FAA Ends Ban on Anti-depressants

Earlier this week, ABC news reported that the FAA has ended a ban on anti-depressants in the cockpit:

Pilots taking medication for mild or moderate depression will soon be allowed in the cockpit under new Federal Aviation Administration guidelines that reverse a nearly 70-year ban. Clinically depressed pilots, including those undergoing therapy or prescription treatment, are currently prohibited from flying.
Pilots on antidepressants will be allowed to fly planes.

The policy change, which takes effect Monday, was sparked by reduced risk of antidepressant side effects, such as drowsiness, and a need to "change the culture and remove the stigma" associated with the illness, said FAA Administrator Randy Babbitt.

Comment: The DoD invests a lot of resources in the mental health screening process but there is little to no evidence that screening is either cost effective, reduces problems or adverse events. In fact, vigorous screening programs may actually create more problems. Service members know that being flagged during medical screening can result in disqualification from duty or have other negative career impacts resulting in unnecessary stigma. Kudos to the FAA for this insightful policy change. Reducing stigma and increasing access to care is likely a far more effective strategy in addressing the negative impact of mental health conditions in the workplace rather than intensifying screening.

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