Human Intervention Motivation Study (HIMS) is an occupational substance abuse treatment program, specifc to pilots, that coordinates that indentification, treatment, and return to work prcoess for affected aviators. It is an industry-wide effort in which managers, pilots, healthcare professionals, and the FAA work together to preserve careers and enhance air safety. The goal is to provide a structure within which all pilots afflicted by the disease of substance abuse/dependence can be identified, treated, and returned to duty; saving lives and careers.

 

HIMS represents an industry-specific framework dedicated to coordinating substance abuse identification, rehabilitation, and medically monitored return-to-duty pathways for commercial aviators. Regulatory guidelines distinguish between utilizing HIMS-designated medical professionals and formal enrollment in a HIMS program; the latter strictly applies to airmen actively employed by an air carrier with an established HIMS infrastructure. Although independent airmen working with HIMS-credentialed providers are not in a formal employer monitoring program, the term "HIMS" is broadly applied throughout the aviation medical community to encompass these services for all applicants.
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HIMS AME Services include:

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HIMS AME Consultation: A comprehensive consultation for airmen who have been directed by the FAA to consult a HIMS-designated Aviation Medical Examiner. This initial advisory service does not require a MedXpress application.

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HIMS Monitoring & Sponsorship: Ongoing monitoring and case management required for FAA Special Issuance maintenance. A MedXpress application may be required depending on the visit type. Please note: If a routine FAA medical examination is conducted during the same visit, it will be billed as a separate service.

​HIMS/FAA Psychiatric Evaluation:

A comprehensive psychiatric assessment may be mandated by the FAA for airmen or applicants presenting with a history of psychiatric, neurodevelopmental, or substance use conditions. These evaluations are distinct from routine psychiatric care; the evaluating physician serves as an independent consultant providing an objective, third-party diagnostic opinion. The assessment process comprises a detailed clinical interview, a thorough audit of historical medical records, and, where appropriate, corroborative accounts from secondary sources such as family members, peers, or prior treating clinicians.