When there is established evidence of a psychological disorder in a cabin crew member, what action must be taken?

The cabin crew member should be referred for psychological opinion and advice.

Is a cabin crew member with a history of deliberate self-harm automatically permanently unfit, or can a fit assessment be considered under any circumstances?

They are assessed as unfit, but a fit assessment may be considered after they undergo satisfactory psychiatric evaluation.

What is the difference in assessment requirements between a cabin crew member with a mood disorder and one with a personality disorder?

There is no difference; both are listed under psychiatric conditions that require satisfactory psychiatric evaluation before a fit assessment may be considered.

AMC11 MED.C.025 Content of aero-medical assessments

Q: What should be the assessment outcome for a cabin crew member with a mental or behavioural disorder caused by alcohol or psychoactive substance misuse, and what conditions must be met before a fit assessment can be considered?

They should be assessed as unfit pending recovery and freedom from psychoactive substance use or misuse, and subject to satisfactory psychiatric evaluation after successful treatment.

Q: Which psychiatric conditions require a satisfactory psychiatric evaluation before a fit assessment may be considered for cabin crew?

Mood disorder, neurotic disorder, personality disorder, or mental or behavioural disorder.

Q: How should a cabin crew member with a history of deliberate self-harm be assessed, and what is required before a fit assessment may be considered?

They should be assessed as unfit. They should undergo satisfactory psychiatric evaluation before a fit assessment may be considered.

Q: For a cabin crew member with a diagnosis of schizophrenia, is there any possibility of a fit assessment after treatment or evaluation?

No, the AMC states that cabin crew members with an established history or clinical diagnosis of schizophrenia, schizotypal or delusional disorder should be assessed as unfit, with no provision for later fit assessment.

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AMC11 MED.C.025 Content of aero-medical assessments

ED Decision 2019/002/R

MENTAL HEALTH

(a) Cabin crew members with a mental or behavioural disorder due to use or misuse of alcohol or other psychoactive substances should be assessed as unfit pending recovery and freedom from psychoactive substance use or misuse and subject to satisfactory psychiatric evaluation after successful treatment.

(b) Cabin crew members with an established history or clinical diagnosis of schizophrenia, schizotypal or delusional disorder should be assessed as unfit.

(1) mood disorder;

(2) neurotic disorder;

(3) personality disorder; or

(4) mental or behavioural disorder

should undergo satisfactory psychiatric evaluation before a fit assessment may be considered.

(d) Cabin crew members with a history of a single or repeated acts of deliberate self-harm should be assessed as unfit. Cabin crew members should undergo satisfactory psychiatric evaluation before a fit assessment may be considered.

(e) Where there is established evidence that a cabin crew member has a psychological disorder, he/she should be referred for psychological opinion and advice.

(f) The psychological evaluation may include a collection of biographical data, the review of aptitudes, and personality tests and psychological interview.

(g) The psychologist should submit a report to the AME or OHMP, detailing the results and recommendation.

Details

Source-Title: AMC11 MED.C.025 Content of aero-medical assessments View latest amendments

Erulesid: ERULES-1963177438-11288 Compare versions

Domain: Aircrew

Applicabilitydate: 30 January, 2019

Entryintoforcedate: 29 January, 2019

Regulatorysource: ED Decision 2019/002/R Navigate

Regulatorysubject: Part-MED

Typeofcontent: AMC to IR (Acceptable means of compliance to implementing rule)

Parentir: MED.C.025 Content of aero-medical assessments

Origin: EASA

Category: EAR