Driving in dementia

Mandatory Reporting

• Mandatory reporting for specific medical conditions, functional, and visual impairments
• MOT form includes:
  • Cognitive impairment that results in substantial limitation in their ADLs
    • Dementia
      • Frontotemporal dementia must be reported
      • Lewy-body dementia must be reported
      • Impairment in 1 ADL or 2 iADLs must be reported
    • Brain injury
    • Unknown, or other
  • Discretionary report
    • The patient has a medical condition, functional impairment, or visual impairment that may make it dangerous for the person to operate a car
    • Doesn't take effect immediately, but it will prompt a review by the MOT

Transportation Plan

• Identify activities that they used to drive to
• Discuss transportation alternatives
  • Walking
  • Public transportation
  • Taxi accounts (can be cheaper than a car)