‘Drive Safe’ initiatives: An analysis of improvements in mental health practices (2005–2013) to support safe driving

Dun, Carolyn; Baker, Kristan; Swan, Jodie; Vlachou, Voula; Fossey, Ellie

doi:10.1177/0308022614562785

Cited by 7 publications

(11 citation statements)

References 8 publications

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“…Identifying more accurately those who are clearly safe or clearly unsafe to drive on screen allows the specialized resource to be utilized for the very complex assessments. Further, this study echoes the findings of Dun et al (2015a), suggesting that the cost of the specialized driving programs is a limiting factor for the psychiatric population, which requires attention and a need for future advocacy. As legislation evolves, it is expected that driving screening will become an instrumental activity of daily living that will demand attention, such as the Australian ''Drive Safe'' initiatives (Dun et al, 2015a).…”

Section: Discussionsupporting

confidence: 80%

“…However, as Me´nard et al (2006) point out, psychiatrists in particular are often unaware of the legislation in their location of practice and their associated responsibility with reporting driving concerns. Marshall and Gilbert (1999) and Dun et al (2015a) found there was a lack of adequate education and training regarding screening of atrisk drivers for healthcare professionals, including physicians. Again, they indicated the need for guidance with determining which drivers may be at risk and require further assessment.…”

Section: Discussionmentioning

confidence: 99%

“…Because medications can have a profound impact on a person's functioning, it was important to incorporate this factor into the framework (Dun et al, 2015a;Me´nard et al, 2006;Me´nard and Korner-Bitensky, 2008;Me´nard et al, 2012;Unsworth, 2010;Vrkljan et al, 2015). Pharmacy support was enlisted to develop a medication reference guide.…”

Section: Medication Reference Guidementioning

confidence: 99%

“…Yet, the challenge of screening driving ability of clients of all ages, especially in the area of psychiatry, remains (Me´nard et al, 2006;Me´nard and Korner-Bitensky, 2008;Me´nard et al, 2012;Unsworth, 2010;Vrkljan et al, 2015). Conducting a driving screen with the psychiatric population can be an especially complex task, given the fluctuating nature of a psychiatric diagnosis, cognitive and psychosocial factors, as well as the impact that medications and other treatments may have on driving abilities (Dun et al, 2015a;Me´nard et al, 2012;Unsworth, 2010).…”

Section: Introductionmentioning

confidence: 99%

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Development of the Saskatchewan Psychiatric Occupational Therapy Driving Screen

Carey

Burton

Grochulski

et al. 2018

British Journal of Occupational Therapy

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Introduction: Screening driving ability is challenging in psychiatry due to the fluctuating nature of psychiatric diagnoses, psychosocial factors, and the impact of medications. An examination of best practice and a literature review yielded few results, highlighting the need for the development of a driving screening framework. The goal was to develop a clinical reasoning guide, agreed upon by psychiatric occupational therapists, to improve systematic driving screening for this population. Method: A series of surveys distributed to occupational therapists examined the key components to consider, utilizing a modified Delphi technique. Data from 94 completed questionnaires over three rounds were filtered, analyzed, summarized, and redistributed. Survey distribution and guideline amendment continued until consensus was achieved. Findings: The Saskatchewan Psychiatric Occupational Therapy Driving Screen (SPOT-DS) has been developed as the first comprehensive clinical reasoning guide for screening drivers with psychiatric conditions. Conclusion: The SPOT-DS can assist in protecting clients' driving privileges, while ensuring public safety on the roads by providing a systematic approach to screening drivers. Further testing on its validity is warranted.

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Section: Discussionsupporting

confidence: 80%

Section: Discussionmentioning

confidence: 99%

Section: Medication Reference Guidementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Development of the Saskatchewan Psychiatric Occupational Therapy Driving Screen

Carey

Burton

Grochulski

et al. 2018

British Journal of Occupational Therapy

View full text Add to dashboard Cite

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“…• Not applicable provided by occupational therapists specialised in mental health practice and with recognised training in driving assessment (Dun, Baker et al, 2015;Dun, Bull et al, 2015). Driving assessment is imbedded in occupational therapy practice.…”

Section: Schizophreniamentioning

confidence: 99%

Driver assessment service for people with mental illness

Chiu

Law

Cheng

2019

Hong Kong Journal of Occupational Therapy

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Mental illness often leads to functional deficits that likely affect one’s driving performance and may even pose threat to other road users. However, having a mental illness does not automatically preclude one from driving which is essential to mobility and productivity. Indeed, evaluating their fitness-to-drive would be of necessary. Despite that, there is still a lack of a local driving evaluation service that specifically addresses the impact of mental illness on driving capacity. This paper discusses the needs to evaluate the fitness-to-drive of people with mental illness. It advocates the development of such specific driver assessment service with a local example as illustration. Lastly, some of the challenges related to the drivers’ responsibility to declare personal health status and large variety of assessment approaches are also discussed.

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Occupational therapy driver assessments with mental health consumers: A mixed‐methods study

Dun¹,

Swan²,

Hitch

et al. 2020

Aus Occup Therapy J

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IntroductionDriving is an important occupation, which enables other recovery goals for adult mental health consumers. Multidisciplinary clinicians can support consumers to engage in safe driving practices, which may include referral to a specialist occupational therapy driver assessor. There is presently limited evidence to inform us about the role of occupational therapy driver assessors in mental health and the impact of such services for consumers. Therefore, this study aimed to describe the reasons for referral and the recommendations resulting from driver assessments with adult consumers in a mental health setting and understand the experiences of driver assessors providing these services.MethodsA mixed‐methods sequential design was employed in this study. Thirty driver assessments (n = 27 consumers) were analysed to identify consumer demographics, assessment recommendations, impact on licence status and rehabilitation outcomes. Focus groups were then conducted with five occupational therapy driver assessors. Quantitative data were analysed descriptively using frequencies and means, while qualitative data were subjected to content analysis.ResultsThe majority of consumers were diagnosed with psychotic disorders and presented with complex needs. The three primary reasons for referral were (a) cognitive or mental health concerns, (b) consumers directed by licencing authority to undertake driver assessment and (c) consumers wanting to resume driving after not driving for a significant time. Overall, 21 consumers (70%) were recommended to hold a driver licence after completion of an occupational therapy driver assessment. Qualitative themes about the experience of occupational therapy driver assessors included the reality of driver assessments; that outcomes are usually positive, and further support is needed for driver assessments.ConclusionDriver assessments enable most consumers to return to driving. Occupational therapy driver assessors require greater support to perform this role, including dedicated time and peer support, to facilitate multidisciplinary clinicians and consumers to collaboratively achieve driving outcomes.

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‘Drive Safe’ initiatives: An analysis of improvements in mental health practices (2005–2013) to support safe driving

Cited by 7 publications

References 8 publications

Development of the Saskatchewan Psychiatric Occupational Therapy Driving Screen

Development of the Saskatchewan Psychiatric Occupational Therapy Driving Screen

Driver assessment service for people with mental illness

Occupational therapy driver assessments with mental health consumers: A mixed‐methods study

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