The holiday season is meant to bring people together—but for too many Australian families, this time of year is marked by heartbreak instead of celebration.

This year alone, 990 lives have been lost on Australian roads. That’s 990 families facing an empty seat at the Christmas table. As driver-trained OTs, we see firsthand how deeply road trauma affects not only the individuals involved, but also their families, and friends.

That’s why we’re joining the Australian Road Safety Foundation (ARSF) in urging everyone to prioritise safe driving during the busy holiday period.

If you’ve walked through Queen Street Mall recently, you may have seen ARSF’s striking Tree of Remembrance installation:

  • 228 illuminated lanterns, each representing a life lost last summer (Dec–Jan).
  • 40 of those lanterns are red, marking lives lost during just the 12 days of Christmas.

It’s a sobering reminder that even one moment of inattention can change lives forever.

Blog Banner (800 X 300 Px)

Risky Behaviours Are Still Far Too Common

ARSF’s latest research shows that unsafe driving habits continue to be the norm for many Australians:

  • 68% admit to engaging in risky behaviour
  • 56% openly admit to breaking road rules
  • 70% report distraction behind the wheel
  • 47% speed
  • 33% drive fatigued

From our perspective at Driving Well OT, we know how these everyday “small” decisions quickly add up to major risks. Even glancing at a phone or pushing through tiredness can impair reactions in ways people severely underestimate.

As ARSF Founder Russell White said, “Most crashes aren’t accidents; they’re the result of unsafe decisions.”

Let’s Bring the Focus Back to Safety This Christmas

This season, the greatest gift you can give your family is your safe arrival home.

The good news? ARSF reports that 87% of drivers say road safety messages make a positive difference. A simple reminder is often all it takes to change behaviour.

Practical Ways Every Road User Can Help Keep Our Roads Safe
Drivers

  • Be fit to drive (well-rested, sober, calm)
  • Drive to suit weather and traffic conditions
  • Stay focused—reduce in-car distractions
  • Plan regular breaks, especially on long trips

Passengers

  • Avoid distracting the driver
  • Be a calm second pair of eyes
  • Only travel with someone fit to drive

Cyclists & Motorcyclists

  • Maximise visibility with lights and reflective gear
  • Wear protective clothing and a helmet
  • Avoid distractions

Pedestrians

  • Be visible, especially at night or in poor weather
  • Stay alert near roads and traffic
  • Avoid using devices while crossing streets
Blog Banner (800 X 300 Px) (1)

As we support clients with medical, cognitive, and physical barriers to driving, we understand better than most how fragile road safety truly is. We encourage all road users—our clients, families, and the broader community—to stay mindful, stay patient, and stay safe this festive season.

Let’s reduce the number of empty seats at Christmas tables. Let’s give the gift of presence.

For more information on ARSF’s work and ways to support road safety initiatives, visit ARSF.

Driving presents a unique set of challenges for individuals with ADHD. The core characteristics of ADHD—difficulties with attention, impulsivity, and executive function—can directly impact the complex task of operating a vehicle. As an Occupational Therapist, I work with many drivers to develop personalised strategies that turn these challenges into manageable skills, enhancing both safety and confidence on the road.

Our team recently attended professional development with KidsLink, Jacquie and Caitlyn, who unpacked the (UK) National Institute for Health and Care Excellence ADHD guidelines: diagnosis and  management.

Blog Banner (800 X 300 Px)

Understanding the ADHD Brain Behind the Wheel
For a person with ADHD, the car can be an environment of sensory overload and competing demands. Common difficulties include:
Sustained Attention: Maintaining focus during long or monotonous drives can be draining. The brain may seek out more interesting stimuli, leading to distraction.
Distractibility: It’s easy to get lost in an internal dialogue or become preoccupied with a worry, causing you to miss a turn or a change in traffic conditions.
Executive Functioning: Skills like planning a multi-step manoeuvre, sequencing actions for a lane change, and managing mental load are often challenging.
Under-stimulation: On the other hand, if the driving task isn’t engaging enough, the mind can wander. This is why some drivers with ADHD lose focus on “simple” tasks like just monitoring traffic lights.

Blog Banner (800 X 300 Px) (1)

Practical Strategies for a Focused Drive
The key is not to “try harder” but to work smarter by using strategies that support the ADHD brain.

Clear the Mental Clutter Before You Drive:
– Before you even turn the key, take a moment to do a “brain dump”. Write down any pressing thoughts, worries, or items on your to-do list. Getting them out of your head and onto paper (or a phone note) frees up cognitive resources so you can dedicate them to driving. If a significant worry pops up mid-drive, it’s safer to pull over, note it down, and then resume your journey.

Use the “Focus Flashlight” Analogy:

-Think of your attention as a flashlight (or a torch). You can learn to control its beam. Are you “zoomed in” and hyper-focusing on one thing, missing the bigger picture? Or is your beam “scattered”, jumping between multiple things at once that may not be important? The goal is to develop a flexible, focused beam. Also, check your “battery level”. If you’re tired, your light will be dim, and your ability to focus will be low. Recognising this helps you make safer decisions about when and how to drive.

Make the Invisible, Visible:
– To combat the “look but don’t see” phenomenon, verbalise your actions. When checking mirrors, say the colour of the car you see (“blue car, grey car”). When approaching a green light, say “cars stopped, cars stopped, safe to go”. This forces your brain to process what your eyes are seeing and confirms your comprehension.

Increase Engagement to Beat Boredom:
– If a single task like scanning for traffic lights is not stimulating enough, add another layer. Challenge yourself to scan for traffic lights *and* speed signs. This concept of “gamification,” such as using a tally system for successful scans, can work well for short periods to build a new habit. The tally system allows competition between you and your driving supervisor – who was first to scan the traffic lights when taking off (if you don’t understand why this is important, check out the next point below).

Leverage Visual Learning:
– Dash-cam videos of near-misses or crashes (e.g., someone running a red light) can be a powerful tool to concretely demonstrate *why* safety habits like scanning every intersection are non-negotiable.

Blog Banner (800 X 300 Px) (2)

Learning to drive with ADHD is about building a toolkit of strategies that work for you. By understanding how your brain works and implementing supportive techniques, you can become a safe, confident, and focused driver.

As a driver-trained occupational therapist, most of my work focuses on helping people learn to drive or return to driving safely after injury, illness, or disability. Recently, I found myself in an unexpected position — not as the professional giving guidance, but as the driver in need of it.

I was on my way to a client appointment when my car began to lose power on a busy road. In those moments, it’s easy to feel flustered or panicked, but the key is to respond calmly and follow safe procedures.

Blog Banner (800 X 300 Px) (2)
  1. Stay Calm and Focus on Safety First

Your primary goal in a breakdown is to protect yourself and others. Panicking can lead to rushed decisions that put you at greater risk. Take a deep breath and focus on the immediate steps you need to take.

  1. Move Your Vehicle Out of Traffic

If the car is still able to move, carefully steer it to the left-hand side of the road or the nearest safe shoulder. Avoid stopping around bends, at intersections, or in other locations with poor visibility.

  • Use your indicators early to signal your intentions.
  • If the car loses power suddenly and can’t be moved far, keep your hazard lights on and remain inside with your seatbelt fastened until it’s safe to exit.
  1. Switch On Hazard Lights and Make Yourself Visible

Your hazard lights let other drivers know something is wrong and to approach with caution. If you can safely get out, place your reflective warning triangle at least 50–100 metres behind your vehicle (if available) to increase visibility — especially important in low light, poor weather, or high-speed zones.

  1. Decide Whether to Stay in the Vehicle or Exit

The safest place in a breakdown often depends on your location:

  • On a quiet street: It may be safe to step out and wait on the footpath or well away from the road.
  • On a busy road, highway, or motorway: Remain in the vehicle with your seatbelt on unless there’s an immediate danger (like smoke, fire, or fuel leak). Exiting in high-speed traffic is extremely risky.
  1. Call for Assistance

Contact roadside assistance, a tow truck, or a trusted contact who can help. If you are in a dangerous position (e.g., broken down in a lane with no shoulder), call emergency services (000) and explain your location clearly.

  1. Plan for Personal Safety While Waiting
  • Keep your doors locked if you remain inside.
  • Be mindful of strangers who approach; you can communicate through a closed window if you feel unsafe.
  • In hot weather, consider sun protection, water, and ventilation — but avoid standing close to moving traffic.
  1. Learn from the Experience

After my breakdown, I reviewed my roadside kit. I realised I was missing a high-visibility vest and a warning triangle — items I now recommend to all my learner drivers. It’s also a great reminder to keep your mobile phone charged, know how to use your emergency brake, and regularly service your vehicle.

Here’s what I did — and what I recommend for anyone, whether you’re a brand-new driver or have decades of experience behind the wheel.

Blog Banner (800 X 300 Px) (1)

Final Thoughts

A breakdown can happen to anyone — even the most prepared driver. The key is knowing what to do before it happens. As a driver-trained OT, I encourage all my clients to practise these “what if” scenarios during lessons, because safe driving isn’t just about when the car is moving — it’s also about how we respond when it stops unexpectedly.

Stay safe out there, and remember: being calm, visible, and cautious can make all the difference in a roadside emergency.

 

Today, I assessed Steve.

Steve is a professional heavy vehicle driver who was hit with a sudden and unexplained medical episode back in February. For about six weeks, he was unable to work — very unwell, undergoing tests and specialist reviews, including a neurologist. Thankfully, his symptoms gradually resolved, and he’s been feeling completely back to normal for several months.

But like many employers and workers in this situation, Steve and his employer didn’t know how to safely and officially return him to driving.

His doctors weren’t sure what was required for a heavy vehicle medical clearance. That’s where Driving Well OT comes in.

 🚦Our Role in Returning Drivers to Work

At Driving Well, we specialise in supporting workers with medical conditions to safely return to driving, with governance under the Austroads Assessing Fitness to Drive guidelines.

For many health conditions, these national medical standards recommend an occupational therapy driver assessment to determine whether the driver’s medical condition affects their ability to drive — especially when the driver holds a commercial or heavy vehicle licence.

We provide comprehensive assessments and case management for return to work:

  1. C-class (private licence) OT driving assessment
    – Clinical review of medical history, vision, physical and cognitive function, and road law knowledge
    – On-road driving assessment with an OT driver assessor and driving instructor – if this is all ok, we can then proceed to the next stage of heavy vehicle assessment

  2. Heavy vehicle (MR/HR/MC etc.) practical assessment
    – Conducted with a qualified OT driver assessor and heavy vehicle instructor
    – Delivered in conjunction with Brisbane Truck School at Hemmant

 

✅ Steve’s Outcome: Safe, Competent, and Cleared

Steve completed his C-class assessment a few weeks ago, and MC assessment today — and passed with flying colours.

He is cleared and ready to return to driving multi-combination vehicles professionally (after the paperwork is done of course). If this process had been started just three months earlier, both Steve and his employer would have avoided substantial financial loss.

20250714 151301

💸 The Return on Investment (ROI)

Now if you weren’t already excited that Steve gets to have some normality back, and that his boss gets his truckie back on the road, and the circle of transportation continues, then hold onto your hats, cause this is about to get really exciting..

Thanks to the magic of ChatGPT, I was able to crunch some numbers about the average revenue and operational expenses involved in running a truck and transportation business. Here is the maths:

  • Cost of OT assessment process (C + MC): $2,700
  • According to my Chat search, estimated lost revenue from truck being off-road (3 months): $90,000–$150,000
  • Driver wages paid or productivity lost over 3 months: $22,500–$32,500
    Total potential cost avoided if cleared 3 months earlier: $112,500–$182,500
  • ROI on $2,700 assessment investment: $40–$65 return for every $1 spent

That equates to 4,166.67% return on investment! Wowser! 

 

💡 The Takeaway

When a professional driver has a medical condition, the path back to work can be unclear — for the worker, the doctor, and the employer.

But waiting can be extremely costly.

A timely occupational therapy driving assessment not only ensures safety — it can significantly reduce downtime and loss. At Driving Well, we bridge the gap between recovery and return to work with clinical insight, functional assessment, and practical road testing tailored for commercial drivers.

Need help navigating this process for your worker or client?

If you or someone you know requires an occupational therapy driving assessment, please feel free to contact Driving Well Occupational Therapy to arrange an assessment.

Parkinson’s disease is a progressive brain disorder that affects movement and coordination. It occurs when nerve cells in a part of the brain called the substantia nigra become damaged or die. These cells produce dopamine, a chemical that helps control smooth and purposeful muscle movements.

Blog Banner (800 X 300 Px)

You are probably familiar with the common motor symptoms of including tremors, muscle stiffness or rigidity, slowness of movement (bradykinesia) and impaired balance and coordination. But did you know that Parkinson’s can include “non-motor” symptoms too? These may include:

  • Slowed thinking (bradyphrenia): A general slowing of thought processes.
  • Executive dysfunction: Challenges with planning, organizing, multitasking, and problem-solving.
  • Attention difficulties: Trouble focusing, especially in distracting environments.
  • Memory issues: Particularly with recalling recent events or learning new information.
  • Visuospatial challenges: Difficulty judging distances or navigating spaces.
  • Sleep disturbances

Each person’s with Parkinson’s disease is different. The “non-motor” changes vary  can be subtle initially but may progress over time. Some individuals experience mild cognitive impairment (MCI) without significant impact on daily activities, while others may develop Parkinson’s disease dementia (PDD), characterized by more pronounced cognitive decline

Blog Banner (800 X 300 Px) (1)

What does this mean for driving?

Driving is a complex interaction between attention and perception, planning and judgement and motor coordination.  Non-motor symptoms that affect executive functioning and visual-spatial processing may slow reaction speeds, slow planning and decision making, make multitasking more difficult and affect sustained attention. Motor symptoms may hinder make it more difficult to produce powerful and fast motor movements on the steering wheel and brake and accelerator pedals. This may hinder a person’s ability to rapidly scan a traffic situation, identify critical information, plan and make a decision and then execute that using the vehicle.

I’m concerned about my driving. What should I do?

Your first port of call is always to speak with your doctor – whether that be your GP, Neurologist or Geriatrician. The presentation and progression of Parkinson’s disease can vary between individuals and your doctor can  complete a clinical review of symptoms, a medication review to screen for side effects and response, and recommend adjunct therapies such as Physiotherapy, cognitive therapies and lifestyle modifications that may help manage motor and non-motor symptoms. They can also refer you for a comprehensive occupational therapy driving assessment that will provide a practical assessment any impact the diagnosis may be having on your driving skill areas and make recommendations around driving to maximise your ability continue driving safely. Recommendations may include regular onroad review, restrictions around driving radius, times of day and vehicle type.

If you or someone you know requires an occupational therapy driving assessment, please feel free to contact Driving Well Occupational Therapy to arrange an assessment.

Imagine this: you’re behind the wheel, cruising down the highway, but your brain is battling a fog of fatigue. Your reactions are slower, your concentration slips, and your eyelids feel like they weigh a ton. This isn’t just a bad night’s sleep — it could be a symptom of obstructive sleep apnoea (OSA), a common yet underdiagnosed condition that has serious implications for driving safety.

What Is Obstructive Sleep Apnoea?
Obstructive sleep apnoea is a sleep disorder where a person’s airway becomes partially or completely blocked during sleep, causing breathing to stop and start repeatedly. Each pause can last from a few seconds to over a minute and may happen dozens or even hundreds of times a night.

The Anatomy Behind OSA
OSA occurs when the muscles supporting the soft palate, tongue, and throat walls relax during sleep. This can cause the airway to narrow or close, especially in people with:

  • A naturally narrow airway
  • Enlarged tonsils or uvula
  • Obesity
  • Weak airway muscle tone

Each time breathing stops, the brain briefly wakes the sleeper to reopen the airway — but these awakenings are so short, the person may not even be aware it’s happening. Over time, this disrupts restorative sleep and leads to chronic fatigue and poor concentration during the day.

Blog Banner (800 X 300 Px) (1)

Oxygen Loss to the Brain: The Silent Threat

One of the most serious effects of OSA is intermittent hypoxia — periods during sleep when the brain gets less oxygen than it needs.

Why Does This Happen?

When the airway is blocked, breathing temporarily stops or becomes shallow. This leads to a drop in blood oxygen levels (sometimes significantly), depriving the brain of a steady supply of oxygen. These oxygen dips can occur dozens or hundreds of times per night, often without the person waking fully.

What Are the Consequences?

  • Cognitive impairment: Chronic oxygen deprivation can affect memory, attention, and decision-making — all crucial for safe driving.
  • Slowed reaction times: Just like being under the influence of alcohol, low oxygen levels dull the brain’s ability to process and respond to stimuli.
  • Mood and alertness changes: Reduced oxygen can cause irritability, poor concentration, and even symptoms of depression or anxiety, further affecting driving ability.


How does this Affect Driving?
Driving safely relies on alertness, quick reflexes, and good decision-making — all of which are compromised in someone with untreated OSA.

  • Microsleeps can occur while driving, causing momentary lapses in attention.
  • Reaction times slow, increasing the risk of collisions.
  • Impaired concentration and reduced situational awareness make it harder to respond to unexpected hazards.
  • Studies show drivers with OSA are over three times more likely to be involved in a crash.
Blog Banner (800 X 300 Px) (2)

Medical Fitness to Drive: What the Guidelines Say
According to Austroads medical standards for licensing, a person is not considered fit to hold an unconditional licence if any of the following apply:

  • They have confirmed sleep apnoea syndrome (diagnosed via sleep study) with moderate to severe excessive daytime sleepiness
  • They experience frequent drowsiness or sleepiness while driving
  • They have had one or more crashes caused by inattention or sleepiness
  • Their treating doctor believes they pose a significant driving risk due to their sleep disorder

Conditional Licensing
A conditional licence may be granted if:

  • The person is compliant with treatment, such as CPAP therapy
  • There is a satisfactory response to treatment, with reduced sleepiness and improved function
  • Periodic reviews confirm continued safety to drive (including OT driving assessments)

If you or someone you know requires an occupational therapy driving assessment, please feel free to contact Driving Well Occupational Therapy to arrange an assessment.

How Sleepy Are You? Try the Epworth Sleepiness Scale (ESS)

The Epworth Sleepiness Scale (ESS) is a simple, self-reported questionnaire used to assess daytime sleepiness — a key symptom of obstructive sleep apnoea. It asks you to rate your likelihood of falling asleep in common situations on a scale from 0 (would never doze) to 3 (high chance of dozing).

Situation

Score (0–3)

1. Sitting and reading

 

2. Watching TV

 

3. Sitting inactive in a public place (e.g., a theatre or meeting)

 

4. As a passenger in a car for an hour without a break

 

5. Lying down to rest in the afternoon when circumstances permit

 

6. Sitting and talking to someone

 

7. Sitting quietly after a lunch without alcohol

 

8. In a car, while stopped for a few minutes in traffic

 

 

ESS Score

Interpretation

0–7

Normal sleepiness

8–9

Mild sleepiness

10–15

Moderate sleepiness (may require medical attention)

16–24

Severe sleepiness (strongly consider evaluation for a sleep disorder)

A high score doesn’t diagnose sleep apnoea, but it does signal a need for further investigation — especially if you’re experiencing other symptoms such as loud snoring, gasping during sleep, or frequent morning headaches.

Obstructive sleep apnoea can deprive the brain of oxygen, disrupt concentration, and cause extreme drowsiness — all of which pose a serious risk to road safety. But with proper diagnosis, treatment, and support from professionals like OTs, people with OSA can continue to drive safely and responsibly.

If you’re experiencing signs of fatigue, poor concentration, or excessive daytime sleepiness — especially if you score high on the Epworth Sleepiness Scaleplease reach out to your doctor. Early diagnosis and treatment can dramatically improve your quality of life and reduce the risk of a serious crash.

If you or someone you know requires an occupational therapy driving assessment, please feel free to contact Driving Well Occupational Therapy to arrange an assessment.

In Queensland, anyone with a permanent or long-term medical condition that could impact on driving, must notify Queensland Transport and Main Roads with a Medical Certificate for Motor Vehicle Driver.  Nationally, the Assessing fitness to drive for commercial and private vehicle drivers (2022) outlines the requirements of specific medical conditions and the requirements for licensing for both private and commercial vehicle licence holders.  

Screenshot 2025 01 24 094135

AustRoads Assessing Fitness to Drive Guidelines Definition of Driving:

Driving a motor vehicle is a complex task involved perception, appropriate judgement, adequate response time and appropriate physical capability. A range of medical conditions, disabilities and treatments may influence these driving prerequisites. Such impairment may adversely aect driving ability, possibly resulting in a crash causing injury or death. 

There are many conditions that may impact on driving such as blackouts/seizures, diabetes, eye/vision problems, heart disease, neurological —dementia, stroke, or epilepsy, psychiatric disorders, sleep disorders and alcohol or drug dependency.

Anyone who has a medical condition that could impact on driving must have their treating doctor complete a Queensland Transport Medical Certificate for Motor Vehicle Driver (F3712) to continue driving.  This also includes individuals over the age of 75, who must have an annual medical certificate form their treating doctor.  Some conditions may require a medical specialist to complete this form.  Once your doctor has completed the medical certificate form, you must submit this to Queensland Transport either in person, or scan and email the completed form to mcr@tmr.qld.gov.au.  Under the conditions section on your licence, there will be an M. 

Screenshot 2025 01 24 091736

The tear of section (image above) of the form must be kept with your licence, as this outlines the requirements or conditions of your conditional licence.  for some people, this is simply you must be medically reviewed by your doctor, but here may other conditions as well, depending on the nature of your condition. 

Blog Template (3)

Sometimes your treating doctor may be unsure whether your condition impacts on your driving and may ask for an occupational therapy driving assessment.  In these situations, your doctor may ask you not to drive until you have had an assessment.  In this situation, we still require you have a completed Queensland Transport Medical Certificate.  We may request your doctor complete a from with the condition “the purposes of Occupational Therapy driving assessment / driving lessons in a dual controlled vehicle”.   This enables the driver to be able to undertake the assessment and/or any lessons until a final determination regarding their medical fitness to drive can be made. 

If you or someone you know requires an occupational therapy driving assessment, please feel free to contact Driving Well Occupational Therapy to arrange an assessment.

Useful Links:

https://www.drivingwell.com.au/

https://austroads.gov.au/publications/assessing-fitness-to-drive/ap-g56

https://www.qld.gov.au/transport/licensing/update/medical/fitness

Holiday driving can be both exciting and challenging. Whether you’re heading out for a family reunion, a beach getaway, or a scenic road trip, longer distances, heavier traffic, and unpredictable weather can add to the stress. Fatigue is one of the most common risks for drivers during holiday travel. To help you stay safe and alert on the road, here are some practical tips:

9

1. Get Enough Sleep Before the Trip

One of the simplest yet most effective ways to prevent fatigue is to ensure you’re well-rested before hitting the road. Aim for 7-8 hours of quality sleep the night before your journey. Starting your trip refreshed can make a significant difference in your alertness and overall driving performance.

2. Plan Frequent Breaks

Long drives can quickly become exhausting if you don’t take breaks. Before you start your journey, map out rest stops along your route. Aim to take a 15-minute break every two hours. During these stops:

  • Step out of the car.

  • Stretch your legs.

  • Walk around and breathe in fresh air to reinvigorate your body and mind.

3. Share Driving Duties

If you’re traveling with another licensed driver, take turns behind the wheel. Switching drivers every few hours gives each person time to rest and significantly reduces fatigue. Teamwork makes the journey smoother and safer for everyone.

Blog Template (8)

4. Eat Light, Healthy Meals and Snacks

What you eat can impact your energy levels. Heavy meals often lead to sluggishness, making it harder to stay alert. Instead:

  • Choose light, balanced snacks like fruits, nuts, or protein bars.

  • Pack a variety of healthy snacks to avoid the temptation of fast food stops. Maintaining steady energy levels will help you feel more awake and focused.

5. Stay Hydrated

Dehydration can sneak up on you during long drives and contribute to tiredness. Keep a bottle of water within reach and sip regularly. While caffeine can provide a short-term boost, overindulging can lead to energy crashes and dehydration—so use it sparingly.

6. Stay Engaged and Stimulated

Monotony can make drowsiness more likely, especially on highways. Combat boredom and stay mentally stimulated by:

  • Listening to interesting podcasts or audiobooks.

  • Playing upbeat music or curated playlists. Mixing up your audio choices can help keep your mind active and focused.

Blog Template (9)

7. Recognize Warning Signs of Fatigue

Fatigue can sneak up on you, so it’s crucial to recognize the early warning signs. These include:

  • Frequent yawning.

  • Drifting out of your lane.

  • Heavy eyelids.

  • Difficulty remembering the last few miles you’ve driven.

If you notice any of these signs, pull over at the nearest safe spot and rest. A short nap or even a quick walk can make a big difference in resetting your alertness.

Safe Travels and Happy Holidays!

Holiday road trips are a wonderful way to make memories, but they’re only enjoyable if you arrive safely. By following these tips, you can stay alert and ensure your journey is as pleasant as your destination. Drive safely, and have a fantastic holiday!

As driver-trained OTs, we’ve worked with many individuals who need to fine-tune their driving skills to maintain independence. While urban driving comes with its own set of challenges, rural roads are areas that often require special attention, especially for those unaccustomed to these environments.

The ARSF’s Rural Road Safety Month is a crucial campaign that brings attention to the heightened risks associated with driving on rural and remote roads in Australia. 

Rural Road Safety Month

A Closer Look at the 2023 Road Toll

In 2023, Australia saw 1,273 lives lost on its roads—a 7.9% increase from the previous year. Despite the common perception that rural areas are safer due to lower traffic volumes, almost two-thirds of these fatalities occurred on rural or remote roads.

Who is most at risk?

The data reveals that more than half of the lives lost were not drivers. Among the fatalities:

 

  • 611 were drivers
  • 251 were motorcyclists
  • 210 were passengers
  • 159 were pedestrians
  • 35 were cyclists
  • 7 were other road users
Rural Road Pie Chart

The toll was particularly high among specific demographics and during certain times:

  • 3 in 4 deaths were male, highlighting a significant gender disparity in road fatalities.
  • Most deaths occurred during the day (62%) and on weekdays (63%), contradicting the assumption that night-time or weekend driving is inherently more dangerous.
  • By age group, those aged 40-64 years were most affected, accounting for 389 fatalities, followed by the 65+ age group with 293 fatalities, and 26-39 years with 284 fatalities.
Rural Roads Cost

What is the Cost?

The human cost of road fatalities is immeasurable, but the economic impact is also staggering. In 2023, the annual economic cost of road trauma in Australia was estimated at almost $30 billion

But What Can We Do?

1. Adapt Your Speed to the Conditions

Rural roads can be deceptive. While they may seem quiet and open, they can quickly turn treacherous if you’re driving too fast. The lack of street lighting, sharp curves, and potential for loose gravel or potholes means that you need to adjust your speed to match the conditions.

2. Stay Alert for Wildlife and Farm Equipment

Wildlife is a common hazard on rural roads, especially at dawn and dusk when animals are more active. Hitting an animal can not only be tragic but also cause significant damage to your vehicle and put you in danger. Likewise, farm equipment is often slow-moving and can take up much of the road. Approach these situations with patience and care.

3. Understand the Importance of Defensive Driving

On rural roads, defensive driving is critical. This means being aware of your surroundings, anticipating potential hazards, and maintaining a safe following distance. Because rural roads are often narrower, you’ll need to be especially careful when passing other vehicles.

4. Plan Ahead for Emergencies

One of the most important aspects of rural driving is preparation. Before heading out, ensure your vehicle is in good condition—check your tire pressure, oil levels, and make sure you have a full tank of gas. Keep a roadside emergency kit in your car, and make sure your phone is fully charged. Remember, help may not be readily available in rural areas, so it’s crucial to be self-sufficient.

5. Managing Fatigue

Rural driving can be monotonous, which may lead to fatigue—a serious safety risk. To combat this, take regular breaks to stretch and rest. If you start to feel drowsy, it’s better to pull over in a safe location than to push on.

The data from 2023 paints a clear picture: rural and remote road safety remains a critical issue in Australia. With almost two-thirds of road deaths occurring in these areas, it’s more important than ever for all of us to take responsibility and make a concerted effort to reduce road trauma. By staying vigilant and adhering to road safety guidelines, we can work together to make our roads safer for everyone.

 

Let’s #ChooseRoadSafety and commit to making a difference—because every life lost on our roads is one too many.

People with Motor Neurone Disease go through huge changes in their daily life, incredibly quickly. All of a sudden they are unable to stand up by themselves, walk to the bathroom, go out to the shops as they previously did. All of a sudden they are unable to do the things we take for granted every day. 

One man I worked with recently had this same story. 

The problem…

All of a sudden he was having black outs and couldn’t walk any more. He was quickly provided with a hire wheelchair to get him by until he could get a scripted power wheelchair more suitable to his needs. When I met him in September he was still transferring into a standard car, but I knew this could change really fast. It is so important to think about the future – for MND, things can keep changing really quickly and we need to plan for the worst case scenario, and any vehicle mods solution that we recommend needs to be safe, consistent and reliable, and sustainable. It also needs to meet the insurers “reasonable and necessary” requirements.

I explained the options to to this fellow and his family, and showed a few options on vehicle modifier websites.

The lowered floor conversion to a Kia Carnival is a really effective, popular, and affordable solution, and many Australians use this option. The other options that are also equally effective include the Hyundai Staria and Volkswagen Multivan.

The trial…

The Kia Carnival looked like the way to go in this case, so I quickly commenced the process of trialling  and applying to NDIS for vehicle modifications to his Kia Carnival to enable him to transport in his power wheelchair. 

The trial was at the client’s home, and allowed him the opportunity to drive up into the car in his electric crashtested wheelchair, see how the restraints work, and go for a test drive. It was all smooth sailing. I gathered all the paperwork needed (there is a lot), and submitted an application to the NDIS to have the modifications funded. The client is responsible for purchasing the actual car.

The approval…

By the end of February 2024, we received approval from NDIS to proceed with vehicle modifications. This is a pretty quick turn-around time in the NDIS world. But, within this time he had lost his ability to transfer into a standard car seat. By the time the approval came through, he’d been stuck at home for 2-3 months, unable to go anywhere over the Christmas period. His hire wheelchair was not suitable for transport, and he couldn’t transfer out of it. Imagine that – being stuck in your own home over Christmas, not being able to take your kids out to celebrate the school holidays, not able to go Christmas shopping, not being able to visit family.

So, the NDIS approval came through at the end of February. Blair and his team at KM Kite on the Gold Coast bent over backwards to schedule the modifications and make it happen as quickly as possible. A job that usually takes 6-8 weeks minimum, they got sorted in less than 4 weeks. They also managed to get him a hire car NDIS had approved funding for so he could transport in the meantime. By the end of March, he had his Kia Carnival with passenger modifications for wheelchair occupant travel. 

Picture1

The solution!

Have a look at the smile on his face! 

Lowered floor Kia Carnival delivered with a big blue bow!

He was stoked he could finally, again: be a part of taking his kids to school, going to the shops, going out to watch the footy. All the activities we take for granted every day. 

His story really highlights the need for supports to be quickly accessible for people with MND, and the need for increased awareness around the challenges they face. 

Zoe Wagner-Jordan, OT Driver Assessor, Driving Well Occupational Therapy

Need to get out and about?

If someone you know is needing support with vehicle modifications – 
please get in touch or have a look at our website for more information!
Logo

Contact Us

Name

Get the Get Driving Toolkit

Wwd Flip Cone

Share This

Select your desired option below to share a direct link to this page.
Your friends or family will thank you later.