Improving the Safety of Older Road Users (2005) / Chapter Skim
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Pages 31-38
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From page 31... ...
. The review of practices report contains a state-by-state summary of procedures in place for determining an individual's fitness to drive personal vehicles, including: • The organization of the medical program; • Mechanisms in place for identifying drivers with medical conditions and functional impairments; • Procedures and medical guidelines used to evaluate fitness to drive; • Evaluation outcomes, appeals process, and availability of counseling and educational materials; and • Employee training, driver tracking, and other administrative issues and barriers to program implementation.
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From page 32... ...
Based on a combination of sources, Table 7 identifies states having additional license renewal provisions affecting older adults. By far the most common requirement is an accelerated renewal, genRenewal Provision States with Added Requirements for Older Drivers More frequent renewals AZ, CO, HA, ID, IL, IN, IA, KS, ME, MO, MT, NM, RI, SC In-person renewals AK, AZ, CA, CO, CN, LA Vision testing AZ, DC, FL, ME, MD, MT, OR, SC, UT, VA Medical report DC, NVa Written test DCb Road test DC,b IL, NH, Other NC, TN a Medical report required only if renewing by mail.
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From page 33... ...
The MVA is also working with the ADED to support increased opportunities for driver educators and other professionals to be trained as driving rehabilitation specialists. The philosophy underlying all of the Maryland MVA's efforts is to assist older adults in remaining safely mobile for as long in life as possible.
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From page 34... ...
Still under development and testing is a three-tiered driver assessment system. In the first tier, all driver license renewal applicants (as well as drivers referred because of physical or medical conditions)
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From page 35... ...
Asked if their agency coordinated with other state agencies or with organizations in the private sector to make information or programs available to older road users and their families, 21 states (62%) responded that they did.
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These areas include observational approaches for identifying potentially at-risk drivers, declines in visual or cognitive function that might affect driving ability, medical conditions or medication use and driving, and approaches for counseling older adults who must States Responding Yes Do Local Driver License Offices Assist in Identifying: No. Percenta Driver refresher courses 21 62 Resources for driving assessment 11 32 Resources for training or remediation 19 56 Available alternative transportation 17 50 aPercent of 34 responding states.
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From page 37... ...
Area of Training Average Reported Level of Training on Scale of 1 to 5a States Self-Rating as a 4 or 5 Observational approaches for identifying potentially at-risk drivers applying for license renewal 3.0 AL, FL, GA, IA, KS, MO, MT, NV, ND, SD, TX, VA, WI, WY Age-related declines in visual function that may affect driving ability 2.8 AL, AR, FL, GA, IA, KS, MA, MT, NV, TX, VA Age-related declines in cognitive function that may affect driving ability 2.3 AL, GA, KS, MT, NV, TX, VA, Medical conditions that may affect driving ability 2.9 AL, FL, GA, IA, KS, MA, MT, NV, OH, TX, VA, WY Medications that may affect driving ability 2.3 AL, IA, KA, MA, MT, NV, OH, TX, VA Counseling older adults who must surrender their license 2.1 IA, KS, MT, NV, WY a1 = "no training" and 5 = "comprehensive training." TABLE 10 TRAINING PROVIDED TO DRIVER LICENSE EXAMINERS
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From page 38... ...
Once again, however, individual states have needed to take the lead in developing and implementing programs and materials for their aging driver population. Driver education and awareness has been an important component of these programs.
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