1.1.1   Medical Driver Assessments NZ (NZTA approved)

DriveABLE Technologies provide an objective research and evidence based medical fitness to drive assessment.

DriveABLE Technology is provided by this Occupational Therapy Consultancy / Medical Driving Assessments NZ.

STANDARDISED DRIVEABLE ASSESSMENT:

The DRIVEABLE COGNITIVE ASSESSMENT TEST:

The DCAT assessment provides essential PRE-DRIVE cognitive status information.

The DRIVEABLE ON ROAD EVALUATION (DORE) assessment is the on road assessment.

DRIVING TUITION

 Advanced Driving Skills for Experienced Drivers (ADSED)

Customised Corrective driving lessons for Experienced drivers – have you experienced a significant medical event or had an accident? need to renew your licence / failed a medical driving assessment? Need to re-sit the test? Call to discuss your options…

Individual Personalised driving lessons are provided where required e.g. teen keeps failing test, failed OT MDA. 

DCAT results assist in planning the individualised Driving Tuition course content.

 LEARNER DRIVERS: If a driver has any perceptual or cognitive challenges and wishes to learn to drive contact us on 021 138 0124 to discuss the options.

1.1.1         Have you, or someone you know, been advised to have an Occupational Therapist Medical Driving Assessment?

1.1.1         What is involved?

 

Medical Driving Assessments using DriveABLE Technologies

We provide objective, scientific and research based Occupational Therapist Medical Driving Assessments,

which are approved by NZTA.

The NZTA OT MDA requires both cognitive and on road components, involving an NZTA registered instructor and a specialist

NZ registered Occupational Therapist who is approved by NZTA.

DriveABLE Medical Driving assessment:

  • DCAT (DriveABLE Cognitive Assessment Tool) – off road assessment VIDEO
  • DORE ( DriveABLE On Road Evaluation) – on road assessment

The DriveABLE on road test is different from the standard tests that licencing authorities perform. The standard tests have been shown

to be inappropriate for assessing experienced drivers. The DriveABLE on road test was specifically developed to evaluate experienced

drivers and only scores those errors that are known to be related to reduced competence rather than just bad habit errors that all drivers

tend to make. The DORE may be recorded for quality assurance and training purposes.

 

     DORE Evaluators: The specifically trained DORE Evaluators are NZTA registered and have well over 5000 hrs. + of experience

as an instructor.The occupational therapist also accompanies and assesses the client during the drive.

Driving decisions observed include: e.g. reacting effectively and safely to Pedestrians/ Stop signs/ Give Way signs/ lights and intersections/ /

roundabouts/ straight and curved road driving/ lane selection and lane positioning / speed / defensive driving ability/ signaling /

checking and indication / awareness of other road users / parking/ remembering instructions.

Medical Perspective: The on road evaluation assesses how the person processes decision making, when driving on their own

e.g. going shopping etc. including all the above skill sets.

The results of the assessment are sent to the referring specialist and NZTA.

 

What are the options if a person Fails the Occupational Therapy Medical Driving Assessment – ‘Advanced Driving

Skills for Experienced Drivers’ is a course of Driver instruction and re-education we do provide. This course of driving tuition relies on a driver

being able to learn new information, retain the information and be able to demonstrate newly acquired safe driving skills.

 

DRIVER TUITION  – ADVANCED DRIVING SKILLS FOR EXPERIEINCED DRIVERS COURSE

  • LEARNER DRIVERS

Pre or Post DriveABLE medical fitness to drive assessment Individualised Driving Tuition

Pre assessment – To ascertain your driving skill level and road code knowledge prior to undertaking the Occupational Therapist Medical

Fitness to Drive Assessment ( OT MDA)  (OT  MDA) required by NZTA.

For more information please call 021 1380124  or 0800 00 44 66

NZTA requires the OT medical fitness to drive assessment to be completed and passed as per your medical referral.

 Post assessment tuition –( In the event of an unsuccessful outcome)  the lessons are designed using the information collated from the OT MDA

process. (No change of outcome is implied.) The on road performance during the re-sit defines the outcome.

A re-sit of the DriveABLE On Road Evaluation (DORE) must then be successfully passed.

For more information please call 021 1380124   or  0800 00 44 66

The Course ‘Advanced Driving Skills for Experienced Drivers’ is provided by the Specialist Driving Instructor  and

Occupational Therapist and– both are registered NZTA Providers.

 The ‘Certification of Course Completion’ is acknowledged by NZ Ministry of Justice, NZ Police and NZTA.

Identifying and managing Cognitive Impairment and Driving’ is a Medical Responsibility

GP alert – NZTA DL9 form – The ‘Road Safety Test’  (given by a non medical Tester)  is on the form as an option,  but has no medical components or standardisation. This is not an option where there is a medical history indicating potential cognitive impairment i.e. any oxygen compromise at cellular level.

E.G. A person who had recently passed this test was unable to interpret and proceed through a controlled intersection (LIGHTS) without assistance, during the OT medical fitness to drive assessment (DriveABLE).

90% of patients with mild cognitive impairment are not identified in the primary care setting.

SIMARD MDScreening for the Identification of the Cognitively Impaired Medically At-Risk Driver assessment tool which was introduced by Dobbs,B.M. & Schoflocher,D (2010)  Contact us for more information.

SIMARD MD – This is a screening test  NOT a pass / fail test – any score under 120/130 where there are chronic medical conditions would indicate an assessment is the most prudent course of action.

'Cognitive Impairment and Driving' is a Medical Responsibility

GP alert  – NZTA  DL9 form – The ‘Road Safety Test’  (given by a non medical Tester)  is on the form as an option,  but has no medical components or standardisation. This is not an option where there is a medical history indicating potential cognitive impairment i.e. any oxygen compromise at cellular level.

 

NB – View this video   DEMONSTRATION of the DriveABLE Cognitive Assessment Tool (DCAT) TASKS

 

Red Flag Medical conditions which may affect a person’s driving ability

 

 
 Alzheimer’s disease 

Neurological disease

Heart disease 

Head injury

Pulmonary disease

Dementia

  Renal disease 

Stroke 

 Diabetes

Medications

Depression

Psychiatric conditions

Alcohol and Drug abuse

 

 

Warning signs of declining competence to drive:

 

  Missing traffic signs   Problems with other day to day activities.
  Unaware of driving errors   Getting lost and confused
  Close calls   Confusing the brake and gas
  Driving too slowly    Unaware of other vehicles

Expert Driver Training and Driver re-training provided to all age groups in any type of vehicle.

AUCKLAND and NEW ZEALAND WIDE CLIENTS WELCOME:

Contact Anne Molloy Occupational Therapist & DriveAble Therapist – (NZTA Approved Assessor)

Phone: 0800 004466| Fax: 09 486 6214-    | Mobile: 021 138 0124

Email: anne.molloy@inspire.net.nz | Postal Address: call 021 138 0124 for  address

 

Fill out a referral form

Teens

is your Teen ready to drive? Does your teen keep failing the NZTA on road test ?

Employers

Human Resources – we provide courses to ensure your drivers are competent – medically fit and road code competent

This will improve your standing with ACC and Insurance providers.

Are your drivers Medically Fit to Drive?

Are the drivers safe competent drivers?

Which Industry are you in – Corporate, Private, Heavy Transport, Education, Teen Drivers, Public and Private Health, Mental Health, Sports, Elderly Residential Villages, NGO services, Volunteers providing transport, Hospitals, Driver training, Rail and Bus Transport.

Find out more – call Anne  021 138 0124  or 0800 004466

A Check list.....see more below

  • Have you been advised to have a medical driving assessment?
  • Have you had a stroke, a head injury, sleep apnoea, or are you experiencing the effects of chronic medical conditions?
  • Has your vision changed?
  • Has your memory become less reliable?
  • Do you suffer driving fatigue on a long journey, earlier than you used to?
  • Does your teen keep failing the on road driving test? Do you want to know why?
  • Transport industry employers – Are you sure all your heavy vehicle drivers are medically fit to drive? Do they need upskilling?

Driving is a very complicated process and requires full engagement of our cognition.

Its not enough to be able to physically drive the car – we must also be able to react quickly, safely and effectively to situations occuring on the road.

We also need to be sure we are not causing accidents by our mistakes and slower reactions.

An OT  medical driving  assessment will ascertain whether your driving skills have changed and whether you are still a safe driver.

Delaying a medical fitness to drive assessment could result in avoidable tragedy

Legally – If your GP, Geriatrician, Psychiatrist,and Occupational Therapist have concerns that your ability to drive safely may have changed, due to medical conditions, he/she will have to request you to undergo a medical fitness to drive assessment by an Occupational Therapist.    

GP alert  – NZTA  DL9 form – The ‘Road Safety Test’  (given by a non medical Tester)  is on the form as an option,  but has no medical components or standardisation.

E.G. A person who had recently passed this test was unable to interpret and proceed through a controlled intersection (LIGHTS) without assistance, during the OT medical fitness to drive assessment (DriveAble NZ).

90% of patients with mild cognitive impairment are not identified in the primary care setting

driving-assessment

Employers - Are your Drivers Medically Fit To Drive? Are they competent drivers who understand the NZ Road Code and meet NZ Driving standards? ACC requires accountability from employers regarding the competency of the employees who drive at work. Obtaining Scientific and Objective data is the key to effective decision making

Do your drivers require expert driver training or re-training in any type of vehicle?

An Occupational Therapist Medical Driving assessment maybe required, by NZTA, for a driver, following injury or illness.

Our OccupationalTherapist Medical Fitness to Drive assessor is also a DriveAble Therapist, and is NZTA approved –

Contact Anne  021 138 0124    or    0800 00  44 66

 Advanced Driving skills for Experienced Drivers and NZ Road Code Course provided – Driver cognition and driving performance, plus NZ road code competence are assessed.  

NZTA approved Occupational Therapist and Instructor provide the courses.

Corporate and Private:

Fleet car drivers, taxis, courier drivers, company cars,private vehicles, rental car companies, Hotel valet services, service industries, Teen drivers,Hospital drivers,

Volunteers providing transport.

Heavy Transport Industry:

Are you prepared to employ a driver who has medical conditions and who has not been assessed as medically fit to drive? 

These drivers are responsible for expensive rigs and equipment, often carrying expensive and often hazardous loads.

Heavy Industries Transport Driver Training available for all classes of licences –   truck and trailer units –  all tonnage.etc.

Endorsements and driver training – new drivers and experienced drivers.

Drivers experiencing difficulty passing the tests? – is there a medical reason? Inadequate road code knowledge?

Ask Anne 021 1380124

or 0800 004466

Schools:

Teachers,staff providing transport, students  – request an educational driving programmes (understand the information your students have to know)

Medical fitness to drive assessments where appropriate.

Volunteer drivers need to be safe drivers, and medically fit to drive. Some may also benefit from a course of driving lessons to upskill.

Volunteers and teachers may be transporting our children.

Presentations on ‘Cognitive Impairment and Driving’ provided by the Occupational Therapist.

Ask Anne 021 1380124

or 0800 004466

Teenage Drivers:

What pressures are put onto your teeager to obtain a driver licennce before they are cognitively competent to pass? ….

Is your teen ready to drive yet?

Has your teen continued to inexplicably fail the on road test? Want to know why?  – Ask Anne 021 138 0124  or  0800 00  44 66

Has your teen had many driving lessons without progressing as you would have expected? – Ask Anne 021 138 0124or 0800 00  44 66

Teen struggling with school work? Cognitive impairment involved? Had a concussion or head injury?

Peer pressure – have you considered the pressure your teen may be under by peers, if she or he has a car and driver licence?

Would you like to engage a highly trained and experienced driving instructor to teach your teen to drive safely with healthy attitudes to road safety?

Sports Industry:

Are all your drivers safe drivers?

Including those drivers providing transport for people and goods to and from events

Sports related Concussions?

Take the DCAT test – DriveABLE Cognitive Assessment Tool  identifies cognitive impairment, provides post concussion/ TBI  information and is 95% accurate in predicting on road performance.

Concussion

Many sports people now have to consider the effects of concussion on driving – test for cognitive impairment if you are concerned.

Accumulative effects of concussion? – want to know what the impact may be? Take a DCAT test…

Older Drivers and Drivers with Chronic medical conditions:

The Occupational Therapist provides the DriveABLE medical fitness to drive assessment -(the standard ROAD SAFETY Test will not provide a medically based test.)

The on road (DriveABLE On Road Evaluation –  DORE) assessment is undertaken by the occupational therapist and experienced instructor – both NZTA approved.

Has your GP asked you to have an Occupational Therapist Medical Driving Assessment in order to have your licence renewed etc?

Driving lessons for experienced drivers – a different skill set is required to teach experienced drivers new techniques to ensure safe driving habits.

Drivers residing in and those providng transport for Residential Care and Villages – are they all medically fit to drive?

Need some help understanding what is involved?…

Ask Anne 021 1380124  or  0800 00  44 66

Licence renewal – OT Medical Driving Assessment required?

Ask Anne 021 1380124  or  0800 00  44 66

Family Concerned? Driving skills of a relative may have changed recently – what shall we do about it?

Ask Anne 021 1380124  or  0800 00  44 66

You, or someone you know,  may need an OT  medical driving  assessment to ascertain whether your driving skills have changed and whether you are still a safe driver, or whether you are now ‘ready to drive’.

Driving is a very complicated process and requires full engagement of our cognition.

Its not sufficient to be able to physically drive the car – we must also be able to react quickly, safely and effectively to situations occuring on the road.

We also need to be sure we are not causing accidents by our mistakes and slower reactions.

The assessment process provided by DriveABLE NZ involves Internationally Approved Methodology – your licence is important to you, and the assessment process reflects this.

Dont worry, we will assist you in a relaxed and friendly way 🙂

Just call Anne, and she will explain what is involved.

NZTA require all drivers to be medically fit to drive, to ensure all drivers, and others on the roads, are as safe as possible.  This includes heavy vehicle drivers, taxi drivers, bus drivers, train drivers, and ofcourse all car drivers – teens to seniors.

Legally – If your GP, Geriatrician, Psychiatrist,and Occupational Therapist have concerns that your ability to drive safely may have changed, due to medical conditions, he/she will have to request you to undergo a medical fitness to drive assessment by an Occupational Therapist.

This is not the same as a ‘road safety test’.  The standard ‘on road safety test’ is not an accepted assessment of medical fitness to drive.

If you refuse the OT medical driving assessmentt, then the medical professional is required to inform NZTA of their concern.

NZTA will most likely revoke your licence until you have demonstrated that you are able to pass an OT Medical Fitness to Drive assessment.

Your GP is required to inform NZTA if he/she feels you may have become medically unsafe to drive, and you will then need to sit a medical driving assessment to keep your licence   –   Driving is a privilege not a right.

For more NZTA  information click here

Have you, or someone you know, been advised to have a medical driving assessment?

What will this involve?

Call Anne on 021 1380124 to answer your questions for you.

AUCKLAND and UPPER NORTH ISLAND CLIENTS (or anywhere in NZ):

Contact Anne Molloy Occupational Therapist:

Phone: 0800 004466Fax: 09 4866214 | Mobile: 021 138 0124

Email: anne.molloy@inspire.net.nz | or drive@aucklanddrivingassessments.com

Most motor vehicle accidents involving medically at risk drivers occur close to home or in a familiar location

Impaired decision making for entering intersections or making right turns is a safety problem in both familiar and unfamiliar locations.

WELLINGTON – PALMERSTON NORTH  CLIENTS – However,  if you live in the lower north island you can contact occupational therapist Julie Roberts  by email to:  julie@reable.co.nz or  Ph: 0220 254327

NZTA – Declaring medical conditions

You have to complete a medical declaration when you complete any driver licence application form. This asks you to declare any conditions that may affect your ability to drive safely, including:

If you answer ‘yes’ to any of these you may need to provide a medical or eyesight certificate.

SAFE driving is paramount – No one wants to injure another person, because they are a medically / cognitively  unsafe driver.

We all have to take responsibility to ensure we are medically safe to drive. You may need a medical driving assessment to find out.

Although many people have an excellent driving record, when we develop medical conditions things can sometimes  change.

It is much better to know whether or not we are still a medically safe driver, rather than to wait for an accident or tragedy occur, to find out.

Questions to ask the driver

1.     Have you noticed any change in your driving skills or behaviour, eg. road rage?

2.     Do others toot at you or show signs of irritation?

3.     Have you lost any confidence in your overall driving ability, leading you to drive less often?

4.     Have you ever become lost while driving?

5.     Have you ever forgotten where you were going?

6.     Do you think that at present you are unsafe to drive?

7.     Have you had any car accidents in the last year?

8.     Any near misses or crashes with other cars in car parks?

9.     Have you received any traffic tickets for speeding, going too slow, improper turns, failure to stop, etc.?

10.   Have others criticised your driving or refused to drive with you?

Questions to ask the family

1.     Do you feel uncomfortable in any way driving with the person?

2.     Have you noted any abnormal or unsafe driving behaviour?

3.     Has the person had any recent crashes?

4.     Has the person had near-misses?

5.     Has the person received any tickets or traffic violations?

6.     Are other drivers forced to drive defensively to accommodate the person”s errors in judgement?

7.     Does the person need a co-pilot to alert them to potentially hazardous events or conditions?

8.     Have others commented to you on the person”s unsafe driving?

Referral to an OccupationalTherapist for an OT Medical Driving Assessments is a kindness, especially when it can prevent tragedies…..

View this video recorded and presented by a GP

Below – referral for an Occupational Therapist Medical Driving Assessment, as required by NZTA, may have prevented the following motor vehicle accidents…..

http://www.stuff.co.nz/dominion-post/news/78449380/serious-crash-closes-state-highway-north-of-wellington-delays-expected

http://www.stuff.co.nz/motoring/news/80334994/Family-angry-over-video-of-woman-driving-while-having-a-medical-event

 

If this driver had been assessed for medical fitness to drive…..

Recent accident due to medically at risk driver …

Woman dies after South Otago crash

An elderly woman is dead following a head-on car crash in south Otago yesterday afternoon. … Read More

Elderly ‘wrong-way’ driver dies – National – NZ Herald News

Police believe medical conditions may have affected the judgment of an 86-year-old man who caused a series of crashes as he drove the wrong way down Auckland’s Northwestern Motorway.

CEASING DRIVING and ALTERNATIVE TRANSPORT. Read more  (click on TRANSPORT)

For a companion transport option consider:  Driving Miss Daisy service click here

ASSESSMENTS:

Clients from GREATER AUCKLAND region and anywhere in NZ – Call Anne on 1380124  or  0800 00  44 66

WELLINGTON TO PALMERSTON NORTH If you live in the lower north island you can contact occupational therapist Julie Roberts by email to:  julie@reable.co.nz or Ph: 0220 254327 or www.reable.co.nz