Clinic to Cockpit: Analysis of Aviator Grounding Periods Due to Psychiatric Disorders

Abstract

The process to return U.S. Air Force aviators to flying status due to psychiatric conditions involves multiple parties and can be lengthy. We examined grounding periods in a sample of aircrew to determine the causes of grounded time and to explore possible improvement in the waiver system. The authors examined aeromedical records of 41 aviators treated with antidepressant medication to determine three metrics: total days grounded, days utilized by the flight surgeon/major command to refer the case to the Aeromedical Consultation Service (ACS), and days from receiving the referral to initiating the psychiatric evaluation at the ACS. A diverse range of duty positions was included in the study, with pilots (31.71 percent) representing the largest single group. For aviators treated with antidepressant medication, total grounded time averaged 497.17 days (standard deviation (SD) = 212.60), with a range of 236-1035 days. The number of days that the flight surgeon/major command took to refer the case to the ACS was 234.77 (SD = 109.15), with a range of 120-730 days. Finally, the number of days that ACS took to schedule an aviator for evaluation was 49.95 (SD = 34.74), with a range of 6-176 days. Treatment and stabilization combined accounted for 80 percent of the grounded time. Although there are opportunities to decrease grounded time through the actions of flight surgeons and the ACS, and the potential to lessen the required 180-day period of stability, aviators themselves hold the key to a more rapid return to the cockpit.

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Document Details

Document Type
Technical Report
Publication Date
Jun 01, 2018
Accession Number
AD1052991

Entities

People

  • Joe Iii Wood
  • John E. Heaton
  • Kevin F. Heacock

Tags

Communities of Interest

  • Biomedical
  • Materials and Manufacturing Processes
  • Space

DTIC Thesaurus Topics

  • Aerospace Medicine
  • Air Force
  • Antidepressants
  • Anxiety Disorders
  • Depression
  • Digital Data
  • Digital Information
  • Diseases And Disorders
  • Electronic Warfare
  • Governments
  • Health Care
  • Health Services
  • Instructions
  • Mental Disorders
  • Mental Health
  • Metadata
  • Military Medicine
  • Mood Disorders
  • Psychiatry
  • Standards

Readers

  • Aviation Science / Aeronautics.
  • Mental Health of Military Veterans with Posttraumatic Stress Disorder (PTSD): Risk Factors, Prevalence, Symptoms, and Treatment.