Losing the ability to drive safely can feel like losing your independence entirely. Whether you’re recovering from a stroke, managing a progressive neurological condition, or concerned about age-related changes affecting your driving, the prospect of having your licence questioned can be overwhelming. Occupational therapy driving assessments offer a structured pathway to determine fitness to drive and identify strategies to maintain mobility and independence for as long as it’s safely possible.
For residents across Queensland, New South Wales, Victoria, and Tasmania, accessing qualified occupational therapists providing driving assessments has become increasingly straightforward. However, navigating the system, understanding costs, and knowing what to expect can still feel daunting. This guide will help you understand the assessment process, locate practitioners in your area, and make informed decisions about your driving future.
What Is an Occupational Therapy Driving Assessment and Why Might You Need One?
An occupational therapy driving assessment is a comprehensive evaluation conducted by trained occupational therapists to determine whether an individual can drive safely. These assessments go beyond standard licence tests, involving both clinical evaluation and practical road testing in a dual-controlled vehicle.
The assessment usually involves two phases:
• Off-road component (90–120 minutes) — tests of physical capabilities, cognitive function, and visual perception (reaction times, joint mobility, memory recall, decision-making). • On-road assessment (60–90 minutes) — practical driving in real traffic while observed by the occupational therapist and a driving instructor.
You might need this assessment if you have medical conditions that could affect driving safety such as neurological disorders, physical disabilities, visual impairments, or cognitive conditions. Transport authorities may mandate assessments when medical notifications occur, or you might seek one proactively to ensure continued safe driving.
Beyond licence eligibility, the assessment can:
• Identify areas of driving difficulty • Recommend vehicle modifications (hand controls, steering aids) • Provide documentation for insurance or legal purposes • Offer peace of mind by clarifying your driving abilities
How Do I Find Occupational Therapists for Driving Assessments in My Area?
To locate a practitioner:
- Use the “Find an OT” directory from Occupational Therapy Australia — search by location and filter for driving services.
- Confirm that the therapist holds driver assessor certification (via Occupational Therapy Australia or state transport authorities) as well as AHPRA registration.
Regional highlights include areas such as Brisbane & North Lakes, Gold Coast & Sunshine Coast, as well as metropolitan hubs like Sydney & Melbourne, where both practice-based and mobile services are available. When you contact a practitioner, consider asking about their experience with your specific medical condition and any vehicle modifications you might require. If travel is difficult, ask about telehealth options for the off-road component, keeping in mind that the on-road drive must be conducted in person with a dual-controlled vehicle.
What Are the Costs Involved and What Funding Options Are Available?
Total assessment costs typically range from $700 to $1,200, depending on location and complexity. Key cost components include:
• Occupational therapist fee: $575–650 (covering both off-road and on-road assessments) • Driving instructor and vehicle hire: $150–250 • Vehicle modification trials: $100–300 (if needed) • Report preparation: usually included
Potential funding sources include:
• NDIS — coverage under assessment or training for driving-related goals • My Aged Care — subsidies via the Commonwealth Home Support Programme • Private health insurance — possible rebates under rehabilitation or mental health extras • Veterans’ Affairs — reimbursement for eligible service-related conditions • Payment plans offered by many clinics
What Should I Expect During the Assessment Process?
The assessment typically begins with an off-road evaluation, which may include a review of your medical history, medications, and driving record; vision tests; physical examinations focusing on joint range, strength, and coordination; cognitive screening; and an ergonomic analysis of your vehicle for potential modifications. This is followed by an on-road assessment in a dual-controlled vehicle, focusing on practical driving skills such as blind-spot checks, speed control, hazard response, and manoeuvres like roundabouts and parking. A debrief is provided afterward, discussing findings and recommendations.
What Are the Legal Requirements and Compliance Considerations?
Legal requirements vary by jurisdiction but may include mandatory assessments when medical conditions are reported or at licence renewal. Other considerations might involve disclosure of any unpaid fines or pending charges, validity periods for assessment reports, and therapists’ obligations to report safety risks. In some cases, licence conditions may be imposed, such as restrictions to daylight driving, use of familiar routes, or requiring vehicle modifications.
Taking the Next Step Towards Safe Driving Independence
Occupational therapy driving assessments offer a pathway to maintaining independence by clearly identifying driving capabilities and recommending supportive measures. Regardless of whether funding is secured through NDIS, My Aged Care, private insurance, or Veterans’ Affairs, these assessments provide valuable insights and recommendations that can help ensure you continue driving safely while addressing any areas of concern.
For more information, please contact your local occupational therapy provider to discuss booking an assessment or to learn more about possible funding and support options.
How long does an occupational therapy driving assessment take?
Typically 3–4 hours total, with a 90–120 minute off-road session and a 60–90 minute on-road drive. Some practitioners may schedule these on separate days to reduce fatigue.
Can I use my own car for the driving assessment?
Generally no. For safety reasons, the on-road component must be conducted in a dual-controlled instructor vehicle, though your personal vehicle may be assessed off-road for ergonomic considerations.
What happens if I don’t meet all assessment criteria?
Outcomes aren’t simply a ‘pass’ or ‘fail’. You may receive recommendations for vehicle modifications, further training, medical follow-up, or licence conditions, all accompanied by detailed explanations and next steps.
Are occupational therapy driving assessments covered by Medicare?
Medicare usually does not cover these evaluations. Funding is typically available through NDIS, My Aged Care, private health insurance extras, or Veterans’ Affairs for eligible cases.
How often do I need to repeat the assessment?
The frequency of reassessments depends on your health condition and local regulations. Stable conditions might be reassessed every 2–3 years, while progressive conditions may require more frequent evaluations.
