Driving and Dementia

Presentations

• Approaching Driving Cessation in Older Adults with Dementia (slides and reference list), featuring: Gary Naglie, MD, FRCPC, FGSA, Associate Scientist & Mark Rapoport, MD, FRCPC, Associate scientist
• Supporting Persons with Dementia Face the Decision and Effects of Hanging up the Keys (slides), featuring: Dr. Gary Naglie and Dr. Mark Rapoport, University of Toronto.
• Driving and dementia (slides), Presenter: Isabelle Gélinas, PhD, OT (c), erg., School of Physical and Occupational Therapy, McGill University 
• Test

Resources

For Caregivers

Education and Presentations

• At Risk Driver Program, Carolyn Douglas, Family Support Coordinator, Alzheimer Society of Durham Region
• Driver Assessment & Training Services, Lisa Clubb, Saint Elizabeth Health Care

Support

• Alzheimer Society Chapters

Information

• Alzheimer Society of Canada

Driving Assessment

• Encourage families who have driving concerns to the memory clinic
• Fitness to Drive Screen Measure
• Caregiver questionnaire
• Self-report questionnaires
• Driving Assessment schools
• CANdrive
• DriveAble
• Drive Again

Alternative Transportation

• Public and private transportation
• Service organization transportation (e.g. St. Elizabeth’s, Red Cross)

For Physicians

Services/Organizations

• Memory Clinic assessment of capacity through cognitive testing and daily living skills
• Geriatric Assessment Intervention Network (GAIN) Clinic
• Community Care Access Centre (CCAC)

Resources

• Driver’s Guide: Determining Medical Fitness to Operate Motor Vehicles” (8^th ed), Canadian Medical Association
• Driving and Dementia e-Learning Module
• National blueprint for injury prevention in older drivers, Canadian Association of OTs
• Reporting Drivers with dementia, Kingston, Frontenac, Lennox and Addington Dementia Network
• Physician's Guide to Assessing and Counseling Older Drivers, American Medical Association
• Ministry of Transportation (Ontario) Medical Review
  • Approved Functional Assessment Centres
• The Driving and Dementia Toolkit – for Health professionals” (3^rd ed), Champlain Dementia Network & Regional Geriatric Program of Eastern Ontario

 Assessment Tools

• Trails A & B
• Comprehensive Trail-making Test (CTMT)
• MoCA,
• Screen for the Identification of Cognitively Impaired Medically At-Risk Drivers, A Modification of the DemTect (SIMARD MD)
• Clock Draw
• Clox II
• Extended Dementia Scale
• Motor-Free Visual Perception Test (MVPT-III)
• Kingston Standardized Cognitive Assessment – revised (KSCA-r) 
• Executive functioning exams
• Functional assessments
• CANdrive
• DriveAble
• Specialized OT-directed programs for medically at-risk drivers (e.g. through St. Elizabeth's)
• Caregiver concern

Related Topics

• Driving and Dementia e-Learning Module