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Research ArticleRegular Articles

Psychiatry and Fitness to Fly After Germanwings

Harold M. Pinsky, Jeffrey Guina, Michael Berry, Charles Chesanow and Debra A. Pinals
Journal of the American Academy of Psychiatry and the Law Online March 2020, 48 (1) 65-76; DOI: https://doi.org/10.29158/JAAPL.003889-20
Harold M. Pinsky
Dr. Pinsky is Adjunct Clinical Assistant Professor, University of Michigan School of Dentistry, Ann Arbor, Michigan, and Chairman, Pilot Assistance Network, ALPA Master Executive Council, Atlanta, Georgia. Dr. Guina is Chief Medical Officer, Easterseals Michigan, Pontiac, Michigan; Clinical Associate Professor, Wright State University, Boonshoft School of Medicine, Department of Psychiatry, Dayton, Ohio; and Public & Community Psychiatry Fellow, Wayne State University School of Medicine, Department of Psychiatry, Detroit, Michigan. Dr. Berry is Federal Air Surgeon and Dr. Chesanow is Chief Psychiatrist, Federal Aviation Administration, Office of Aerospace Medicine, Washington, DC. Dr. Pinals is Clinical Professor of Psychiatry, University of Michigan, Department of Psychiatry, Ann Arbor, Michigan.
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Jeffrey Guina
Dr. Pinsky is Adjunct Clinical Assistant Professor, University of Michigan School of Dentistry, Ann Arbor, Michigan, and Chairman, Pilot Assistance Network, ALPA Master Executive Council, Atlanta, Georgia. Dr. Guina is Chief Medical Officer, Easterseals Michigan, Pontiac, Michigan; Clinical Associate Professor, Wright State University, Boonshoft School of Medicine, Department of Psychiatry, Dayton, Ohio; and Public & Community Psychiatry Fellow, Wayne State University School of Medicine, Department of Psychiatry, Detroit, Michigan. Dr. Berry is Federal Air Surgeon and Dr. Chesanow is Chief Psychiatrist, Federal Aviation Administration, Office of Aerospace Medicine, Washington, DC. Dr. Pinals is Clinical Professor of Psychiatry, University of Michigan, Department of Psychiatry, Ann Arbor, Michigan.
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Michael Berry
Dr. Pinsky is Adjunct Clinical Assistant Professor, University of Michigan School of Dentistry, Ann Arbor, Michigan, and Chairman, Pilot Assistance Network, ALPA Master Executive Council, Atlanta, Georgia. Dr. Guina is Chief Medical Officer, Easterseals Michigan, Pontiac, Michigan; Clinical Associate Professor, Wright State University, Boonshoft School of Medicine, Department of Psychiatry, Dayton, Ohio; and Public & Community Psychiatry Fellow, Wayne State University School of Medicine, Department of Psychiatry, Detroit, Michigan. Dr. Berry is Federal Air Surgeon and Dr. Chesanow is Chief Psychiatrist, Federal Aviation Administration, Office of Aerospace Medicine, Washington, DC. Dr. Pinals is Clinical Professor of Psychiatry, University of Michigan, Department of Psychiatry, Ann Arbor, Michigan.
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Charles Chesanow
Dr. Pinsky is Adjunct Clinical Assistant Professor, University of Michigan School of Dentistry, Ann Arbor, Michigan, and Chairman, Pilot Assistance Network, ALPA Master Executive Council, Atlanta, Georgia. Dr. Guina is Chief Medical Officer, Easterseals Michigan, Pontiac, Michigan; Clinical Associate Professor, Wright State University, Boonshoft School of Medicine, Department of Psychiatry, Dayton, Ohio; and Public & Community Psychiatry Fellow, Wayne State University School of Medicine, Department of Psychiatry, Detroit, Michigan. Dr. Berry is Federal Air Surgeon and Dr. Chesanow is Chief Psychiatrist, Federal Aviation Administration, Office of Aerospace Medicine, Washington, DC. Dr. Pinals is Clinical Professor of Psychiatry, University of Michigan, Department of Psychiatry, Ann Arbor, Michigan.
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Debra A. Pinals
Dr. Pinsky is Adjunct Clinical Assistant Professor, University of Michigan School of Dentistry, Ann Arbor, Michigan, and Chairman, Pilot Assistance Network, ALPA Master Executive Council, Atlanta, Georgia. Dr. Guina is Chief Medical Officer, Easterseals Michigan, Pontiac, Michigan; Clinical Associate Professor, Wright State University, Boonshoft School of Medicine, Department of Psychiatry, Dayton, Ohio; and Public & Community Psychiatry Fellow, Wayne State University School of Medicine, Department of Psychiatry, Detroit, Michigan. Dr. Berry is Federal Air Surgeon and Dr. Chesanow is Chief Psychiatrist, Federal Aviation Administration, Office of Aerospace Medicine, Washington, DC. Dr. Pinals is Clinical Professor of Psychiatry, University of Michigan, Department of Psychiatry, Ann Arbor, Michigan.
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    Table 1

    Federal Aviation Mental Health Disqualifiers (14 CFR § 67.107)6

    Diagnosis of:
        Personality disorder that is severe enough to have repeatedly manifested itself by overt acts
        Psychosis
        Bipolar disorder
        Substance dependence, except where there is established clinical evidence, satisfactory to the Federal Air Surgeon, of recovery for 2 years
    Substance abuse within 2 years
    Other personality disorder, neurosis, or other mental condition that the Federal Air Surgeon finds compromises safety or makes person unable to perform duties
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Journal of the American Academy of Psychiatry and the Law Online: 48 (1)
Journal of the American Academy of Psychiatry and the Law Online
Vol. 48, Issue 1
1 Mar 2020
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Psychiatry and Fitness to Fly After Germanwings
Harold M. Pinsky, Jeffrey Guina, Michael Berry, Charles Chesanow, Debra A. Pinals
Journal of the American Academy of Psychiatry and the Law Online Mar 2020, 48 (1) 65-76; DOI: 10.29158/JAAPL.003889-20

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Psychiatry and Fitness to Fly After Germanwings
Harold M. Pinsky, Jeffrey Guina, Michael Berry, Charles Chesanow, Debra A. Pinals
Journal of the American Academy of Psychiatry and the Law Online Mar 2020, 48 (1) 65-76; DOI: 10.29158/JAAPL.003889-20
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