Completed
In response to a congressional mandate, a National Academies committee will examine drug and alcohol programs within the Department of Transportation, the Federal Aviation Administration, and in similar industries/sectors. In particular, it will review the Human Intervention Motivation Study (HIMS) program and the Flight Attendant Drug and Alcohol Program (FADAP); explore best policies and practices, including best practices for prevention; and consider programs to implement or existing programs to change that could best assist employees to get treatment and return to work.
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Consensus
ยท2023
While there is a limited data on safety-sensitive professionals, substance use disorders potentially affect pilots and flight attendants at the same rate as the general population - around 15 percent - but due to the high-risk nature of their jobs, aircraft operators are held to a higher standard fo...
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Description
A committee of the National Academies of Sciences, Engineering, and Medicine will:
1. Identify relevant drug and alcohol programs within USDOT and its modal administrations, and similar industries and sectors, beyond the Human Intervention Motivation Study (HIMS) program and the Flight Attendant Drug and Alcohol Program (FADAP).
2. Review available assessment and evaluation information on the HIMS, FADAP, and any other identified drug and alcohol programs to identify:
a. Best policies and practices within existing programs; and
b. Best practices for prevention, early intervention, and return to work specifically around prescription medication abuse, with an emphasis on employee use of opioids.
3. To the extent justified by the evidence, provide recommendations to the FAA and other modal administrations within the USDOT on how to implement programs, or change existing programs, that seek to help transportation workers get treatment for drug and alcohol abuse and return to work.
Contributors
Committee
Chair
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Conflict of Interest Disclosure
Disclosure of Conflict of Interest: Dr. Daniel DaSilva
The conflict of interest policy of the National Academies of Sciences, Engineering, and Medicine (http://www.nationalacademies.org/coi) prohibits the appointment of an individual to a committee authoring a Consensus Study Report if the individual has a conflict of interest that is relevant to the task to be performed. An exception to this prohibition is permitted if the National Academies determines that the conflict is unavoidable and the conflict is publicly disclosed. A determination of a conflict of interest for an individual is not an assessment of that individual's actual behavior or character or ability to act objectively despite the conflicting interest.
Dr. Daniel DaSilva has a conflict of interest in relation to his service on the Study and Recommendations on the Human Intervention Motivational Study (HIMS), Flight Attendant Drug and Alcohol Program (FADAP), and Other Drug and Alcohol Programs within the USDOT Committee because he is an Aviation Neuropsychologist for a practice that evaluates patients in the HIMS program.
The National Academies has concluded that in order for the committee to accomplish the tasks for which it was established, its membership must include at least one person who has substantial and direct current expertise treating substance abuse in the aviation industry in order to adequately assess the programs. As described in his biographical summary, Dr. DaSilva has extensive current expertise with the HIMS Program in clinical and aviation psychology, including conducting neuropsychological and psychological assessments of pilots and air traffic controllers, as well as patients experiencing acquired injuries, illnesses, psychological disorders, and substance abuse problems.
The National Academies has determined that the experience and expertise of Dr. Daniel DaSilva is needed for the committee to accomplish the task for which it has been established. The National Academies could not find another available individual with the equivalent experience and expertise who does not have a conflict of interest. Therefore, the National Academies has concluded that the conflict is unavoidable.
The National Academies believes that Dr. DaSilva can serve effectively as a member of the committee, and the committee can produce an objective report, taking into account the composition of the committee, the work to be performed, and the procedures to be followed in completing the study.
Sponsors
Department of Transportation
Staff
Dylan Rebstock
Lead
Lyle Carrera
Melissa Welch-Ross
Jacqueline L. Cole
Major units and sub-units
Center for Health, People, and Places
Lead
Transportation Research Board
Lead
Health and Medicine Division
Lead
Division of Behavioral and Social Sciences and Education
Lead
Board on Health Care Services
Lead
Consensus and Advisory Studies Division
Lead
Social and Economic Systems Program Area
Lead
Board on Behavioral, Cognitive, and Sensory Sciences
Lead