What Is an Occupational Therapy Driving Assessment?

An occupational therapy driving assessment is a formal evaluation that determines whether a person has the physical, cognitive, and sensory capacity to drive safely. Unlike standard driving tests, this assessment is medically informed and tailored to each individual’s health status. Occupational therapists conduct thorough pre-assessment interviews, understand the nature of the medical condition involved, and complete functional assessments related to vision, memory, coordination, problem-solving, attention span, and reflexes.

Following the off-road component, a practical, on-road driving session is undertaken with a qualified instructor. This controlled environment allows the therapist to observe the client’s ability to manage real-world driving demands — from lane changes and roundabouts to reacting to unexpected events.

The outcome of the assessment may include:

• Medical clearance to resume or continue driving

• Recommendations for adaptive equipment (e.g., hand controls)

• A requirement for driving lessons or rehabilitation

• Advice to stop driving temporarily or permanently

Therapists always aim to empower the individual, ensuring recommendations are respectful, evidence-based, and considerate of personal circumstances.

When Is a Driving Assessment Recommended?

A referral for an occupational therapy driving assessment is commonly made when:

• A person is recovering from a stroke, brain injury, or neurological condition

• There are age-related changes in vision, coordination, or cognition

• Someone has been diagnosed with dementia, Parkinson’s, multiple sclerosis, or epilepsy

• A treating doctor is uncertain about a person’s fitness to drive

• There are significant mental health concerns affecting decision-making

• Transport authorities (e.g., VicRoads or RMS) request a medical clearance

For adults with complex or chronic conditions, services like occupational therapy for adults provide a foundational starting point. An occupational therapist considers how physical, emotional, and psychological health intersect with driving, making the assessment holistic and practical.

Legal and Regulatory Considerations

Driving is a legal responsibility. In Australia, any medical condition that may affect driving must be reported to the relevant licensing authority. Occupational therapy driving assessments are often part of that process.

Upon completion of the assessment, a report is sent to your doctor and licensing body, including any recommendations about fitness to drive. While the occupational therapist provides guidance and findings, the final licensing decision rests with the authority.

For veterans and individuals supported by compensation schemes, services such as DVA occupational therapy often include driving assessments as part of rehabilitation planning.

What Happens After the Driving Assessment?

The post-assessment process varies depending on the outcome:

• Cleared to Drive: If the individual demonstrates safe driving skills and meets all requirements, they are cleared to resume driving.

• Rehabilitation or Training Required: Some may need driver refresher lessons or specific rehabilitation to address cognitive or physical challenges.

• Vehicle Modifications: Individuals may be recommended to drive with adaptive aids or modified vehicles.

• Not Fit to Drive: If driving poses a risk to the individual or public, alternative transport solutions are explored with compassion and support.

For many clients, exploring functional capacity through occupational therapy can also inform broader daily decisions beyond driving. This is often supported through a functional assessment to understand mobility, cognition, and safety in everyday life.

Supporting Emotional and Mental Health Through the Transition

Losing or limiting the ability to drive can be emotionally challenging. It may affect independence, identity, and daily routines. That’s why the team at Mental Health OT Australia places strong emphasis on emotional wellbeing during and after the driving assessment process.

Therapists provide strategies to help clients cope with transitions, access support services, and develop safe mobility alternatives, such as public transport training or community transport options. Additionally, the integration of services like mental health occupational therapy ensures the emotional impact of change is understood and addressed.

For personalised support, individuals and referrers can contact 📞 0406107775 or 📧 Info@mentalhealthotaustralia.com, or submit an enquiry via the contact page.

Frequently Asked Questions

Q1: Who can refer me for a driving assessment?
A referral can be made by a GP, specialist, or health professional. In some cases, driving authorities may also request an assessment as part of the medical review process.

Q2: Is the assessment covered by NDIS or DVA?
Yes. For eligible clients, the National Disability Insurance Scheme (NDIS) or Department of Veterans’ Affairs (DVA) may fund occupational therapy driving assessments as part of broader health or rehabilitation services.

Q3: Can I still drive while waiting for my assessment?
If your licence is conditional or under review, it’s best to follow the advice of your doctor and licensing authority. Driving without clearance may breach legal or insurance conditions.

If you or a loved one is navigating driving decisions after illness or injury, or you are seeking support for older adults or people with cognitive challenges, a professional occupational therapy driving assessment can provide clarity, confidence, and peace of mind.