human factors in aviation/ the failing aviator cdr mark mittauer nomi psychiatry

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Human Factors in Aviation/ The Failing Aviator CDR Mark Mittauer NOMI Psychiatry

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Page 1: Human Factors in Aviation/ The Failing Aviator CDR Mark Mittauer NOMI Psychiatry

Human Factors in Aviation/ The Failing Aviator

CDR Mark Mittauer

NOMI Psychiatry

Page 2: Human Factors in Aviation/ The Failing Aviator CDR Mark Mittauer NOMI Psychiatry

Outline

Human Factors in Aviation Five Types of High Risk Aviators

Page 3: Human Factors in Aviation/ The Failing Aviator CDR Mark Mittauer NOMI Psychiatry

Human Factors in Aviation

Definition: The personal and professional concerns that interfere with an aviator’s ability to fly safely and effectively

Page 4: Human Factors in Aviation/ The Failing Aviator CDR Mark Mittauer NOMI Psychiatry

Reference on Human Factors

COMNAVAIRLANT INSTRUCTION 5420.5C (Human Factors Council and Human Factors Board Policy and Procedures)

Page 5: Human Factors in Aviation/ The Failing Aviator CDR Mark Mittauer NOMI Psychiatry

Why so we care about human factors in aviation?

What percentage of aviation mishaps are caused by “pilot error”?

About 75%

Page 6: Human Factors in Aviation/ The Failing Aviator CDR Mark Mittauer NOMI Psychiatry

The Problem ...

Fellow aviator peers and supervisors often know that an aviator is stressed - but do not speak up

Page 7: Human Factors in Aviation/ The Failing Aviator CDR Mark Mittauer NOMI Psychiatry

Why are squadron members reluctant to express concern about a stressed aviator?

fear of “contamination” (if Viper can’t hack it, maybe I will also have problems)

embarrassment - that a squadron “bubba” is failing

Page 8: Human Factors in Aviation/ The Failing Aviator CDR Mark Mittauer NOMI Psychiatry

Why might the aviator himself avoid asking for help?

denial - a normal defense used by all successful aviators

fear of extrusion from the squadron stigma of psychiatric illness (false) belief that psychiatric treatment

means permanent grounding

Page 9: Human Factors in Aviation/ The Failing Aviator CDR Mark Mittauer NOMI Psychiatry

Human Factors Problems in Mishaps

The aviator has inadequate knowledge, skill, or discipline - to fly safely

The aviator is overwhelmed due to personal problems

Page 10: Human Factors in Aviation/ The Failing Aviator CDR Mark Mittauer NOMI Psychiatry

Personal Problems Facing Aviators

medical conditions (cold) alcoholism family problems financial stress welcome changes - new child

Page 11: Human Factors in Aviation/ The Failing Aviator CDR Mark Mittauer NOMI Psychiatry

Personal Problems (Job)

disappointing training evaluation or fitness report

passed over for promotion flying qualifications not current new position (mission commander)

Page 12: Human Factors in Aviation/ The Failing Aviator CDR Mark Mittauer NOMI Psychiatry

Personal Problems Unique to Female Aviators(?)

death of a close friend in an aircraft mishap perceived sexual harassment/hostile work

environment

(one study found this factor in 25% of overstressed female aviators)

Page 13: Human Factors in Aviation/ The Failing Aviator CDR Mark Mittauer NOMI Psychiatry

How do these problems affect the stressed aviator?

fatigue distraction (unable to compartmentalize) poor judgment excessive risk-taking (safety violations) poor communication and coordination with

other aircrew

Page 14: Human Factors in Aviation/ The Failing Aviator CDR Mark Mittauer NOMI Psychiatry

Potentially Dangerous Aviators

overstressed aviator below average nugget or transition aviator consistent poor performer overconfident senior aviator best pilot/NFO (“ace of the base”)

Page 15: Human Factors in Aviation/ The Failing Aviator CDR Mark Mittauer NOMI Psychiatry

Overstressed Aviator - Characteristics

faces major life stressors or many minor stressors

mood swings anger outbursts depression anxiety/panic attacks unable to compartmentalize suicidal or homicidal thoughts

Page 16: Human Factors in Aviation/ The Failing Aviator CDR Mark Mittauer NOMI Psychiatry

Overstressed Aviator - Interventions

temporary grounding flight surgeon evaluation mental health referral:

- psychiatrist or psychologist

- social worker (Family Service Center)

- chaplain

Note: Mental Health referral is not a career-

ender

Page 17: Human Factors in Aviation/ The Failing Aviator CDR Mark Mittauer NOMI Psychiatry

Below Average Nugget/Transition Aviator

behind peers in training fails exams/flight “downs” poor knowledge of procedures inadequate skills poor headwork lacks confidence

Page 18: Human Factors in Aviation/ The Failing Aviator CDR Mark Mittauer NOMI Psychiatry

Below Average Nugget - Interventions

remedial training “roll back” in training crew with best instructor minimize collateral duties honest, but constructive, debriefs

(not a problem in VT-86!)

Page 19: Human Factors in Aviation/ The Failing Aviator CDR Mark Mittauer NOMI Psychiatry

Consistent Poor Performer(“weak stick/scope?”)

poor progress completing qualifications frequent snivels out of flights task saturation often loses “SA” bag (situation awareness) lacks confidence

Page 20: Human Factors in Aviation/ The Failing Aviator CDR Mark Mittauer NOMI Psychiatry

Poor Performer - Interventions

monitor performance closely remedial training crew with best instructor minimize collateral duties

Page 21: Human Factors in Aviation/ The Failing Aviator CDR Mark Mittauer NOMI Psychiatry

Overconfident Senior Aviator -Characteristics

away from the aircraft too long infrequent flight time “been there, done that” attitude (feels that

experience replaces proficiency) NATOPS? intimidates junior aircrew

Page 22: Human Factors in Aviation/ The Failing Aviator CDR Mark Mittauer NOMI Psychiatry

Senior Aviator - Interventions

CO confront and counsel crew with other senior aviators additional flight time

Page 23: Human Factors in Aviation/ The Failing Aviator CDR Mark Mittauer NOMI Psychiatry

Best Aviator - Characteristics

may overestimate ability “pushes the envelope” underestimates mission risk violates NATOPS/SOP poor aircrew coordination (does not request

input from other aircrew)

Page 24: Human Factors in Aviation/ The Failing Aviator CDR Mark Mittauer NOMI Psychiatry

Best Aviator - Interventions

CO confront clarify standards/SOP restrict flights

Page 25: Human Factors in Aviation/ The Failing Aviator CDR Mark Mittauer NOMI Psychiatry

Behavior of the Failing Male Aviator

“acting out” (alcohol excess, the red Corvette, partying)

displays of bravado:

- “carrier quals” at Happy Hour

- unsafe flying macho posturing

Page 26: Human Factors in Aviation/ The Failing Aviator CDR Mark Mittauer NOMI Psychiatry

Do failing “minority” aviators act differently?

perhaps

Page 27: Human Factors in Aviation/ The Failing Aviator CDR Mark Mittauer NOMI Psychiatry

Study by Berg and Moore of 12 failing female aviators

emotional distress “hidden”

(more depression, guilt, hopelessness) social withdrawal NO “acting out” or risk-taking

Page 28: Human Factors in Aviation/ The Failing Aviator CDR Mark Mittauer NOMI Psychiatry

Why might failing female aviators behave differently?

need for acceptance in the mostly male squadron

do not want to be labeled as “weak” females

Page 29: Human Factors in Aviation/ The Failing Aviator CDR Mark Mittauer NOMI Psychiatry

Pearls

Female aviators may be affected by different stresses - compared to males

Stressed aviators today may have more subtle signs of being overwhelmed

DO NOT rely on the aviator to determine if he/she cannot compartmentalize!

Page 30: Human Factors in Aviation/ The Failing Aviator CDR Mark Mittauer NOMI Psychiatry

Finis