1. Human Factors in Aviation/ The Failing Aviator CDR Mark Mittauer NOMI Psychiatry

2. Outline F Human Factors in Aviation F Five Types of High Risk Aviators

3. Human Factors in Aviation F Definition: The personal and professional concerns that interfere with an aviator’s ability to fly safely and effectively

4. Reference on Human Factors F COMNAVAIRLANT INSTRUCTION 5420.5C (Human Factors Council and Human Factors Board Policy and Procedures)

5. Why so we care about human factors in aviation? F What percentage of aviation mishaps are caused by “pilot error”? F About 75%

6. The Problem... F Fellow aviator peers and supervisors often know that an aviator is stressed - but do not speak up

7. Why are squadron members reluctant to express concern about a stressed aviator? F fear of “contamination” (if Viper can’t hack it, maybe I will also have problems) F embarrassment - that a squadron “bubba” is failing

8. Why might the aviator himself avoid asking for help? F denial - a normal defense used by all successful aviators F fear of extrusion from the squadron F stigma of psychiatric illness F (false) belief that psychiatric treatment means permanent grounding

9. Human Factors Problems in Mishaps F The aviator has inadequate knowledge, skill, or discipline - to fly safely F The aviator is overwhelmed due to personal problems

10. Personal Problems Facing Aviators F medical conditions (cold) F alcoholism F family problems F financial stress F welcome changes - new child

11. Personal Problems (Job) F disappointing training evaluation or fitness report F passed over for promotion F flying qualifications not current F new position (mission commander)

12. Personal Problems Unique to Female Aviators(?) F death of a close friend in an aircraft mishap F perceived sexual harassment/hostile work environment (one study found this factor in 25% of overstressed female aviators)

13. How do these problems affect the stressed aviator? F fatigue F distraction (unable to compartmentalize) F poor judgment F excessive risk-taking (safety violations) F poor communication and coordination with other aircrew

14. Potentially Dangerous Aviators F overstressed aviator F below average nugget or transition aviator F consistent poor performer F overconfident senior aviator F best pilot/NFO (“ace of the base”)

15. Overstressed Aviator - Characteristics F faces major life stressors or many minor stressors F mood swings F anger outbursts F depression F anxiety/panic attacks F unable to compartmentalize F suicidal or homicidal thoughts

16. Overstressed Aviator - Interventions F temporary grounding F flight surgeon evaluation F mental health referral: - psychiatrist or psychologist - social worker (Family Service Center) - chaplain Note: Mental Health referral is not a career- ender

17. Below Average Nugget/Transition Aviator F behind peers in training F fails exams/flight “downs” F poor knowledge of procedures F inadequate skills F poor headwork F lacks confidence

18. Below Average Nugget - Interventions F remedial training F “roll back” in training F crew with best instructor F minimize collateral duties F honest, but constructive, debriefs (not a problem in VT-86!)

19. Consistent Poor Performer (“weak stick/scope?”) F poor progress completing qualifications F frequent snivels out of flights F task saturation F often loses “SA” bag (situation awareness) F lacks confidence

20. Poor Performer - Interventions F monitor performance closely F remedial training F crew with best instructor F minimize collateral duties

21. Overconfident Senior Aviator - Characteristics F away from the aircraft too long F infrequent flight time F “been there, done that” attitude (feels that experience replaces proficiency) F NATOPS? F intimidates junior aircrew

22. Senior Aviator - Interventions F CO confront and counsel F crew with other senior aviators F additional flight time

23. Best Aviator - Characteristics F may overestimate ability F “pushes the envelope” F underestimates mission risk F violates NATOPS/SOP F poor aircrew coordination (does not request input from other aircrew)

24. Best Aviator - Interventions F CO confront F clarify standards/SOP F restrict flights

25. Behavior of the Failing Male Aviator F “acting out” (alcohol excess, the red Corvette, partying) F displays of bravado: - “carrier quals” at Happy Hour - unsafe flying F macho posturing

26. Do failing “minority” aviators act differently? F perhaps

27. Study by Berg and Moore of 12 failing female aviators F emotional distress “hidden” (more depression, guilt, hopelessness) F social withdrawal F NO “acting out” or risk-taking

28. Why might failing female aviators behave differently? F need for acceptance in the mostly male squadron F do not want to be labeled as “weak” females

29. Pearls F Female aviators may be affected by different stresses - compared to males F Stressed aviators today may have more subtle signs of being overwhelmed F DO NOT rely on the aviator to determine if he/she cannot compartmentalize!

30. Finis