ABSTRACT

This chapter explores the general requirements for mental health standards for military aviation, highlights the specific guidelines for the most common mental health disorders, and discusses the processes for submitting waivers in accord with each of the military service's guidelines. It focuses on the living document as each service's waiver guides are ever-evolving with the advent and incorporation of new data and practices in both the medical and aviation communities as well as advances in military aviation technology. In the Army, psychiatric conditions are dispositioned as either qualified or disqualified for aviation duties. An aeromedically tailored psychological evaluation is often the key resource for the flight surgeon in constructing a good Aeromedical Summary as well as in the ultimate determination of flight status. In the Army, fitness for flight status is determined by the severity of the adjustment disorder and the required treatment. Adjustment disorders involve a response to an identifiable stressor and result in significant emotional and behavioral symptoms.