Driver Rehab

  • Driving is an important occupation

    • mental health-stir crazy

    • freedom-can’t go anywhere without another person

  • Role of OT

    • IADL-most complex

    • Cornerstone for independence

    • Car ownership is highly correlated with independence & life satisfaction in older adults

    • Lack of driving can lead to social isolation and affect mental health

  • AOTA support

    • Lots of driving resources

    • can be general and specialist

    • can be referred at any age from 16-100 and they have all sorts of disabilities

    • may need adaptive equipment to work the car

  • Generalist

    • Factors related to

      • disease

      • health conditions

      • aging

    • We consider

      • client factors

      • performance deficits (visual scanning)

      • adaptive skills

  • Driving risk calculator

    • Framework developed as an objective means for determining when clinical driving skills testing in adult drivers (Gen OT) indicates a need for a behind-the-wheel eval (Specialist)

  • Clincal inteview

    • Demografics

    • med his

    • medication

    • seizure

    • substance abuse

    • living situation

    • employment

    • ADL/IADL prefomance

    • employment

    • transport and driving goals

    • client (fam) goals

  • Requirement

    • vision (VA, peripheral field vision, depth perception, color, eye movement)

    • Visual perceptual cognition (attention, executive function, visual perceptual skills, memory, orientation, mental flexibility)

    • Motor (strength, ROM, sensation, reaction time, physical endurance)

    • Behavior (Impulsivity, expressive reception)