ICAO established the Mental Health Working Group (MHWG) to review the Mental Health Framework in aviation. The COVID19 pandemic effected everybody’s psychological well-being. With regards to aviation personnel, there were additional factors such as COVID-19 testing and quarantine requirements, risk of exposure due to travel, operational factors and the severe economical negative effect on the aviation sector, that contributed even more to their stress and uncertainties. ICAO’s High Level Conference on Covid-19 (HLCC 2021) recognized the importance of mental health during the pandemic and highlighted the need to accelerate the review of the Mental Health Framework. In this Skytalk the aviation medicine section will outline the measures recommended by ICAO during the pandemic to promote, assess and support psychological and mental wellbeing during the pandemic. Group (MPSG). The ongoing work on the Aviation Mental Health Framework will be discussed as well with the emphasis of building trust culture between all stakeholders within aviation. While mental health has always been considered important within aviation, the pervasive mental health effects of the Covid-19 pandemic have caused a shift in how to manage psychological wellbeing and mental health within aviation.