2010 BC Guide in Determining Fitness to Drive

further assessment. Drivers who score in the lower or indeterminate rangeproceed to an on-road evaluation for the second stage of the assessment.The on-road evaluation is different from regular road tests and isadministered by a qualified DriveABLE evaluator. The on-roadevaluation, which is done in a dual-brake vehicle for safety, utilizes a routewhich is specifically chosen to reveal errors made by drivers who havebecome unsafe due to declines in cognitive abilities.6.7 Requesting assessments of motor functionPolicy6.7.1 A case manager or adjudicator will request an OT or driverrehabilitation specialist assessment if further information isrequired on an individual’s motor function.6.7.2 Generally, further information on an individual’s motor functionwill be required when a medical assessment indicates that there issome loss of motor function and:(a) it is unknown whether the individual possesses sufficientmovement and strength to perform the motor functionsnecessary for driving the types of motor vehicles permittedunder the class of licence held or applied for(b) it is unknown whether pain associated with a medicalcondition, or the medications used to treat a medical condition,adversely affect the individual’s motor function, and/or(c) it is unknown whether the individual can safely operate thetype of motor vehicles permitted under the class of licence heldor applied for using the vehicle modifications and devices thatmay be required to compensate for their functional impairment.Policy rationaleOccupational therapists and other specialists with expertise in driverrehabilitation are trained to perform both in-office and on-roadassessments of an individual’s functional ability to drive. In particular,driver rehabilitation specialists are trained to evaluate an individual’sability to compensate for motor deficits during simulated and on-roadtesting and determine requirements for adaptive driving equipment andvehicle modifications.47