Dementia - Driving and Travelling

A diagnosis of dementia does not always mean that the person is immediately unable to drive. However, dementia causes progressive and irreversible loss of mental functioning, which will eventually affect driving ability.

Laws About Driving with Dementia

Drivers must disclose medical conditions like dementia to their licensing authority. The process typically involves:

A medical assessment by a doctor
A formal driving assessment with an occupational therapy driver assessor
Licensing authority decisions based on test results and medical advice

Some drivers may continue driving under specific conditions, such as limited areas or times, but regular medical and driving tests are required.

Reactions to Stopping Driving

Giving up driving can be challenging for people with dementia, especially those in early stages. While some may recognize their declining ability, others may not or may forget. For some, it may be a relief to stop driving.

Signs That Dementia is Affecting Driving Ability

Consider the following signs:

Vision: Difficulty seeing objects or responding to traffic signs
Hearing: Inability to hear approaching cars or sirens
Reaction time: Slower responses to turning, stopping, or speeding up
Problem-solving: Confusion when multiple things happen simultaneously
Coordination: Clumsiness or difficulty walking
Memory: Getting lost on familiar routes
Mood: Changes in behavior, such as aggression while driving

If you have concerns, speak to the person, their doctor, or the licensing authority.

Talking About Driving

Suggestions for discussing driving concerns:

Choose a calm time for the discussion.
Focus on changes in health or medications rather than incidents.
Highlight the financial benefits of selling the car.
Offer support for transportation needs.

If necessary, consider hiding the keys or immobilizing the car.

Support for Families and Carers

Families and carers can seek assistance from services like the National Dementia Helpline or the Dementia Behaviour Management Advisory Service (DBMAS).

Travelling with a Person with Dementia

Travel can be enjoyable with thoughtful planning but may present challenges. It is generally better to travel in the early stages of dementia.

Warning Signs Against Travel

Travel may be inappropriate if the person:

Is consistently disoriented or agitated
Exhibits delusional or aggressive behavior
Has problems managing continence
Shows disregard for safety near roads or traffic

Managing Travel

Suggestions for successful travel:

Be fully responsible for the person with dementia.
Ensure they wear an identification bracelet.
Carry important documents, medications, and contact lists.
Notify airlines or transport staff for assistance.
Create a safe environment at the destination.

Travelling by Car

Considerations for car travel:

Ensure the person is comfortable and safely secured.
Avoid driving alone with an agitated person.
Be cautious when parking near traffic.

Where to Get Help

Your GP (doctor)
Local council or community health centre
National Dementia Helpline Tel. 1800 100 500
Aged Care Assessment Services Tel. 1300 135 090
My Aged Care Tel. 1800 200 422
Cognitive Dementia and Memory Service (CDAMS) clinics
Carers Victoria Tel. 1800 514 845
Carer Gateway Tel. 1800 422 737
Dementia Behaviour Management Advisory Service (DBMAS) Tel. 1800 699 799