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

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

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

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

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

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

8. 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

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

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

11. 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

12. 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?

14. 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.

15. 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

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