Improving the Safety of Older Road Users (2005)

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84 APPENDIX E State Motor Vehicle Department Survey Results 1. Older road user safety/mobility information available on website? 2. License offices provide educational materials for older road users? 3. Provide assistance on accessing alternative transportation? State 4. Collaborate with law enforcement on older drivers? Alabama No Not formally No Alaska Yes Yes—On website No Arkansas No No No California Yes Yes Yes District of Col. Yes No Yes No Yes Yes Yes No Florida Yes Yes Yes—On website Yes Georgia Yes No No Idaho No No No No No No No No Yes—Way to Go program No Illinois Yes Yes Yes—Directory of Services provided No Iowa Yes Yes Yes Yes Yes Yes Yes—Local information and brochures through examiners Yes—Law enforcement participate in local older driver conferences Kansas No No No Maine No No No Maryland Yes Yes—Local coordinator Yes Massachusetts Yes Yes Yes—Elder Outreach program since 1998 No Michigan Yes No Yes Missouri Yes No No Montana No In past Yes—Examiner advises No Nebraska Yes Yes—Via telephone Yes Nevada — No No New Jersey No No Yes—Driver medical review hearings No North Dakota No No No No Yes—Include provider contact information No Ohio No No No Oklahoma No No Yes—Law enforcement sends report Oregon Yes No No Pennsylvania Yes No No South Dakota No No Yes—Individual counseling No Texas No No Yes—Individual counseling DPS is a law enforcement agency Utah No — No Yes—Review at request of law enforcement Vermont No No Yes—All offices have information No Virginia Yes No Yes—GrandDriver program in May 2004 Yes—Brochure on dementia Washington Yes No No West Virginia No No No No Wisconsin Yes Yes Yes No—But some agencies will provide contact information for Dept. of Aging No—But enforcement does fill out Behavior Reports Wyoming No No Yes—Refer to AARP, older driver programs No

85 5. Coordinate with other agencies or organizations to provide information or programs? 5a. If yes, agencies coordinate with State 5b. If yes, information/program provided Alabama Yes AARP, NSC Driver training booklets Alaska Yes Dept. of Health and Social Services Information from website Arkansas — — California Yes Alzheimer’s program, CA DHS Form for requesting reexamination of a driver District of Col. Yes Office on Aging, D.C. Transit Auth. GrandDriver program Florida Yes At-Risk Driver Council (32 agencies), local organizations Tailored to organization. TLC: Driver SAFER Longer, Mature Driver TLC, How to Report an Unsafe Driver Georgia — — Idaho — — Illinois Yes AARP Referrals to program (DMV certifies and monitors) Iowa Yes Generations on Aging, Public Health, Alzheimer’s Association “Choices, not Chances” program developed by Iowa Kansas — — Maine — — Maryland Yes ~35 consortium members Rehabilitation services, alt. transportation, etc. Massachusetts Yes Hospital rehab., private groups, AARP Elder Outreach program Michigan Yes Driving instructors, rehab. agencies Provide training related to procedural requirements Missouri Yes AAA, Alzheimer’s Assoc., others Brochures, pamphlets, flyers, etc. Montana — — Nebraska Yes Med. Assoc., Univ. of Neb. Safety Center, Safety Council, AAA Referral to “standard” driver assessment review and driver improvement training Nevada — — New Jersey No No No No No No No No No — — North Dakota (Yes) AARP Presentations to AARP instructors Ohio — — Oklahoma AARP Education programs Oregon Yes Yes Refer to various organizations Referrals Pennsylvania Yes Dept. of Aging, AAA, AARP Approve mature driving programs, pamphlets, videos South Dakota No No No — — Texas Yes Dept. of Public Safety, a law enforcement agency Both examiners and troopers give presentations on request Utah — — Vermont — — Virginia Yes Dept. for the Aging GrandDriver program Washington Yes AAA, AARP, local Safety Council, local Senior Center, WA Traffic Safety Education Assoc. Certified their driver accident prevention courses West Virginia No — — Wisconsin Yes Health & Family Services, Dept. of Aging, Alzheimer’s Assoc., Epilepsy Found., Diabetes Assn., other advocacy groups Knowledge of Wisconsin driving law; how to report medically impaired driver; older driver number to call; restricted license information Wyoming Yes Ten Stars driver education program for seniors Provide guidance and approval of lesson criteria. Provide driving manuals

86 7. Do local license offices provide help identifying: State 6. Other activities or programs? Driver refresher courses? Resources for driving assessment? Resources for training/ remediation? Available alternative transport? Alabama No Yes No No Alaska No Yes Yes (if avail.) Yes Arkansas No No No California Yes—Research studies Yes No Yes Yes Yes Yes Yes Yes Yes Yes District of Col. Yes—Smooth Operator No No No No No No No No No No No Yes Yes Yes Yes Yes Yes Florida Yes—Study conducted, statewide Yes—Brochures outreach Yes Georgia No No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No No No No No No No No Idaho Yes No No Yes Yes Illinois Yes—Rules of Road Review Course and Super Seniors Program Yes Yes Yes Yes Iowa Yes—Work with AARP Yes Kansas No Yes No No No No Maine (No) No Maryland Yes—Many Yes Massachusetts No Yes Michigan Yes—Governor’s Traffic Safety Advisory Committee participation. Hosting conference No Missouri Yes—Confidential reporting, road sign test required No Montana No No Yes Nebraska Yes—Will soon include self- assessment quiz in renewal notices Yes No Nevada No No No Yes No New Jersey Yes—Participate in seminar series by Voorhees Transportation Policy Institute No North Dakota No (other than AARP) Yes No No Yes Yes Ohio No No Oklahoma Yes—Medical, handicap assessment Yes No No Yes Yes Yes Yes No No No No — Oregon Yes—Driver Improvement Program, Bioptic Telescopic Lens, PSAs Yes No Yes Yes Yes Yes Yes Pennsylvania Yes—Roadway and signage Yes No No No No No — No No No No — No South Dakota No Yes Texas Yes—Medical Advisory Board — Utah No No Vermont No Yes Virginia Yes— Yes—Various public service General safety programs Yes Washington No Yes Yes Yes West Virginia No No Wisconsin Yes—Roadway improvements No Yes Wyoming information gatherings Yes

87 8. On scale of 1 (no training) to 5 (comprehensive training), extent license examiners in state receive training regarding: State Observation declines Cognitive declines Medical conditions Medications Counseling when stop Alabama 5 5 4 2 Alaska 2 1 1 2 Arkansas 1 1 1 1 California 3 3 5 1 5 3 2 (others) 1 (others) 3 District of Col. 1 2 4 5 1 4 5 1 2 5 5 3 3 1 5 3 1 1 1 1 3 4 1 2 4 2 3 2 3 1 3 1 2 4 1 4 5 2 2 4 5 4 3 4 3 3 2 5 1 1 4 4 3 3 4 2 2 3 4 2 3 2 1 Florida 5 2 1 1 Georgia 4 4 1 1 Idaho 1 3 1 1 1 Illinois 3 2 2 2 1 Iowa 5 3 4 5 Kansas 5 4 5 4 Maine 1 1 2 1 Maryland 2 2 2 2 Massachusetts 1 1 4 1 (others) Michigan 1.5 1.5 1.5 1.5 1.5 1.5 Missouri 5 3 3 1 Montana 5 4 4 5 Nebraska 3 3 2 3 Nevada 5 5 5 5 New Jersey 2 1 1 1 North Dakota 4 3 2 3 Ohio 1 1 4 1 Oklahoma 1 1 1 1 Oregon 2 1 1 1 Pennsylvania 3 1 1 1 South Dakota 4 3 1 3 Texas 4 4 4 3 Utah 2 2 1 2 Vermont 2 1 1 1 Virginia 4 4 4 3 Washington 3 3 2 1 West Virginia 2 2 2 2 Wisconsin 4 2 3–4 2 Wyoming 4 3 3 4 Visual

88 State 9. Extent examiners present at local gatherings? 10. Extent examiners engage in other education activities? 11. No. of drivers referred annually for reevaluation of fitness to drive? 11a. Percentage of age 65+ 11b. Information available on sources of referrals? Alabama Rarely/never Rarely/never Rarely/never Rarely/never Rarely/never Rarely/never Rarely/never Rarely/never Rarely/never Rarely/never Rarely/never Rarely/n Rarely/n (safety ed. does) Rarely/never Unknown No Alaska Rarely/never 300 29,185 260 Unknown No Arkansas Rarely/never 183 90% Yes California ever Other Occas. Occasionally Occasionally Occasionally Rarely/never 12,766 Yes (not always clear) District of Col. Rarely/never Rarely/never Unknown Unknown — Florida en Often 6,428 (med.) Unknown Yes Georgia Rarely/never 3,622 50% Yes Idaho Rarely/never Rarely/never 650 500 No Illinois Oft Oft Oft Ofte Ofte en (others) Often (others) 2,460 1,323 (Yes) Iowa en Often 2,500 Unknown Yes Kansas Rarely/never 6,000 95% Yes Maine ever Rarely/never 1,100 800 — Maryland Rarely/never 7,000 (non-alcohol) 70% Yes Massachusetts n Occasionally 5,000–10,000 Unknown No Michigan Rarely/never 5,100 (form) 3,251 Yes Missouri Occasionally ~2,280 1,648 (72%) Yes Montana Rarely/never 200 75% Yes Nebraska Occasionally 1,000 95% Yes Nevada ever Rarely/never New Jersey Occasionally Occasionally Occasionally 3,000 Unknown No North Dakota Rarely/n Rarely/n ever Rarely/never 226 Unknown (but majority >65) No Ohio Occasionally 2,401 Unknown No Oklahoma Occasionally Occasionally Rarely/never 560 + 1,120 handicap Unknown No Oregon Rarely/never 1,800 Unknown No??? Pennsylvania n Occasionally 50,000 40%–45% Yes South Dakota Rarely/never Rarely/never 400 Unknown No Texas Rarely/never 11,744 (FY03) Unknown (Yes) Utah Occasionally 575 80% Yes Vermont Rarely/never 149 Unknown Yes Virginia Occasionally Rarely/never 7,200 2,554 (age 70+) Yes Washington Rarely/never Rarely/never 4,500 (all reexam.) 3,825 (85%) No West Virginia Rarely/never Rarely/never 206 Unknown (Yes) Wisconsin Unknown Rarely/never 4,000 1,800 Yes Wyoming Rarely/never ~5,000 ~2,000 No

89 11. Source of referrals for driver reevaluations: STATE Medical profess- sional Law enforce- ment Courts Family or friends Self - refer Crash/ violation records Other Alabama Alaska Arkansas 25 30 35 50 90 18% 15% 10% 15% 40% % 10% 15% % 5% 3% 2% California 65% ~22% ~13% District of Col. Florida % 22% 0.5% 10% 21% 17% Georgia % 15% 5% 35 40 % 5% 3% 2% therapist Idaho Illinois ~ ~ 10% ~80% ~10% DMV examiner Iowa (fourth most) (next most) (third most) (most) Kansas % 5% 5% 10% 30% Maine % 5% 5% Maryland 35% (w/enfor- cement) 11% 1% (w/DMV) 35% DMV staff Massachusetts Michigan 65% 5% 10% (+367) 5% Missouri 28% 0% 6% 51% license office/self Montana 40% 20% Nebraska 70% 20% Nevada New Jersey North Dakota Ohio Oklahoma ~45% ~25% ~20% ~8% (w/law) ~2% Oregon % 60% 27% Pennsylvania 80 13 % 7% 1% 3% 5% 3% 4% South Dakota Texas Only maintain the name of the person making the referral. Utah 6% 80% 10% 1% Vermont 40% 40% 20% Virginia 513 1,023 160 188 98 DMV, 12 citizens, 367 Dept. of Blind, 193 applications Washington West Virginia Wisconsin 40% 50% 10% Wyoming