Medical Decisions

Decision Information

Decision Content

 

GENERAL INFORMATION

KEYWORDS

Marine medical certificate, mental health, psychotic illness, medication

FILE NO.

MH-0212-28

SECTOR (Marine or Aviation)

Marine

SPECIFIC JOB

 

DIAGNOSIS (Primary, Secondary, etc.)

Two psychotic episodes

REVIEW

DATE OF DETERMINATION

July 31, 2014

MEMBER

Dr. Christopher Brooks

DETERMINATION

The member agrees with the Minister’s decision.

REASONS FOR THE DETERMINATION

Refusal to issue a marine medical certificate (MMC) — Following two psychotic episodes and continuing mental illness, Transport Canada made the decision not to issue the applicant an MMC. The applicant is still undergoing very active treatment, seeing a psychiatrist every three months, and taking powerful medication after five years from his initial hospital admission. The fact that his visits and medication have not been reduced suggests that his mental state has not shown clear signs of a complete recovery to his pre-morbid condition. The member is not persuaded with the argument of the applicant’s representative that a possible misdiagnosis of schizophrenia may have clouded the Minister’s decision, irrespective of whether the diagnosis was schizophrenia or an atypical psychiatric syndrome. In the applicant’s case, with a history of two episodes of psychosis and the risk of recurrence, the member agrees with the Minister’s decision not to issue him an MMC.

APPEAL

DATE OF DECISION

 

MEMBERS

 

DECISION

 

REASONS FOR THE DECISION

 

OTHER/COMMENTS

 

 

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