MED.B.055 Mental Health

• Regulation (EU) 2019/27 found in: Aircrew (1178/2011) Part-FCL Part-MED Part-CC Part-ARA Part-ORA Part-DTO (Aug 2023)

MED.B.055 Mental Health Regulation (EU) 2019/27 (a) Comprehensive mental health assessment shall form part of the initial class 1 aero-medical examination. (b) Drugs and alcohol screening shall form part of the initial class 1 aero-medical examination. (c) Applicants with a mental or behavioural disorder due to use or misuse of alcohol or other psychoactive substances shall be assessed as unfit pending recovery and freedom from psychoactive substance use or misuse and subject to satisfactory psychiatric evaluation after successful treatment. (d) Applicants with a clinical diagnosis or documented medical history of any of the following psychiatric conditions shall undergo satisfactory psychiatric evaluation before they may be assessed as fit: (1) mood disorder; (2) neurotic disorder; (3) personality disorder; (4) mental or behavioural disorder; (5) misuse of a psychoactive substance. (e) Applicants with a documented medical history of a single or repeated acts of deliberate self-harm or suicide attempt shall be assessed as unfit. However, they may be assessed as fit after satisfactory psychiatric evaluation. (f) Aero-medical assessment (1) Applicants for a class 1 medical certificate with any of the conditions specified in point (c), (d) or (e) shall be referred to the medical assessor of the licensing authority. (2) The fitness of applicants for a class 2 medical certificate with any of the conditions specified in point (c), (d) or (e) shall be assessed in consultation with the medical assessor of the licensing authority. (g) Applicants with a documented medical history or clinical diagnosis of schizophrenia, schizotypal or delusional disorder shall be assessed as unfit. MED.B.055 Mental Health Regulation (EU) 2019/27 (a)     Comprehensive mental health assessment shall form part of the initial class 1 aero-medical examination. (b)     Drugs and alcohol screening shall form part of the initial class 1 aero-medical examination. (c)      Applicants with a mental or behavioural disorder due to use or misuse of alcohol or other psychoactive substances shall be assessed as unfit pending recovery and freedom from psychoactive substance use or misuse and subject to satisfactory psychiatric evaluation after successful treatment. (d)     Applicants with a clinical diagnosis or documented medical history of any of the following psychiatric conditions shall undergo satisfactory psychiatric evaluation before they may be assessed as fit: (1)     mood disorder; (2)     neurotic disorder; (3)     personality disorder; (4)     mental or behavioural disorder; (5)     misuse of a psychoactive substance. (e)     Applicants with a documented medical history of a single or repeated acts of deliberate self-harm or suicide attempt shall be assessed as unfit. However, they may be assessed as fit after satisfactory psychiatric evaluation. (f)      Aero-medical assessment (1)     Applicants for a class 1 medical certificate with any of the conditions specified in point (c), (d) or (e) shall be referred to the medical assessor of the licensing authority. (2)     The fitness of applicants for a class 2 medical certificate with any of the conditions specified in point (c), (d) or (e) shall be assessed in consultation with the medical assessor of the licensing authority. (g)     Applicants with a documented medical history or clinical diagnosis of schizophrenia, schizotypal or delusional disorder shall be assessed as unfit. #### MED.B.055 Mental Health *Regulation (EU) 2019/27* (a) Comprehensive mental health assessment shall form part of the initial class 1 aero-medical examination. (b) Drugs and alcohol screening shall form part of the initial class 1 aero-medical examination. (c) Applicants with a mental or behavioural disorder due to use or misuse of alcohol or other psychoactive substances shall be assessed as unfit pending recovery and freedom from psychoactive substance use or misuse and subject to satisfactory psychiatric evaluation after successful treatment. (d) Applicants with a clinical diagnosis or documented medical history of any of the following psychiatric conditions shall undergo satisfactory psychiatric evaluation before they may be assessed as fit: (1) mood disorder; (2) neurotic disorder; (3) personality disorder; (4) mental or behavioural disorder; (5) misuse of a psychoactive substance. (e) Applicants with a documented medical history of a single or repeated acts of deliberate self-harm or suicide attempt shall be assessed as unfit. However, they may be assessed as fit after satisfactory psychiatric evaluation. (f) Aero-medical assessment (1) Applicants for a class 1 medical certificate with any of the conditions specified in point (c), (d) or (e) shall be referred to the medical assessor of the licensing authority. (2) The fitness of applicants for a class 2 medical certificate with any of the conditions specified in point (c), (d) or (e) shall be assessed in consultation with the medical assessor of the licensing authority. (g) Applicants with a documented medical history or clinical diagnosis of schizophrenia, schizotypal or delusional disorder shall be assessed as unfit.