What is an Occupational Therapy Driving Assessment?
Driving represents freedom and independence, but for some individuals—due to injury, illness, disability, or age—safe driving may be compromised. That’s where an occupational therapy driving assessment comes in. It’s a professional evaluation conducted by a trained driver-trained occupational therapist (OT), designed to determine a person’s ability to drive safely.
Whether someone is recovering from a stroke, managing a neurological condition, or experiencing age-related changes, this assessment provides a structured, practical way to understand their driving fitness and explore adaptive solutions if needed.
Who Might Need a Driving Assessment?
There’s no single reason someone might need a driving assessment, but common situations include:
- Stroke or brain injury recovery
- Dementia or cognitive changes
- Vision impairment
- Parkinson’s disease or multiple sclerosis
- Amputation or physical disability
- Age-related decline
- Returning to driving after surgery or extended illness
- Learner drivers with developmental or learning challenges
In some cases, it may be required by a doctor, licensing authority, or family concerned about safety.
Components of the Driving Assessment
An occupational therapy driving assessment typically includes two parts:
a clinical off-road assessment and a practical on-road assessment.
1. Off-Road (Clinical) Assessment
Conducted in a clinic setting, this part of the evaluation reviews cognitive, physical, and visual abilities that are essential for safe driving. It may include:
- Reaction time
- Memory and concentration
- Decision-making and problem-solving
- Range of motion and motor control
- Vision and visual perception
- Road law knowledge and hazard awareness
These tests help the OT determine whether a person is ready to move forward with the on-road component.
2. On-Road Assessment
Conducted in a dual-controlled vehicle, this part involves real-world driving tasks in various conditions. The driver is accompanied by both a driver-trained OT and a driving instructor. They observe how the person handles:
- Traffic conditions
- Lane changes
- Speed control
- Navigation and decision-making
- Use of vehicle controls
- Multitasking under pressure
If required, modified vehicles or driving aids may be used to test adaptive driving techniques.
What Happens After the Assessment?
Once the assessment is complete, the OT compiles a detailed report with recommendations. This may include:
- Clearance to continue driving without restrictions
- A recommendation for driving lessons using specific aids
- Referral to a licensing authority for conditional licensing
- Advice to stop driving if it’s not safe to continue
- Suggestions for alternative transport options
The goal is to support independence wherever possible while prioritizing safety for the driver and the community.
How to Prepare for a Driving Assessment
To make the most of your occupational therapy driving assessment:
- Bring all relevant medical documents or referrals
- Wear glasses or hearing aids if required
- Take all prescribed medications as usual
- Be well-rested and avoid alcohol or drowsy medications
- Bring your driver’s license (or learner’s permit)
It’s also important to be open and honest with your OT about any concerns or challenges you’re experiencing behind the wheel.
Is It Covered by NDIS or Insurance?
In Australia, NDIS participants may be eligible for funding under “Capacity Building” support, particularly if driving is related to employment, education, or daily living. Some private insurers and rehab programs may also fund these assessments as part of a recovery or return-to-work plan.
It’s best to check with your provider or OT clinic ahead of time.
Why Occupational Therapy Driving Assessments Matter
Driving isn’t just about operating a vehicle—it’s about complex thinking, judgment, coordination, and managing changing environments. Occupational therapy driving assessments take a person-centered, holistic approach, considering all the elements that impact road safety.
This process supports not just individuals, but also families, health professionals, and transport authorities by making informed, responsible decisions.
Final Thoughts
If you or someone you care for is facing changes that may affect driving ability, an occupational therapy driving assessment can offer clarity and peace of mind. It’s a respectful, supportive step toward understanding what’s possible—and what may need to change.
