{"id":3045,"date":"2024-03-04T12:45:01","date_gmt":"2024-03-04T19:45:01","guid":{"rendered":"https:\/\/wildirismedicaleducation.com\/blog\/?p=3045"},"modified":"2024-03-04T12:45:03","modified_gmt":"2024-03-04T19:45:03","slug":"when-can-i-drive-occupational-and-physical-therapists-essential-role-in-answering-this-question","status":"publish","type":"post","link":"https:\/\/wildirismedicaleducation.com\/blog\/when-can-i-drive-occupational-and-physical-therapists-essential-role-in-answering-this-question","title":{"rendered":"\u201cWhen Can I Drive?\u201d Occupational and Physical Therapists\u2019 Essential Role in Answering This Question"},"content":{"rendered":"\n

by Cara Harman and Dustin Abram<\/p>\n\n\n\n


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Driving, classified as an Instrumental Activity of Daily Living (IADL), holds a unique status as one of the most hazardous and complex routine tasks that individuals undertake regularly. While therapists play a crucial role in assisting people with other activities of daily living, there is a conspicuous shortage of support for a question that often looms large after illness or injury: “When can I drive?” Driving is an activity that demands the harmonious interplay of various sensory, motor, and cognitive functions. A comprehensive driving evaluation can pinpoint and address any potential shortcomings, thereby enhancing overall road safety.<\/p>\n\n\n\n

Regrettably, the accessibility of these invaluable evaluations is limited by substantial barriers. Fear is often one of these barriers, exemplified by patients’ apprehension about losing their drivers license and testing anxiety. Additionally, healthcare providers often lack awareness of the benefits offered by driving rehabilitation programs and face challenges in acquiring the necessary training. Long wait times for evaluations, absence of local programs, assessments conducted in unfamiliar settings, and cost-related issues further compound the difficulties. <\/p>\n\n\n\n

While insurance providers may not designate driving as a “medical necessity,” clinicians possess the capacity to make a valuable contribution in this regard. Clinical driver evaluations, when conducted by OTs<\/a>\/PTs<\/a>, are covered by most insurance policies, effectively halving the cost for patients. (However, the behind-the-wheel test, comprising the second half of a comprehensive driving evaluation, isn’t covered by any medical insurance.) In practical terms, trained generalist OTs\/PTs can conduct these evaluations in outpatient settings with minimal equipment and subsequently refer patients for the on-road or behind-the-wheel evaluation. <\/p>\n\n\n\n

Tier 1 referrals, dealing with clients who require no specialized equipment and typically involve cognitive deficits, can be directed to trained and licensed driving schools or driver rehab specialists, who may have shorter waiting times. Tier 2 and 3 referrals, addressing the needs of patients who require adaptive equipment and\/or car modifications (e.g., spinal cord injuries, right hemiplegia, amputations), are appropriately directed to Certified Driver Rehabilitation Specialists (CDRS) who can evaluate all 3 tiers. This coordinated approach ensures tailored care for individuals with diverse needs, while optimizing insurance coverage and shorter wait times, for the overall evaluation process.<\/p>\n\n\n\n

Recognizing this challenge, the CODE-CCDE program model emerges as a pioneering solution, employing a distinctive collaborative approach within the spectrum of driver services. The spectrum itself is a product of joint efforts by the Association for Driver Rehabilitation Specialists and AOTA<\/a>, establishing a standardized framework for language and models in driving programs. At the heart of the CODE-CCDE model lies a commitment to excellence through continuous training and support for participating providers, predominantly occupational or physical therapists. This ensures that clinical driving evaluations are not merely competent but strive for superiority, adhering rigorously to established best-practice guidelines.<\/p>\n\n\n\n

A CODE-CCDE team\u2014composed of occupational therapists, Certified Driver Rehabilitation Specialists (CDRS), seasoned state third-party examiners, and behind-the-wheel instructors\u2014has developed a 10-hour evidence-based course for clinicians. This program is meticulously crafted to empower generalist OTs and PTs with the essential skills required to proficiently carry out the initial phase of a comprehensive clinical driving evaluation. The objective is to enable these professionals to seamlessly conduct assessments and make informed referrals for the subsequent behind-the-wheel assessment. <\/p>\n\n\n\n


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\"helping<\/figure>\n\n\n\n

CODE-CCDE 10-Hour CEU Course<\/strong><\/h2>\n\n\n\n

After completion of the CODE-CCDE course, participants should be able to:<\/h4>\n\n\n\n