Sorry, what exactly is HIMS? I googled it and got "Hims, a men's-health startup known for selling generic Viagra and medications for hair loss".
HIMS stands for the Human Intervention Motivation Study, which had its roots in an airline pilot organization initiative in the 1970s designed to help keep alcoholic airline pilots in the cockpit.
As such the original scope was working airline pilots with diagnosed addiction problems. Unfortunately it's underwent a significant amount of regulatory creep well beyond the original applicability and severity intended in the original program, to the extent that it has expanded to cover commercial, private, and sport pilots - pretty much any pilot who needs a medical to fly - with very broad screen in criteria and very restrictive screen out criteria.
If you look at the alcohol staut sheet you'll see this:
1. List DATE(s) of any arrest, conviction or administrative action here: __________________
2. Number of alcohol related events in the airman’s lifetime?
3. AIRMAN’s STATEMENT Do you find any evidence of current or previous alcohol abuse, dependence or other concerning behaviors?
4. BLOOD/BREATH ALCOHOL CONTENT (BAC) from all offenses:
Did the airman ever REFUSE TO TEST?
Missing records of test performed (per the airman)?
Any BAC in the records of 0.15 g/dl or HIGHER
List the highest BAC found on report(s) here: _________
5. COURT RECORD(s) AND ARREST RECORD(s): (including military records) Did the airman fail to provide a copy of the narrative police/investigative report from all offenses and complete copies of all court records associated with the offense(s) including court-ordered education?
6. DRIVING RECORD: AME must review a complete Department of Motor Vehicles (DMV) record. List all states the airman held a driver’s license for the past 10 years. 1. 3. 2. 4. Any additional driving offenses involving alcohol or other concerns not listed in #1?
7. EVIDENCE OF TREATMENT: Did the airman attend any inpatient or outpatient rehabilitation or treatment? (Do not include court-ordered education programs.)
8. Is there any history or evidence of any DRUG (illicit, Rx, etc.) offense at any time?
9. Do you have ANY concerns regarding this airman? If yes, notate in Block 60
https://www.faa.gov/about/office_or...ame/guide/media/AlcoholStatusReportforAME.pdf
If you have 2 or more under question 2, a "yes" to any of the other questions, or a record of a BAC .05 or higher, your medical will get deferred and you're probably going to be in the program.
The FAA's criteria is well in excess of the accepted diagnostic criteria used in the DSM-V, and the FAA readily admits that based on the need for public safety taking precedence over the rights of individual pilots. That position made perfect sense, when it was addressing airline pilots with addiction problems. It makes a lot less sense for a sport pilot flying an LSA or a private pilot flying a C152, etc. That's especially true given that normal youth/young adult drinking patterns normally involve at least a couple drinking sessions where BAC is in excess of 1.5 and to a less common extent where someone has experimented with marijuana. Very few of those individuals develop substance abuse problems, but they are all prone to being swept into the HIMS program, based on anything in their personal statement, or an arrest record with 2 or more incidents of a BAC of .15 or above, regardless of conviction.
Worse, once someone is in the program the HIMS AMEs charter is to look for evidence proving a problem while requiring the individual to prove they do not have a problem, so it's by design a fairly adversarial system where substance abuse is assumed, despite all evidence to the contrary.
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Don't get me wrong, I started out in law enforcement and spent most of my federal career in positions that required a fairly high level security clearance, and I am generally intolerant of people who drink or use drugs. But I also spent a lot of years watching staff trained as attorneys in the federal government get carried away with the "narrow read of the law" approach to determining statutory intent in regulations and regulatory guidance and enforcement, to the extent that they lose sight of both common sense, and the big picture, if they ever had any amount of either. I'm also a trained counselor with a history of teaching ethics at the university level, and this kind of misapplication of both the scope of the law, and ignoring accepted diagnostic criteria rubs me the wrong way.