United States Department of Transportation
i
Bowtie Analysis of Pilot Depression and Barrier-Based Risk Management
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2024-01-01
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[PDF-3.45 MB]
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Abstract:The concept of barrier management – implementing and assuring a range of controls to protect against the risk of major losses – is widely used across high-hazard industries such as commercial aviation. While there are varying techniques for evaluating barrier strategies, the bowtie analysis is in widespread and growing. Accordingly, the Federal Aviation Administration (FAA) Office of Aerospace Medicine tasked the MITRE Corporation’s Center for Advanced Aviation System Development (MITRE CAASD) to evaluate the current state of art in barrier management for pilot mental health threats by conducting a bowtie analysis of pilot depression. MITRE first solicited ideas from industry and key stakeholders. Specific activities included problem space exploration, workshops with pilots with mental health conditions, and collaborative/disruptive innovation on managing aeromedical risk. MITRE then developed bowtie risk models and used these models to engage experts in a critical review of barrier effectiveness often presumed to mitigate threats to pilot performance associated with mental health issues. Recommendations included: (1) establish a top-level initiative to de-stigmatize mental health in the aviation industry; (2) convene a multi-stakeholder effort to evaluate risk-based mental health management pathways; (3) expand mental-health peer support programs across all pilot communities; (4) strengthen operational resources available to FAA behavioral health staff; (5) expand research related to pilot health care avoidance behavior; and (6) expand research and development of methods to systematically measure the safety risk associated with pilots' mental health conditions.
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