Confidentiality and the psychological treatment of U.S. Army aircrew members

The present article addresses the issue of confidentiality in U.S. Army psychological services and the special considerations affecting the confidentiality afforded to Army aviation personnel receiving such services. The author reviews Army regulations and American Psychological Association ethical standards relevant to the issue of confidentiality for aircrew members. Recommendations are offered for mental health professionals who provide services to Army aviation personnel, and a hypothetical clinical case is presented to illustrate the concepts discussed.