Assessing driving fitness in dementia: a challenge for old age psychiatrists. (October 2019)

• Record Type: Journal Article
• Authors: Neilson, Duncan; Chacko, Emme; Cheung, Gary
• Is Part Of: Australasian psychiatry. Volume 27:Number 5(2019:Oct.)
• Page Start: 501
• Page End: 505
• Publication Date: 2019-10
• Subjects: psychiatrist -- dementia -- driving; Psychiatry -- Australasia -- Periodicals; Psychiatry -- Periodicals; 616.89005
• DOI: 10.1177/1039856219867020
• Languages: English
• ISSNs: 1039-8562

Abstract

Objective: To investigate how old age psychiatrists consider the fitness of dementia patients to drive safely and the challenges they face. Method: Participants were interviewed using a semi-structured approach that explored topics including their approach to driving fitness and cessation, challenges experienced and previous training. Thematic analysis was used to generate main themes. Results: Thirteen participants were recruited. Most felt they were not experts in driving fitness. Many found these assessments challenging for both themselves and their patients, with a negative impact on therapeutic alliance. There was a lack of formal training and variability both in the approach when considering fitness to drive as well as raising the issue of driving with patients. Conclusions: These results highlight the need to increase the availability of training for driving fitness, and to develop a standardised approach to help improve consistency amongst clinicians.