Mobility and safety issues in drivers with dementia

Carr & O’Neill (2015) summarise the literature on dementia and driving, focusing on the two major outcomes of mobility and safety. The literature suggest that approximately 4% of those drivers over 75 years have a dementia and a 2-5 fold increase in crash rate is documented. While driver simulation studies suggest poorer performance among those with Alzheimer’s, other studies show that 69% of those with mild dementia passed a formal driving test. Currently there is no accepted “gold standard” for assessing driver safety. The authors argue that enquiry among people being assessed for memory problems is essential but that a diagnosis alone is not justification for revoking someone’s license. Driving cessation is associated with decreased social integration, increased depression and higher risk of nursing home placement. The need for interventions to extend driving expectancy and for alternative transport options is highlighted.
Mobility and safety issues in drivers with dementia
Theme or key words: 
Carr, D.B. and O’Neill, D., 2015. Mobility and safety issues in drivers with dementia. International psychogeriatrics, 27(10), pp.1613-1622.