Substance Misuse Programs in Commercial Aviation Safety First (2023) / Chapter Skim
Currently Skimming:
4 A Program Evaluation Overview for Support of Pilots and Flight Attendants with Substance Use Disorders
4 A Program Evaluation Overview for Support of Pilots and Flight Attendants with Substance Use Disorders
Pages 85-98
The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.
From page 85... ...
For this purpose, the chapter first provides a framework that outlines the multiple influences on the work of pilots and flight attendants and includes public policies, airline policies and cultures, workplace stressors, and individual factors. Next, it draws upon the findings laid out in Chapter 3 on the key elements of evidence-based practices for identification and treatment of substance use disorders, and then reviews best practices in program evaluation, to propose key elements to include in evaluations of substance use disorder programs.
|
From page 86... ...
The policies of the FAA, unions, and airlines may also influence pilots' and flight attendants' willingness to seek treatment. For example, flight crews may hesitate to seek help due to a concern about the potential impacts on their medical certification process.
|
From page 87... ...
NOTE: AA = Alcoholics Anonymous; ALPA = Air Line Pilots Association-International; DOT = U.S. Department of Transportation; FAA = Federal Aviation Administration; HIMS = Human Intervention Motivational Study.
|
From page 88... ...
Department of Transportation; FA = flight attendant; FAA = Federal Aviation Administration; FADAP = Flight Attendant Drug and Alcohol Program; HIMS = Human Intervention Motivational Study.
|
From page 89... ...
. As a result, the flight crews' fear of disrupting their careers may lead to their unwillingness to seek medical treatment when they are involved in substance abuse disorders.
|
From page 90... ...
This external shock has led to uncertainty and insecurity for pilots and flight attendants regarding their future careers and their medical certifications (Suthatorn & Charoensukmongkol, 2022; Troyer & Bidaisee, 2022; Xiao et al., 2022) , which makes their situation worse, especially for those with substance use disorders.
|
From page 91... ...
When pilots and flight attendants receive family support (e.g., financial support, direct care) , they are more likely to take action and seek treatments when needed.
|
From page 92... ...
Organizational and Psychological Safety Climate The climates of organizational safety and psychological safety are also important factors affecting the likelihood that pilots and flight attendants will seek treatment for substance use disorder. Within a psychologically safe climate, pilots and flight attendants are less likely to have perceived uncertainty and job insecurity, which may deter them from seeking treatment (Edmondson, 1999)
|
From page 93... ...
Similarly, Box 4-1 describes five important aspects of a safety culture. Union Support Union support may also affect whether or not pilots and flight attendants seek treatment, because unions may contribute to the improvement of relevant organizational policies for flight crew benefits, such as explicit policies about rehabilitation and job retention.
|
From page 94... ...
. KEY ELEMENTS OF GOOD SUBSTANCE USE DISORDER TREATMENT FOR PILOTS AND FLIGHT ATTENDANTS HIMS and FADAP play important intermediary roles in helping pilots and flight attendants needing support to deal with substance use disorders find and complete appropriate treatment and reenter their work roles successfully.
|
From page 95... ...
. FAA and airline management, for example, may place priority on workplace outcome measures invoking safety in flight operations such as long-term sobriety (abstinence)
|
From page 96... ...
; and • be trauma-focused and address co-occurring physical and mental health conditions. EMPLOYING EVALUATION TOOLS Program evaluation is the application of systematic methods to address questions about program operations and results, and it includes ongoing monitoring of a program as well as one-shot studies of program processes or program impact.
|
From page 97... ...
Most evaluation work will examine program implementation to some extent, if only to ensure that the assessment of outcomes or impacts can be logically linked to program activities. Credible evaluation work requires clear, valid measures that are collected in a reliable, consistent fashion.
|
From page 98... ...
Clear and justified criteria for selection of treatment programs? Ongoing sustaining support?
|
Key Terms
This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
More
information on Chapter Skim is available.