Community Mobility and Driving Flashcards
Certified driver rehabilitation specialist
provider of driver rehab services that completes driving assessments, equipment evals, and restores driver skills
Comprehensive mobility assessment
establishing where client needs and wants to go, determining what is accessible and available at CLOF
comprehensive driving evaluation
thorough evaluation of driving knowledge, skills, and abilities
driving and community mobility
planning and moving around in community using public or private transportation
driving risk assessment
assessing primary client factors essential for driving
fitness to driving
description of drivers skills and abilities
medical fitness to drive
when fitness is questioned d/t change or progression in medical condition
on-demand transportation network system
curb-to-curb transports, rideshare, taxi, etc.
transportation plan
comprehensive plan for maintaining social participation
public transportation
services by public agencies and funds available to anyone
fixed route systems
- published schedule with predetermined routes and stops
- economical and predictable
demand-responsive systems
- transportation alternative for clients with functional impairments
- origin and destination are requested by traveler
paratransit services
-alternative public transportation required by ADA for those unable to access fixed-route systems
- curb-to-curb or door-to-door
supplemental transportation
- provided by private, non-profit, government, places of worship
- for those who need more assistance or more flexible travel
5 A’s of senior friendly transportation
- Availability
- Acceptability
-Accessibility - Adaptability
- Affordability
Personal transportation
- Private automobile
- motorized or non-motorized vehicles
- walking
commercial transportation
- for-profit and privately paid
-trains, taxi, rideshare, shuttle, vans
ADA policies
guidelines for public transportation including w/c lifts, tie downs and ramps
Where does paratransit fall into the ADA
Title II Part B
SAFETEA-LU
safe routes to school program
Medicaid poicies
may be eligible for subsidized transportation for health care and life maintenance trips
Disparities in community mobility
- 80% of rural areas have public transport but is mostly demand responsive
- 35% of rural residents have access to long-distance travel
OT evaluation of cognitive skills for community mobility
- ability to consider options and read a schedule
- calculate the time required to travel and pick optimal departure and arrival times
- ability to use stop-request control appropriately
OT evaluation of motor and praxis skills for community mobility
- ambulation to and from pickup location
-stepping on and off vehicle - balance and postural control with standing or sitting in vehicle
OT evaluation of Sensory - perceptual skills for community mobility
ability to identify obstacles, seats, stop-request button, gaps between seats and platforms
OT evaluation of emotional regulation for community mobility
ability to adjust to crowds and handle unexpected events
OT evaluation of communication and social skills for community mobility
ability to ask for directions and obtain information
OT evaluation of money management skills for community mobility
have the correct fare ready, use change or ticket machines, apps
OT intervention for fixed route and paratransit community mobility
- orientation to system, schedules, stops
- transferring and securing w/c or other devices
OT intervention for taxi and rideshare
-practice using computer or phone app to make appointments, payments, track progress
OT intervention for personal community mobility
- understand and follow rules of the road
- endurance for walking or other physical demands
OT intervention for children using w/c
- safe school bus transport and vehicle restraints
OT intervention for children with sensory processing disorders
- Education for transport providers
- interventions for adaptations
OT intervention for neonatal community mobility
parent education on infant car seats and use
OT intervention for older adults with dementia
Driving cessation and mobility alternatives
OT intervention for older adults facing driving cessation
- education on alternatives
-psychosocial support - travel training
OT intervention for healthy older adults
- maintenance of driving fitness
- mobility options and safety
-education on age-related changes
What is the hierarchy of driving
Drivers must be fully competent in 3 levels of behavior: strategic behaviors, tactical behaviors, and operational behaviors
describe strategic behaviors
- occur in minutes hours
- general goal decisions
describe tactical behaviors
- occur is seconds to minutes
- conscious decisions while operating the vehicle
- maneuvers and car handling
vision skills required for driving
acuity, ocular motor skills, visual field, contrast sensitivity
acuity required for driving
worse than 20/40 on snellen chart must see vision specialist
operational behaviors
- occur in seconds
- primarily subconscious such as staying in the lane
visual perception skills required for driving
- must see, evaluate and respond to environment
- must fill in blanks when environment is occluded
- must know where they are in relation to others
cognitive skills required for driving
attention, processing speed, memory, executive functions
General assessment of driving-related skills
general screenings and assessments with interventions, ethical and legal issues
motor skills required for driving
strength, ROM, endurance and balance, manual dexterity
Driving health intventory
computer-based assessment of vision, cog, and motor in relation to crash risk
OT-DRIVE model
model presenting decision indicators
MVPT-4
Assessment of visual-perceptual abilities
Clock draw test
visual spatial and perceptual memory, executive fxn, abstract thinking,
Useful field of view
3 part computer based test of central vision loss, processing speed, divided attention and selective attention
Assessment of motor and process skills
performance quality during ADL task
Trail making test
cognitive flexibilty, motor control, visual scanning, executive funciton
OT intervention for driving
- focus on general community mobility issues unless certified
- address pre-driving and community mobility skills for teens
- compensatory strategies
