Driving assessment issues for practicing clinicians.
BACKGROUND
Practical issues facing rehabilitation clinicians working with survivors of brain injuries who wish to return to motor vehicle operations are considerable, and this challenge will likely only increase in the future. Although unpleasant, clinicians cannot avoid the legal and ethical issues associated with this aspect of rehabilitation. Clinicians also face numerous problems in terms of a variety of assessment and treatment strategies, most with limited demonstrated ecological validity, and few, if any, clear guidelines for rehabilitation of the driver. Clinicians may not have access to "driving tests," simulators and computer programs, specialized personnel, or adaptive driving programs.


CONCLUSIONS
Practical clinical issues such as these are reviewed, along with suggestions for a number of effective clinical approaches.
Hopewell
C Alan
CA
Psychiatric Consultants of Ft. Worth, Fort Worth, Texas 76107, USA.
D000063:Accidents, Traffic / Q000331:legislation & jurisprudence; D001334:Automobile Driving / Q000331:legislation & jurisprudence; D001930:Brain Injuries / Q000534:rehabilitation*; D003663:Decision Trees; D006801:Humans; D011597:Psychomotor Performance; D018570:Risk Assessment; D014481:United States