Driving and dementia: a clinical update for mental health professionals

  • Published: Evidence-Based Mental Health, October 2016
  • Authors: L Allan, S. Behrman, N. Baruch and K. P Ebmeier
  • Date Added: 02 Jun 2017
  • Last Update: 02 Jun 2017
  • Format: html

Objectives:

Review the current guidelines and evidence relating to driving and dementia to help clinicians answer questions about driving safety and to consider the full range of assessment tools available.

Methodology:

Review

Key Findings:

  • Clinicians are generally unable to predict driving ability accurately

  • Clinical assessment alone should not be used to determine driving ability

  • Individual cognitive tests and screening tools (e.g. MMSE or MoCA) do not provide a reliable assessment of driving safety

  • Composite tests of memory, attention, visuo-spatial and executive function may assist in the assessments of driving safety, but there is no consensus on cut-off scores relevant to driving

  • Combining clinical assessment, cognitive tests and an on-road driving test provides the most accurate assessment of driving ability.

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