Case Management: Assessing Recovery and Applying for Recertification Tom Faulkner, MD Senior AME, HIMS-IMS 25 April, 2018

The Pilot in Recovery Perspective “Right now” 4 months ago

AME/IMS Perspective Supported by objective documentation Along with the“gut” check (subjective) A unanimous team decision

Required Documentation All inpatient treatment records Aftercare monitors reports Sponsor letter Peer Monitor reports Chief Pilot reports Random testing results

Other certification documents Medical Conditions identified in treatment, SIA/AASI/CACI Administrative/Legal Arrest and court records Personal Statement by Pilot* * My requirement

Favorable Objective Data Contributing at AA, Aftercare, and Employer meetings, Open and frequent communication, Above and beyond work Appreciation above urgency

Quality of Involvement Status of personal recovery Step work Roadblocks Help with problems Group work Contributing to group Challenging others and accepting perspectives Lessons learned

Control vs. Cooperation “Checking boxes” Struggling with loss of control “He got back . . . Honesty, Openness, Admission of responsibility, Accountability Seeking and accepting help

AME/IMS Resources The more eyes watching, the better: Aftercare, sponsors, employer, other Pilots The Psychological & Psychiatric (P&P) evaluation Friends and Family

Promising behaviors Quick identification and treatment No “Voluntolds” Understanding of the impact it had on health, family, occupation, safety Planning For next week, month, year Return to work - layovers Relationships Progress not perfection

Warning signs “I’m not like them.” Limited exposure to other recovery groups Meeting the minimums. “How many meetings do I have to attend once I’m re-certified?” “Can I drink again after the SIA is removed?” “I do not want anyone to know about this.” WHERE ARE YOU?

Putting it in Writing HIMS Independent Medical Sponsor (IMS) Evaluation and Recommendations:   I agree to serve as Mr. John P. Flyguy’s Independent Medical Sponsor (IMS) in his efforts to seek/maintain re-certification of his First Class Medical certificate under the HIMS-Substance Abuse Special Issuance Authorization program. It is my recommendation that Mr. Flyguy be granted a Special Issuance Authorization (SIA) of his First Class Medical certificate under the HIMS-Substance Abuse program.

Final Thoughts Recovery offers a rare opportunity to re-boot, make the most of it, Counseling and the FAA Medical, FAA stressing objectivity (vs. being advocates, Resources for family

Questions? Thank you for being an integral part of this life, family, profession saving program.