Substance use disorders, including alcoholism, are now understood as integral elements of a more comprehensive disease framework. This disease state impacts commercial pilots to a comparable extent as the general population. The HIMS program was established to provide a structured pathway through which affected individuals can receive treatment and be successfully reinstated to piloting duties under the FAA's Special Issuance Regulations (14 CFR 67.401).
The HIMS program involves cooperation among company representatives, pilot peer volunteers, healthcare professionals, and FAA medical specialists. While drawing from treatment principles in clinical and industrial settings, the program has specific elements tailored to the safety-sensitive nature of the airline transportation system. Successful HIMS-model programs operate in the U.S., Canada, and other countries worldwide.
Understanding addiction is a disease that extends far beyond the individual afflicted, with profound consequences for their loved ones. Family members often suffer and may feel lost, unsure of where to turn for help and support. Fortunately, a range of support systems and resources are available to assist these families as they navigate the challenges presented by addiction, including peer-led support groups and educational programs designed to provide guidance and practical coping strategies.
The HIMS program, while focused on the treatment and recovery of the pilot, also recognizes the critical role that family members play in the process. Most program protocols encourage the involvement of spouses, partners, and other close relatives, as their support and understanding are essential for long-term success. Accordingly, the HIMS program seeks to empower family members by equipping them with the knowledge, skills, and strategies needed to create a nurturing environment that fosters the pilot's sustained sobriety and well-being.