Contents

 

EXECUTIVE SUMMARY

INTRODUCTION

THE SCOPE OF THE ISSUE

A Risk to Public Health: The Prevalence of Unsafe Older Drivers
The Safety of Drivers With Dementia

The Consequences of Driving Cessation: Different Impacts for the Individual With Dementia and the Caregiver
Impact of Cessation for the Individual With Dementia
Impact of Driving Cessation on the Family

CURRENT SCREENING AND ASSESSMENT PRACTICES

Screening for Driving Safety: What Tests Should Be Used and Who Is Responsible?
Screening Processes
Who Conducts the Screening

Monitoring Driver Safety: When Is the Time for Driving Cessation?
Monitoring Those With Degenerating Abilities
Compliance With Driving Assessments

State Policy Affecting Community Mobility: Variability Across the Country
State Programs: California | Oregon | Delaware | New Jersey | Nevada | Pennsylvania |
                               Illinoise | Florida | Kansas | Maryland
Fatality Prevention
The Effect on Individuals With Dementia

COMMUNITY MOBILITY

Current Status of Community Mobility for Nondrivers: What Are the Options After Driving Cessation?
Community Mobility for the Nondriving Older Person
Community Mobility for the Nondriving Disabled Older Person
Factors in Community Mobility

Transportation Programs for the Nondriving Older Person: Options and Shortcomings
Current Programs from Transportation Service Providers
Supplemental Transportation Programs
Program Efficacy

The Community Mobility Needs of the Person With Dementia: Specialized Needs of a Vulnerable Population

IMPLICATIONS FOR PROGRAM AND POLICY

Current Policy Gaps: The Community Mobility Needs of Individuals With Dementia
Public Transportation
Screening and Assessment
Licensing Policy Proposals Affecting Individuals With Dementia
Proposed Initiatives Beneficial to Individual With Dementia
The Benefits of Mobility Managers

Barriers to Improving Mobility: The Effects of Current Regulations

REFERENCES

APPENDICES

Appendix A
15 Key Federal Programs for Transportation Aid

Appendix B
The 5 A’s of Senior Friendly Transportation

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