2010 BC Guide in Determining Fitness to Drive

has the judgment and willingness to comply with their treatmentregime and any conditions or restrictions imposed by OSMV.Physicians will often use terms such as “impaired awareness,” “decreasedmetacognition,” or “lack of awareness regarding deficits” on a medicalassessment to indicate that an individual lacks insight.An individual’s level of insight is a critical consideration when assessingthe risk of an episodic impairment of functional ability due to a psychiatricdisorder. Because of this, there is a specific guideline regarding insight inthe Psychiatric Disorders chapter.Policy7.10.1 If a case manager or adjudicator decides that restrictions and/orconditions are required in order for an individual to be fit to drive,the case manager or adjudicator will review:(a) medical assessments on file for information that indicates thatthe individual has, or lacks, insight into their medical conditionor its impact on the functions necessary for driving(b) medical assessments on file for information that indicates thatthe individual is non-compliant with their prescribed treatmentregime or medications(c) the individual’s driving record for any information thatindicates the individual has been non-compliant withrestrictions or conditions in the past, and(d) any credible reports for information that indicates that theindividual has been non-compliant with restrictions orconditions in the past.7.10.2 Without information to the contrary, a case manager or adjudicatorwill assume that an individual will comply with a restriction orcondition. However, if the information obtained from this reviewindicates that the individual is not likely to be compliant with anyrestrictions and/or conditions that are required in order to be fit todrive, the case manager or adjudicator will not impose therestriction or condition and the individual is not fit to drive.65