Nobody wants to have this conversation. A professional driving assessment takes this conversation out of the family and puts it in the hands of someone trained to evaluate driving skills objectively. The assessment provides clear information so everyone can make informed decisions.
About driving assessments: A comprehensive evaluation includes clinical testing, behind-the-wheel assessment, and written recommendations. The goal is objective information - many people pass these assessments and continue driving safely, while others receive helpful guidance for maintaining independence through modifications or transitions.
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What Is a Senior Driving Assessment
Clinical Evaluation
Vision testing, cognitive function assessment, physical range of motion, reaction time measurement, and medication review. This portion identifies any medical factors that might affect driving ability.
Behind-the-Wheel Test
Actual driving in various conditions with a trained evaluator who understands age-related changes. Testing occurs in parking lots, residential streets, and busier roads to assess real-world driving skills.
Written Report and Recommendations
Specific recommendations that might include continued driving, driving with restrictions (daytime only, familiar routes only), vehicle modifications, additional training, or guidance for transitioning away from driving.
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Where to Find Driving Assessments
Hospital-Based Occupational Therapy Departments
Many hospitals offer driving evaluations through their rehab services. Call the main number and ask for occupational therapy or driving rehabilitation services. Sometimes covered by insurance if ordered by a physician.
Private Occupational Therapy Clinics
Search for "driving rehabilitation specialist" or "occupational therapist driving assessment" in your area. Coverage varies by provider and insurance plan.
Area Agency on Aging
Your local Area Agency on Aging may offer assessments or know where to find them. They often have relationships with providers who understand Medicare and insurance coverage. Call 211 or search "Area Agency on Aging" plus your county name.
AAA (American Automobile Association)
Some AAA locations offer driving assessments or can refer you to certified evaluators in your area. Call your local AAA office and ask about senior driving services.
Department of Motor Vehicles
Some states offer voluntary driving assessments through the DMV. These are typically less comprehensive than clinical assessments but may be free or low-cost. Check your state DMV website under senior driver services.
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Finding Certified Professionals
Association for Driver Rehabilitation Specialists Directory
Search at aded.net (click "Find a CDRS") to locate certified driving rehabilitation specialists near you. This is the primary credentialing organization for driving assessments.
Look for These Credentials
CDRS (Certified Driver Rehabilitation Specialist), OTR/L (Occupational Therapist, Registered/Licensed), or SCDCM (Specialty Certification in Driving and Community Mobility). These credentials ensure proper training in driving assessment.
4
Questions to Ask When Calling
What does the assessment include?
Make sure it covers both clinical evaluation and actual driving. Full assessments typically require 2-4 hours total time.
Cost and insurance coverage details
Get specific numbers and ask about payment plans. Ask what insurance covers and whether a physician's order is required for coverage.
Scheduling and wait times
Some programs have long wait lists. Ask how soon you can schedule and whether there are cancellation lists for earlier appointments.
Written report and family involvement
Confirm they provide written documentation of recommendations. Ask whether family members can attend the discussion of results.
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How to Bring Up the Assessment
Start with shared concerns
"I've noticed you seem less comfortable driving at night. Have you noticed that too?" Frame the conversation around observations rather than judgments.
Frame it as information gathering
"What if we got a professional opinion about whether there are ways to make driving easier or safer?" Emphasize gathering expert advice rather than making immediate decisions.
Emphasize choice and independence
"This is about getting expert advice on how to keep driving safely as long as possible." Address the fear directly by acknowledging that independence matters.
Suggest it as a gift
"I'd like to pay for a driving assessment. Think of it as an investment in keeping you on the road safely." This removes financial barriers and shows support.
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What Happens During the Assessment
Clinical Portion (Usually First)
Vision screening including peripheral and night vision, cognitive tests for attention and decision-making speed, physical assessment of range of motion and coordination, medication review, and discussion of any recent incidents or concerns.
Road Test
Driving occurs in a dual-control vehicle with the evaluator. Testing happens in various environments from parking lots to busier roads, covering specific skills like parallel parking, lane changes, and left turns.
Results Discussion
Written report with specific recommendations, discussion of any restrictions or modifications suggested, information about adaptive equipment if relevant, and referrals for additional training or medical follow-up if needed.
Approaching the Assessment
This conversation works better when it focuses on gathering information rather than making decisions. Many people pass these assessments and feel reassured about their abilities.
Frame the assessment as expert advice on maintaining independence safely rather than a judgment on current ability. Professional evaluation beats family guesswork.
If the results recommend stopping driving, the evaluator should provide resources for transportation alternatives and support for this major life transition.
Budget $250-600 for a complete assessment. Some insurance plans cover evaluations, especially when ordered by a physician.
Free Resources
- Association for Driver Rehabilitation Specialists (find certified evaluators)
- AARP Driver Safety Course (online and in-person refresher courses)
- AAA Roadwise Driver (self-assessment tools and educational materials)
- NHTSA Older Driver Safety (resources and self-assessment tools)
- CarFit Program (free car safety checkup for proper fit)
- Area Agency on Aging (call 211 to find local office for transportation resources)