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Updated: May 4, 2026

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Driving with dementia: evaluation, referral, and resources
1Professor, Department of Occupational Therapy, East Carolina University , Greenville, NC. USA.
Occupational Therapy in Health Care
|December 21, 2013
Summary
Determining when older adults should stop driving is challenging. Occupational therapists and driver rehabilitation specialists must collaborate to support safe mobility and independence for this population.
Area of Science:
- Gerontology
- Occupational Therapy
- Transportation Safety
Background:
- Driving is a crucial activity for older adults' independence and mobility.
- Identifying the right time for older adults to cease driving presents significant challenges.
- Diminished capacity can impact driving abilities, necessitating specialized support.
Purpose of the Study:
- To explore the complexities of driving cessation in older adults.
- To highlight the need for collaboration between occupational therapists and driver rehabilitation specialists.
- To provide a framework and resources for practitioners.
Main Methods:
- Review of current research on older adult drivers.
- Analysis of challenges in assessing driving capacity.
- Description of a referral and judgment framework.
Main Results:
- Older adults highly value driving for independence.
- There is a difficulty in determining when driving cessation is necessary.
- Specialized services are required for older adults with diminished driving capacity.
Conclusions:
- Occupational therapists and driver rehabilitation specialists must work together.
- A structured approach to referral and judgment is needed.
- Resources are available to aid practitioners in supporting older adults with driving.
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