Safe Mobility at Any Age Policy Forum Series
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- Barrie Wiggins
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1 Policy Forum Series Forum 2 Functional Assessment and Health Screening February 18, 2004 Robert Wood Johnson Foundation College Road East & Route 1 Princeton, New Jersey
2 Invited Stakeholders NJ Dept. of Health & Senior Services * AARP and Senior Advocates * County Offices on Aging * Senior Centers * Automobile Association of America (AAA) Public health policy experts Transportation policy experts * NJ Department of Transportation * NJ Motor Vehicle Commission * NJ TRANSIT County paratransit providers * Hospital & health care providers * Regional transportation management associations * Regional and county planning agencies * Community Transportation Providers (non COST) * Law Enforcement Researchers on aging and transportation * * Attended Forum 1
3 Purpose of Safe Mobility Policy Forums To develop policy responses to improve safe mobility for all ages exploring: Identification and assessment of functionally at-risk drivers Remediation programs for continued safe mobility Public education programs on functional fitness and safe mobility Feasible and user-friendly community transportation options To develop policy responses that embrace the concept of creating community options to promote life long mobility
4 New Jersey s Mature Driver Crash incidence declined with the age of the driver although fatalities increased Crash characteristics: More crashes during daylight hours and good weather More crashes on local and private roads High incidence of left turn crashes Crashes most often due to: Driver inattention Failure to yield right of way Failure to obey traffic signals Older drivers more likely to be at fault Source: The Mature Driver in New Jersey, Dr. Naomi Rotter and Dr. Claire McKnight
5 Key Health Factors Contributing to Increased Risk of Crashes Functional declines in critical abilities such as visual, cognitive, physical, and perceptual abilities that are important for processing certain driving tasks Increased incidence of disease and pathology More extensive use of multiple medications Source: Maryland Consortium, Dr. Loren Staplin
6 Products and Policy Outcomes Identified by the Maryland Consortium Functional areas identified as significant predictors of at-fault crashes: Visualization of missing information Direct visual search Information processing speed under divided attention conditions Working memory Leg strength and general mobility Head and neck flexibility
7 Products and Policy Outcomes Identified by the Maryland Consortium Functional capacity screening adds value to traditional medical evaluation procedures Identifying functional loss can promote safe mobility by allowing earlier intervention (and remedial help) Source: Maryland Consortium, Dr. Loren Staplin
8 Agenda Status of the Medical Advisory Board in NJ Kathy Higham, NJ Motor Vehicle Commission Best Practices in Functional Assessment & Health Screening Wendy Stav, PhD, OTR/L, CDRS, National Older Driver Research & Training Center AOTA Older Driver Initiative Maureen Freda Peterson, MS, OT/L, FAOTA, American Occupational Therapy Association (AOTA) Driver Rehabilitation & Remediation Programs Beth Roland, OTR, CDRS, Kessler Rehabilitation Institute Claire McLaughlin, OTR, CDRS, Bacharach Institute for Rehabilitation Jennifer Palasits, OTR, CDRS, JFK-Johnson Rehabilitation Institute AARP Driver Safety Program Nat Giancola, AARP Driver Safety Program Question and Answer
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