Let's start from a basic premise. The Army is dealing with PTSD and/or TBI poorly. The question becomes twofold, 1) how to fix it? and 2) how to shine a light on it?
Looking for examples of PTSD symptoms being "mischaracterized" as misconduct will not answer question #2. The basic premise that PTSD causes behavior to be mischaracterized is heading in the wrong direction IMO. You're not going to get the military to think not following the rules is anything but misconduct.
The problem is more about when can PTSD be used as a get out of jail free card. Some misconduct is likely related to PTSD, and the question becomes what is going to be more effective long term, punishing the misconduct or treating the underlying PTSD.
I don't think this is the problem at all. I have seen dozens of cases where a Soldier, with PTSD and/or TBI, is given strong medication, misses formation a few times, and is chaptered for being late to report
Missing a few formations is enough to get you kicked out. This isn't mischaracterization of misconduct. This is misconduct. The reality of how things work though is there is almost always more going on than the missed formations. The missed formations were easy to write counseling, so they became the official story, but the real story is always more complex.
Saying it happened because of PTSD and/or TBI can be a get out of jail free card in this example. Without the PTSD / TBI there wouldn't be the medication, then there wouldn't be the side effects, then there wouldn't be the problem. That's fine, some amount of get out of jail free works, its really baked into the process of a misconduct discharge. In a tanker unit, scoring well at gunnery is a get out of jail free card for some minor misbehavior. In an infantry unit, getting over 300 on the PT score gets you out of trouble sometimes. There is an unspoken system of "good Soldier points" and "bad Soldier points" that weight into the determination of if/what discharge to pursue.
I don't think the regs help the situation, unfortunately.
"physical or mental illness that was the direct or substantial contributing cause of the conduct," which is the standard that applied. See AR 635-200, Para. 14-17.
This is meaningless to most commanders. They don't know how to answer this question. So what do they do? They ask the docs. The docs don't know when or how to step into the process. They almost always say no, the PTSD and/or TBI didn't cause it. Even if you ask the question right, and ask if the medication cause it, they'll answer wrong. Oh, well, I can't prove the medication is the problem, because I have 20 other Soldiers on the same meds and they make formation. Without explanation that side effects are different for different people.
I even had a case where the member had an MEB findng that the member failed retention standards due to his PTSD, that was finalized the same day as the discharge board and the board refused to wait until the documents could be sent from the MEB to the board before acting. The GCMCA never considered the issue and the Court of Federal Claims found this to be error.
To me, it sounds like these are the types of issues they'll find. They may even number into the hundreds, but I kinda doubt it. For the most part, they try to follow the regs. The problem is much bigger than these types of issues though.
it really isn't temporary insanity, it is the reaction of a combat soldier who falsely believes that he is under fire
This gets into just how hard it is to figure out if PTSD/TBI can be a get out of jail free card. This is a very real type of scenario, and medical will never take the side of the Soldier.
The problem is commanders need some real guidance and consistency on what means they need to push a Soldier into help, and what means they need to clamp down on problems. This are hard rules to write. How do you make it apply to the situation where a Soldier is genuinely freaked out and starts fighting w/o thinking about if its an MP there and still have teeth for the guy who decides formations are optional but thinks going to BH will make the problem go away when told an article 15 is forthcoming.
PTSD/TBI is not well suited for the informal point system. It leads to things like a Soldier PCSing to a take a knee unit and suddenly getting hammered because the standards are so different there. It can lead to things like an E6 going downrange and murdering civilians when he probably should have been pushed out well before the deployment.