacks insight. And my concern is that she works with children and that she cannot function and run the ...

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