Advancing Older Driver Safety in Missouri: Education Outcomes

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Advancing More seasoned Driver Wellbeing in Missouri: Instruction and Results. Jacqueline Rogers, Missouri Bureau of Transportation Tom Meuser, PhD, College of Missouri

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Advancing Older Driver Safety in Missouri: Education & Outcomes Jacqueline Rogers, Missouri Department of Transportation Tom Meuser, PhD, University of Missouri – St. Louis David Carr, MD, Washington University School of Medicine

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Agenda MODOT Division of Highway Safety (Rogers) Missouri Statistics Gathering Stakeholders from Five Key Communities Education Blitz Educating Driver Examiners, Troopers, & Police Officers (Meuser) HB-1536 Evaluation & Enhancing DOR Medical Review Older Driver Safety Pamphlet for Missouri (Carr) Clinical Evaluation, Screening, & Driver Fitness Questions?

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Older Drivers Have Fewer Crashes per 100,000 drivers (Source NCSA, 2000)

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Driver Fatality Rate ( per 100 million VMT ) Fatality Rate Driver Age Group Source: FARS 2001 and NHTSA 2001

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US Population By Segment (Squaring the U.S. Populace Pyramid 1950-2030) Age 85+ 80-84 75-79 70-74 65-69 60-64 55-59 50-54 45-49 40-44 35-39 30-34 25-29 20-24 15-19 10-14 5-9 0-4 1980 1950 2030 2000 (227,658,000) (304,807,000) (150,216,000) (267,955,000)

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What's Happening in Missouri?

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Missouri Traffic Crashes 3,186 crippling wounds including a more established driver 42% (1,349) were the more seasoned driver 543 fatalities including a more established driver 60% (328) were the more established driver 16% of the fatalities include a more seasoned driver

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Types of Crashes

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Develop Statewide Program GOALS: Reduce passings and wounds identified with car accidents including more seasoned drivers Keep individuals driving securely the length of we can Participate in National Demonstration Project Develop Statewide Network of Partners

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Model for Older Driver Program Activities Public Social Services Medical Law Enforcement Licensing Public

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National Demonstration Project Focus on Five Communities Columbia, Springfield, Cape Girardeau, St. Louis, and KC Implement Five Core Programs DriveWell AMA – Physician's Module Roadwise Review CarFit Law Enforcement Module

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Four hour preparing Discuss issues identified with more established driver wellbeing and group portability Toolkit that gives assets to nearby utilize Trained 95 individuals

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Assessing & Counseling the Older Driver Washington University gave Training Trained 212 individuals

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Roadwise Review Worked with AAA Distributed around 125 duplicates of the self-appraisal device statewide Can be gotten to on the web at

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CarFit Program Community occasions Fit individuals to their vehicles Trained 75 individuals

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Law Enforcement Module Trained roughly 500 individuals St. Louis County & Municipal Police Academy Law Enforcement Traffic Safety Advisory Council's Annual Conference Missouri State Highway Patrol, Driver Examiners Training

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Other Accomplishments Created a show Created print advertisements Created a leaflet Database of more than 200 contacts Received an assortment of media scope over the state Provided an article in the TRB Newsletter Held statewide more established driver workshops MoDOT/FHWA supported more established driver workshop for specialists

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Tom Meuser, PhD University of Missouri – St. Louis

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Minority: fragile, restoratively at hazard, weakened, subordinate, needing help, unfit in the driver's seat?… Majority: mindful, drew in, dynamic, fit, practical, dependable… "Two" Older Drivers An emphasis on useful wellbeing status perceives that we age distinctively on an individual level.

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Medical Conditions & Crash Risk Many of these conditions are more predominant in more established grown-ups.

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Medical Fitness to Drive Medical Fitness to Drive (MFD) is pertinent to all age bunches, yet is particularly significant for more established grown-ups. Various reviews demonstrate that specific age-related therapeutic conditions may debilitate driving capacity and in this manner raise crash chance. The administration and announcing of MFD concerns is an intentional procedure in many states. The principal duty regarding tending to MFD concerns lives with the individual driver. Many States oblige drivers to inform the DMV of wellbeing conditions that may weaken driving security. Most States permit wellbeing experts, law implementation staff, and others to report conceivably unfit drivers for re-testing and conceivable permit disavowal. A couple of, for example, California, command such detailing where dementia and different conditions are concerned.

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Act to Maximize Ability Act to Promote Driving Retirement & Initiate Mobility Counseling Driving & Mobility Continuum: Drawing the Fitness Line Mild or Reversible Serious & Permanent

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St. Louis Team Investigators: Tom Meuser, PhD, UM – St. Louis (once in the past with WU) Dave Carr, MD, Washington University Gudmundur Ulfarsson, PhD, University of Iceland (once in the past with WU) Pat Niewoehner, OTR/L, CDRS, St. Louis VA Medical Center Peggy Barco, OTR/L, DRS, Washington University & Center for Head Injury Services Marla Berg-Weger, PhD, Saint Louis University Past Student & Other Assistants: Joon-Ki Kim, Washington University Tom Epplin-Zapf, Washington University Matthew Minn, Southern Illinois University Jessica Lester, Washington University Jami Croston, MSOT, Washington University Katie MacLean, MSW, Alzheimer's Association, St. Louis Chapter Emily Kissel, Washington University Mimi Hilburg & Annie Harmon, University of Missouri – St. Louis Donna Keller, previous low maintenance on location information partner And numerous others…

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Active in Driving Education & Research Beliefs of Stakeholders Validation of Training Curricula Dementia & Driver Fitness Stroke & Driver Fitness Older Driver Evaluation & Mobility Clinic with On-Road Testing Education Dementia & Driving Workshops Highway Patrol Curriculum Missouri Senior Driver Pamplet AMA Older Drivers Project CarFit , DriveWell Mobility Counseling Project Local, Regional & National Talks

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Health, Functional Status & Older Driver Safety A Curriculum for State Highway Patrol Examiners & Officers

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Learning Objectives At the end, you will comprehend: Older driver wellbeing insights in Missouri. How age-related changes in wellbeing and practical status may weaken driving capacity and increment crash hazard. A way to deal with watching and portraying such changes in more seasoned drivers. The most effective method to report such changes in support of a reference and the permit audit prepare. Finish pre-test poll now, if required, and hand it into the moderator. Much obliged to you!

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Case Example – Traffic Stop Mr. Jim Greene, age 73, was pulled over by State Trooper for weaving and driving through a stop sign. Mr. Greene has lived in Florissant, Missouri, for only the previous two years, in the wake of moving here from Madison, Wisconsin, to live nearer to his youngsters. He wears glasses, however does not report a dream issue. He appears to be somewhat befuddled, absent minded and rather chafed/humiliated to have been halted.

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Form 4319 (page 1)

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Form 4319 (page 2)

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Case Example – Driving Skills Test Mrs. Mary Brown, age 74, was refered to by the Director of Revenue to take a Driver Skills Test . She is a resigned assembly line laborer and deep rooted inhabitant of Florissant, MO. She reports a minor issue with her separation vision ("I think I require new glasses, however despite everything I see OK") She is very on edge about being tried, yet tries her best to be helpful amid the examination.

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Narrative on Form 232 Mrs. Chestnut was a lovely, willing member in the driving abilities test. She showed up reasonably restless, as prove by quick breathing, sharp manner of speaking, and many remarks on her execution. She wore glasses, however seemed to experience issues seeing both close and far items. For instance, she misread her driver permit number and she couldn't read signs on close-by structures. She revealed being at the Hazelwood test office, and she expressed her name, address and telephone number without trouble. She gave the right date and time. She strolled to her vehicle, entered it, and attached her safety belt appropriately. She guided accurately toward controls named by the Examiner, and she named regular items giving mistaken names at first, however self-rectified later. Amid testing, she oftentimes drove excessively near the check and stopped autos. She seemed befuddled when made a request to parallel stop amongst cones, and requested that three circumstances clarify what I needed her to do. I suspended this move following a couple of minutes. At the keep going convergence on the course, she showed up not to see the stop sign and kept driving until I trained her to stop. She flopped because of unnecessary focuses.

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Missouri's Voluntary Reporting Law Passed by the MO Legislature in 1998 after a critical campaigning exertion via CARD, WU, Alzheimer's Assoc, & different associations. Not age or sickness particular. Proposed to advance announcing of disabled drivers by wellbeing experts, especially doctors. Shapes take into account a scope of wellbeing and compulsion conditions to be accounted for. Like intentional laws in 45 different states. Has never been formally assessed.

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Driver Condition Report Downloadable from

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Project Details Private University (x2+) – Private Foundation – State Government Collaboration Characterize the utilitarian effect and viability of HB-1536 for the therapeutically hindered more established driver in Missouri Goal to catch information for every announced individual, matured 50+, revealed between 2001 – 2005. An unmistakable comprehension of how the Missouri law functions and its adequacy will have expansive ramifications for state approach, activity security, government funded training, and the prosperity of restoratively weakened more established drivers. Our venture will likewise give a premise fo