{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T01:56:47Z","timestamp":1767664607174,"version":"3.44.0"},"reference-count":35,"publisher":"BMJ","issue":"4","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Evid Based Mental Health"],"accepted":{"date-parts":[[2016,9,13]]},"published-print":{"date-parts":[[2016,11]]},"abstract":"<jats:p>Most people with mild dementia can continue to drive, but dementia is progressive and many patients and clinicians will be faced with questions about driving safety in the course of their illness. Determining when this happens is a complex decision, with risks of personal and public safety needing to be weighed against individual patient benefits of driving in terms of autonomy, independence and well-being. Decisions need to make reference to cognitive abilities, as well as other factors including physical comorbidity, vision, mobility, insight and history of driving errors and accidents. Deciding to stop driving, or being required to stop driving is often difficult for patients to accept and can be a particularly problematic consequence of a dementia diagnosis. Legal frameworks help in decision-making but may not provide sufficient detail to advise individual patients. We review the current guidelines and evidence relating to driving and dementia to help clinicians answer questions about driving safety and to consider the full range of assessment tools available.<\/jats:p>","DOI":"10.1136\/eb-2016-102485","type":"journal-article","created":{"date-parts":[[2016,10,20]],"date-time":"2016-10-20T22:39:34Z","timestamp":1477003174000},"page":"110-113","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":10,"title":["Driving and dementia: a clinical update for mental health professionals"],"prefix":"10.1136","volume":"19","author":[{"given":"Charlotte L","family":"Allan","sequence":"first","affiliation":[{"name":"Centre for the Health of the Elderly, Northumberland, Tyne and Wear NHS Foundation Trust, Newcastle, UK;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sophie","family":"Behrman","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, University of Oxford, Oxford, UK;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nina","family":"Baruch","sequence":"additional","affiliation":[{"name":"Older People's Services, Oxford Health NHS Foundation Trust, Oxford, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Klaus P","family":"Ebmeier","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, University of Oxford, Oxford, UK;"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2016,10,20]]},"reference":[{"key":"2025082623092252000_19.4.110.1","unstructured":"Department for Transport. Driving licence holding and vehicle availability (NTS02) National Travel Survey statistics 2013. NTS0201. 2013. https:\/\/www.gov.uk\/government\/statistical-data-sets\/nts02-driving-licence-holders"},{"key":"2025082623092252000_19.4.110.2","unstructured":"Alzheimer's Society. Driving and Dementia Factsheet. 2016. https:\/\/www.alzheimers.org.uk\/site\/scripts\/documents_info.php?documentID=144 (accessed Oct 2016)."},{"key":"2025082623092252000_19.4.110.3","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2007.01177.x"},{"key":"2025082623092252000_19.4.110.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.aap.2011.11.021"},{"key":"2025082623092252000_19.4.110.5","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.14109"},{"key":"2025082623092252000_19.4.110.6","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.54.12.2205"},{"key":"2025082623092252000_19.4.110.7","unstructured":"Alzheimer's Society. Driving and Dementia Factsheet. 2013. http:\/\/oxleas.nhs.uk\/site-media\/cms-downloads\/Driving_and_dementia_factsheet.pdf (accessed Oct 2016)."},{"key":"2025082623092252000_19.4.110.8","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.13508"},{"key":"2025082623092252000_19.4.110.9","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39233.585208.55"},{"key":"2025082623092252000_19.4.110.10","unstructured":"Assessing fitness to drive: guide for medical professionals. 2016. https:\/\/www.gov.uk\/government\/collections\/assessing-fitness-to-drive-guide-for-medical-professionals"},{"key":"2025082623092252000_19.4.110.11","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0b013e3181da3b0f"},{"key":"2025082623092252000_19.4.110.12","doi-asserted-by":"publisher","DOI":"10.1002\/gps.4132"},{"key":"2025082623092252000_19.4.110.13","doi-asserted-by":"publisher","DOI":"10.1192\/apt.bp.111.009555"},{"key":"2025082623092252000_19.4.110.14","doi-asserted-by":"crossref","unstructured":"Martin AJ , Marottoli R , O'Neill D . Driving assessment for maintaining mobility and safety in drivers with dementia. Cochrane database Syst Rev 2009;(1):CD006222. doi:10.1002\/14651858.CD006222.pub2","DOI":"10.1002\/14651858.CD006222.pub2"},{"key":"2025082623092252000_19.4.110.15","doi-asserted-by":"publisher","DOI":"10.1016\/j.eurger.2010.01.001"},{"key":"2025082623092252000_19.4.110.16","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2005.53017.x"},{"key":"2025082623092252000_19.4.110.17","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2005.53265.x"},{"key":"2025082623092252000_19.4.110.18","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.2015.013631"},{"key":"2025082623092252000_19.4.110.19","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1997.tb02965.x"},{"key":"2025082623092252000_19.4.110.20","doi-asserted-by":"crossref","unstructured":"Ranchet M , Tant M , Akinwuntan AE , et al . Fitness-to-drive disagreements in individuals with dementia. Gerontologist 2016. Published Online First: 5 Aug 2016. doi:10.1093\/geront\/gnw119 doi:10.1093\/geront\/gnw119","DOI":"10.1093\/geront\/gnw119"},{"key":"2025082623092252000_19.4.110.21","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0149566"},{"key":"2025082623092252000_19.4.110.22","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.14180"},{"key":"2025082623092252000_19.4.110.23","doi-asserted-by":"publisher","DOI":"10.1159\/000323867"},{"key":"2025082623092252000_19.4.110.24","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.13384"},{"key":"2025082623092252000_19.4.110.25","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsr.2005.07.005"},{"key":"2025082623092252000_19.4.110.26","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2006.00967.x"},{"key":"2025082623092252000_19.4.110.27","doi-asserted-by":"publisher","DOI":"10.3233\/JAD-160254"},{"key":"2025082623092252000_19.4.110.28","doi-asserted-by":"publisher","DOI":"10.1097\/00002093-200304000-00003"},{"key":"2025082623092252000_19.4.110.29","doi-asserted-by":"publisher","DOI":"10.1024\/1661-8157\/a000893"},{"key":"2025082623092252000_19.4.110.30","doi-asserted-by":"crossref","first-page":"2056","DOI":"10.1111\/j.1532-5415.2012.04206.x","article-title":"Road test and naturalistic driving performance in healthy and cognitively impaired older adults: does environment matter?","volume":"60","author":"Davis","year":"2012","journal-title":"J Am Geriatr Soc"},{"key":"2025082623092252000_19.4.110.31","doi-asserted-by":"publisher","DOI":"10.1016\/S1361-9209(01)00015-3"},{"key":"2025082623092252000_19.4.110.32","doi-asserted-by":"publisher","DOI":"10.3109\/07380577.2014.917779"},{"key":"2025082623092252000_19.4.110.33","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.13931"},{"key":"2025082623092252000_19.4.110.34","doi-asserted-by":"crossref","first-page":"1290","DOI":"10.1093\/gerona\/glp114","article-title":"Driving cessation and health trajectories in older adults","volume":"64","author":"Edwards","year":"2009","journal-title":"J Gerontol A Biol Sci Med Sci"},{"key":"2025082623092252000_19.4.110.35","doi-asserted-by":"publisher","DOI":"10.1177\/1039856215591326"}],"container-title":["Evidence Based Mental Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/eb-2016-102485","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T06:09:32Z","timestamp":1756274972000},"score":1,"resource":{"primary":{"URL":"https:\/\/mentalhealth.bmj.com\/lookup\/doi\/10.1136\/eb-2016-102485"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,10,20]]},"references-count":35,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2016,10,21]]},"published-print":{"date-parts":[[2016,11]]}},"alternative-id":["10.1136\/eb-2016-102485"],"URL":"https:\/\/doi.org\/10.1136\/eb-2016-102485","relation":{},"ISSN":["1362-0347","1468-960X"],"issn-type":[{"type":"print","value":"1362-0347"},{"type":"electronic","value":"1468-960X"}],"subject":[],"published":{"date-parts":[[2016,10,20]]}}}