2010 BC Guide in Determining Fitness to Drive

that cannot be considered independently, unless the medical conditionguidelines for any of the identified medical conditions clearly indicate thatthe individual is not fit to drive.6.6 Requesting assessments of cognitive functionPolicy6.6.1 A case manager or adjudicator will request a DriveABLEassessment of an individual when cognitive screening indicatesfurther assessment is required.6.6.2 In exceptional circumstances, e.g. if a DriveABLE assessmentcentre is not accessible to the individual, a case manager oradjudicator may request an OT or driver rehabilitation specialistassessment, or a gerontologist assessment, of an individual with apersistent cognitive impairment whose cognitive screening testresults indicate further assessment is required.Policy rationaleHistorically, there has not been consistent practice amongst medicalprofessionals pertaining to the choice of cognitive screening assessments.The assessment results that are most frequently submitted to OSMV arethe MOCA, the MMSE, Trails A and B, or the SIMARD MD. OSMVwill accept and consider the results of any or all of these assessments. Theadjudicator will also consider any other available collateral informationand determine if the entirety of the file information supports a finding ofsufficient cognitive functioning to drive safely, or if additional informationis required.DriveABLEAs of May 2013, DriveABLE assessments are available in 28 locationsdistributed throughout BC. A DriveABLE assessment is specificallydesigned to identify cognitive impairments in experienced drivers. Thefirst component is an in-office assessment conducted by a qualifiedDriveABLE assessor that requires the driver to complete a series of taskson a touch-screen computer. No computer familiarity is needed, as amouse and keyboard are never used. Those in the most competent rangeare identified through automated scoring procedures and do not require46