The Missouri Department of Health and Senior Services (DHSS) investigates abuse, neglect, and exploitation of vulnerable individuals 60 and older and people with disabilities between 18 and 59. These individuals may live in the community or in long-term care facilities.
The problem of personality disorder discharges in the military has existed since at least 2008, when the Government Accountability Office found that the services were improperly discharging members for personality disorders, but veteran advocacy groups and veterans say the problem existed long before this.
By definition, the symptoms of personality disorders cannot be caused by a major psychiatric disorder as diagnosed in the Diagnostic and Statistical Manual of Mental Disorders, 4th ed. (DSM-IV), axis I,1 a medical disorder, or the effects of a substance. These disorders are coded on DSM-IV axis II, which is used to record personality disorders, personality traits, and mental retardation.