4.4 Article

Interventions for Driving Disruption in Community Rehabilitation: A Chart Audit

Journal

DISABILITY AND REHABILITATION
Volume 45, Issue 26, Pages 4424-4430

Publisher

TAYLOR & FRANCIS LTD
DOI: 10.1080/09638288.2022.2152501

Keywords

Driving; return to driving; driving disruption; rehabilitation; community access; community reintegration

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This study aimed to document the prevalence of driving-related issues and the current practices of a community rehabilitation service regarding driving interventions. An audit of 80 medical records was conducted in a multidisciplinary community rehabilitation service in Brisbane, Australia.
PurposeAfter injury or illness, a person's ability to drive may be impacted and they may experience a period of driving disruption, a period during which they cannot drive although they have not permanently ceased driving. They may require additional information and supports from treating rehabilitation services; however, this process is less understood than others related to driving.Materials and methodsThis study aimed to document the prevalence of driving-related issues and the current practices of a community rehabilitation service, regarding driving interventions. An audit of 80 medical records was conducted in a multidisciplinary community rehabilitation service in Brisbane, Australia.ResultsIn total, 61% of clients were driving-disrupted on admission and 35% remained driving-disrupted on discharge. Majority of driving-disrupted clients had an acquired brain injury (ABI). Driving-related interventions were not routinely provided, with 29% receiving no information or supports. Clients with ABI more frequently received information; provision of psychosocial support and community access training was infrequent.ConclusionsThis study highlights that return to driving is a common issue and goal for people undergoing community rehabilitation, with the period of driving disruption extending beyond rehabilitation discharge. It also highlights gaps in community rehabilitation practice, and opportunities to better support these clients.

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