Evaluation and retraining programs for older drivers

Although many individuals who have had strokes or other physical problems assume that they can no longer drive, they are often unaware of retraining programs. In addition to formal courses supported by sponsoring agencies, such as the AAA, there are also programs run by occupational therapists. This article addresses issues relevant to the role of occupational therapists in evaluation and retraining of older drivers and describes several cases as examples. To better inform the public about driver retraining programs for the elderly and the disabled population, the American Occupational Therapy Association has published a pamphlet entitled Able Driving Is Safe Driving that provides information on how driving skills may be affected by age or illness. This publication also will provide examples of adaptive driving equipment usage and driver training. AOTA hopes this pamphlet will inform older adults of their options in maintaining independent community mobility. Research is needed to find out if older adults have relinquished driving because of a physical disability that may have been treatable with rehabilitation. Also, there needs to be a comparison study of classroom driving instruction to actual skill performance so that older adults and insurance companies are investing in programs that will demonstrate the outcome of improved driving performance.