Driving and Alzheimer's Disease

Photo Credit: Matitio

Should people diagnosed with cognitive impairment be allowed to drive? Taking away someone’s license not only deprives them of a means of transportation, it deprives them of their independence and their sense of control. On the other hand, people who pose a threat to themselves and others should not be allowed to drive. While some experts advocate for immediate cessation of driving upon a diagnosis of Alzheimer’s disease, the Alzheimer’s Association encourages decisions about driving be based on an assessment of the individual, and not on a diagnosis alone.

A BALANCING TEST

Even if those with mild cognitive problems are safe to drive, the illness will progress to a point where they are not able to drive safely. If the goal is to successfully balance the need for safety against the desire for maximum independence and connection to the community, how do we know when it is time to take away the keys?

ASSESS COMPETENCE

Once you know that family members have cognitive impairment, assess their driving ability. Drive with them, or drive behind them and observe how they react to traffic signals, whether they maintain an appropriate rate of speed, and if they drive erratically. Look for signs of problems, such as dented fenders or unexplained car damage.

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