VOL. 39 NO. 3 | Summer 2015 EDITION€¦ · ing the number of CDRS’s available. This year we are...

200 First Ave. NW Suite 505

Hickory, NC 28601

ADEDThe Newsletter of ADED | www.aded.net | 200 First Ave. NW Suite 505 | Hickory, NC 28601

ADED ASSoCiATioN For DrivErrEHAbiliTATioN SpECiAliSTS News Brake

VOL. 39 NO. 3 | Summer 2015 EDITION

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2 NewsBrakeSummer 2015

ADEDThe Association for Driver Rehabilitation Specialists

200 First Ave. NW, Suite 505 | Hickory, North Carolina 28601

Phone: (828) 855-1623 (866) 672-9466 Toll Free in the US & Canada

Fax: (828) 855-1672The articles published in News Brake reflect the opinions of their authors, not the editor, the ADED organization at large, or its Board of Directors. As such, ADED neither takes a position on, nor assumes responsibility for, the accuracy of the information or statements contained in any articles published in News Brake.Additional issues are available by contacting the editor at 603-793-9335. News Brake is published quarterly. Articles by members and nonmembers of the ADED association are accepted at the discretion of the editor and as space permits.For advertising rates, please contact Staci Frazier, OTR/L, CDI, CDRS at 603-793-9335 or email to [email protected].

IN THIS ISSUE

Articles

Selfies While Driving . . . . . . . . . 4

The Value of a CDRS . . . . . . . 8 -9

Encounters with Medically Impaired License Applicants . . . . . . . .10-12

ALS Challenges . . . . . . . . . . . . 14

The Link between Agent Orange and the Onset of MS . . . . . . . . . . . 15

Features

Board . . . . . . . . . . . . . . . . . . . . 34

Committees . . . . . . . . . . . . . . . 32

Chapters . . . . . . . . . . . . . . . . . . 7

Editors Note . . . . . . . . . . . . . . . 3

Greetings . . . . . . . . . . . . . . . . . . 5

Membership . . . . . . . . . . . . . . 33

President . . . . . . . . . . . . . . . . . . 4

Education

ADED . . . . . . . . . . . . . . . . . . . . 16

ADED and NEMDA . . . . . . . . . 12

ADED CHAP . . . . . . . . . . . . . . 23

ADED Learns

Scholarships. . . . . . . . . . . . . . . . 6

Mentor Program . . . . . . . . . . . 31

Kentucky- United We Stand, Divided We FallI’m looking forward to attending the 2015 ADED Conference in Lou-isville, Kentucky. A great program is being offered in an amazing city and fun, friendly state. This is truly my favorite conference to attend and one of my favorite places to go. I am very excited by the educational submissions to the News Brake since I have taken on the role of Newsletter Editor. Many members have stepped up and provided wonderful articles to share their knowl-edge with the rest of the membership. I look forward to discussing and meeting more members and hope you will be open to considering sub-mitting something to the newsletter. In the Fall look for pieces from the conference speakers and poster presentations. I also am seeking driver education articles to expand the knowledge of those of us whose professional background is in healthcare. If you have ideas or have information you’d like to see included, please let me know. I am also thrilled to have two new members of the Publications Com-

mittee. It is great to see so many stepping up to support ADED. As an extra bonus, remember you get credit towards your CDRS renewal for participating on a committee and writing articles. “Act as if what you do makes a difference. It does.” ~William JamesSay Hi to me in Louisville. I can’t wait to talk with you!Staci, 603-793-9935, [email protected]

Editor’s Note

Staci Frazier News Brake Editor

NewsBrake 3Summer 2015

SelfiesWhileDriving: A Dangerous phenomenonEverywhere you look, people are taking “self-ies” – from sporting events to graduation cer-emonies. But the reckless act of taking a self-portrait while driving can endanger you, your passengers and others on the road.The selfie fad is so new that statistics linking it to traffic accidents don’t yet exist. However, the U.S. Department of Transportation cites more than 3,300 deaths every year caused by dis-tracted driving. Taking a selfie is a distraction from driving – reaching for your phone, opening the camera app and taking a photo. Distracted drivers are three times more likely to get into a crash, yet 80% of drivers admit to using their phone while driving.The rise in driving hashtags

Hashtags that refer to driving tell part of the story. The following driving-related hashtags are among the most common on Twitter and Instagram – accounting for thousands of posts this year alone:

#Driving: 40 million+ posts#Drivinghome: 80 thousand+ posts#Drivingtowork: 16 thousand+ posts#Drivingselfie: 21 thousand+ posts#Drivingselfies: 5 thousand+ posts

Selfies while stopped are still unsafeThe Insurance Institute for Highway Safety’s Russ Rader noted that taking a selfie even while

stopped at a traffic light is dangerous. “It is still distracting,” he said, “and driving requires your full attention.”A common accident involving vehicles stopped at a red light or traffic sign is a rear-end colli-sion. While you can’t control the actions of the driver behind you, taking a selfie can distract you from moving quickly enough to avoid be-ing hit. It also can delay your response once the traffic light turns green – causing you to hit the vehicle in front of you.Plus, in states that have deemed it illegal to use a cell phone while operating a vehicle, you could be ticketed.Ad focuses on the potential selfie aftermathToyota’s “Don’t Shoot and Drive” campaign uses Instagram to call out the dangers of taking selfies while driving. For impact, it uses images of a totaled car edited in various Instagram fil-ters.When you’re behind the wheel and you’re hold-ing a phone, you’re a distracted driver. And no conversation, text or selfie is worth the risk.

DID YOU KNOW? That proceeds from the silent auction held at annual conference support the ADED Memorial Scholarship Fund? Any donation to the silent auction is tax deductible. To donate, please contact us at: [email protected]

SummEr

president’s AddressSummer

I can’t believe our 39th Annual Conference and Exhibits is just two months away! Prep-arations are moving into high gear, and our conference committee has a pre-conference meeting planned at the site soon. Our conference committee has years of experience with this event, and this meeting irons out any possible glitches and sets expectations with the host site, well in advance of our members converging on the hotel and convention center. We have many activities and information planned for this year’s conference. Some of the details I can’t share yet!! I would love to see you in Lou-isville to share the experience and celebrate our accomplishments with you!The focus of our annual conference is educa-tion to ensure our members are providing the most professional service possible for our cli-ents. ADED education opportunities take place throughout the conference and in many differ-ent settings. Throughout the conference there is a total of 35 education hours built into the schedule!The ADED two-day courses begin July 31

with Traffic Safety and Driver Education for the Driver Rehabilitation Specialist and The Impact of Disability, Vision and Aging

and Their Relationship to Driving. Three more Pre-Conference workshops are scheduled for August 1st in addition to a new format for the Product Demonstrations. This is your first opportunity to meet with some of the exhibit hall vendors and begin learning their products. The full conference begins on Sunday, August 2 with our Conference Opening and Keynote Speaker. As a board we are excited to greet each of you and learn how ADED helps you exceed and helps inspire you! During the con-

ference you will have the option to attend up to 12 more educational sessions that will provide you with the opportunity to learn and grow as a driver rehab specialist.Our exhibit hall is an amazing opportunity to talk directly to each of the manufacturers, vendors and organizations that enhance what we do every day. These exhibitors are a major sponsor of our annual conference, and they look forward to speaking with you about

their products and seek your feedback as professionals.As you know, ADED is committed to increas-ing the number of CDRS’s available. This year we are thrilled to offer the CDRS exam in two formats! The exam will be offered at the an-nual conference on Tuesday afternoon as it has been in the past. Beginning in 2015 the exam will also be offered at 200 locations August 3-31, 2015! We are here to help with any ques-tions or assistance needed as we move into this new phase of certification.As a private practice owner, I understand the challenges of attending the ADED annual con-ference. Not only do you have the expenses of travel and conference registration, there is the lack of revenue in your absence! My commit-ment to attending conference has been strong from my beginning days as a driver rehab spe-cialist. I am always excited to learn what is new in equipment or technique from my colleagues and return to my job with renewed energy! In the early days, I was alone in my practice and missed the conversation between therapists from my previous position in a hospital. I felt I worked in a bubble. My attendance at con-ference made me confident that the Best Prac-tices of our industry hadn’t changed and I had missed the memo! Safe travels to each of you, and I look forward to seeing you in Louisville!

Jenny Nordine, OTR/L, CDRS


Greetings from the Executive officeGreetings ADED members! Our 39th Annual ADED Conference & Exhibits is right around the corner. Are you ready to make a difference in your professional life? In Louisville, Kentucky we will celebrate 39 years of coming together to share, explore, learn and network. We are excited to return to the great city of Louisville. We last held a conference in this great city back in 1999. Fun Fact: the theme that year was “Sentimental Journey”. The conference team has been diligently building a packed program providing as many continuing education hours as we can possibly squeeze in. Prepare for long, but purpose-filled days; you will definitely be getting your monies worth of education this year! In keeping with Kentucky’s best known sporting tradition, the theme of this year’s conference “Achieving the Triple Crown: Expertise, Professionalism, Service”. I can assure you that the tradition of quality conference programming continues. Katy Greene and Stacey Stevens are our tireless conference team and they are bringing to you an event filled with meaningful educational sessions, wide array of exhibitors and many opportunities to earn continuing education credits. We have a fine group of on-site volunteers and staff that will be on hand to make sure your conference experience is enjoyable. Some highlights of conference that you won’t want to miss:Keynote address: Paul Erway with Superior Van & Moblity will be presenting his keynote speech entitled: 50 Abilities. Paul works full time for Superior Van & Mobility as a rehab products consultant but recently accepted a challenge with two other wheelchair racers to compete, for the first time ever, in 50 marathons in 50 states in 50 weeks. The team used racing wheelchairs to complete their quest and this keynote address highlights their successes, challenges and accomplishments while bringing awareness to the Christopher & Dana Reeve Foundation for SCI research, therapy and life support grants.Saturday Night Product Demonstrations: All registered attendees are invited to join us in the Exhibit Hall for Saturday Night Product Demonstration. These product demos are provided by our Gold Level Sponsors and they are excited to share with you any innovations in their product lines as well as help you problem solve any special cases you may be currently working on. Presentations will be made by: Braun, Bruno, MPS, Sure Grip, ElDorado, Adapt Solutions and VMI. 3 contact hours are offered for this event.Soap Box Sessions: These mini-seminars are held in the exhibit hall are conducted by driver rehabilitation specialists in partnership with exhibit hall vendors. These seminars will offer the attendee a closer look at the practical application of manufacturer products in every day driver rehabilitation service delivery. Up to 2 contact hours offered for this event.Poster Presentation: These mini-seminars in the poster section of the exhibit hall are conducted by driver rehabilitation specialists and researchers presenting their research projects. These presentations will offer the attendee a closer look at current studies and work that can impact future service. Up to 2 contact hours offered for this event.Mentor Program: The Mentor Program is offered to all first time attendees (aka: VIP’s) and experienced driver rehabilitation specialists and mobility equipment dealers. If you are unfamiliar with the program, please refer to the article in this edition. We are encouraging all first and second time attendees to participate. Even if you aren’t a “newbie” to conference, but would like to take advantage of a mentorship with an experienced driver rehabilitation specialist and mobility equipment dealer

team, we would love to have you sign up for the program. Silent Auction: There will be a great selection of items to bid on at this year’s silent auction. Auction proceeds support the ADED Memorial Fund; this is the annual fundraising event for the scholarship fund. ADED offers 5 scholarships per course offering, so we need your participation to ensure that funds are available for future course attendees. Through your generous contributions, this auction activity continues to be a popular, if slightly raucous event each year. Please consider donating to the auction, and be sure to plan on joining in on the fun!Scholarships: In addition to the scholarships awarded through the ADED Memorial Fund, additional scholarship opportunities are also available to members: • Through generous contributions from the Adaptive Driving Alliance,

qualified driver rehabilitation specialists will earn scholarship assistance to financially support those sitting for the 2015 CDRS examination. A heartfelt thank you goes to the ADA board and Paul Musso for their continued support of driver rehabilitation specialists and commitment to our common goal of increasing the numbers of CDRS’s.

• The Spirit of Crescent Industries Scholarship is provided through generous donations from our corporate and mobility equipment dealer members. Through generous donations from Crescent Industries, B&D Independence, MPS Corporation, R&R Mobility, Superior Van & Mobility, Performance Mobility and Mobility Works a total of 8 scholarships are awarded for ADED members attending 2015 conference.

Registration: The Early Bird deadline for discounted conference rates is July 8, 2015. Membership discount for registration makes attending conference the biggest bang for your buck. For example, the $500.00 conference-only registration fee allow you to earn up to 19 continuing education hours, complimentary continental breakfasts, sponsored nutrition breaks, exhibit hall reception meal and lunches, not to mention an exciting awards banquet. We have negotiated reduced rates at the Hyatt Regency Louisville and you are encouraged to ask for the ADED rate when booking your rooms. Add the “perks” with the educational opportunities, and you will see that your education dollars are going a long way. Membership allows you to bundle conference with 2-day courses or with 1-day pre-conference workshops, saving even more money and earning even more continuing education hours. VISIT THE EXHIBIT HALL! Our corporate sponsors and exhibitors have been extremely supportive of the ADED conference and have demonstrated their support by reserving exhibit space and with generous sponsorship donations. They recognize the value of joining you at conference, exhibiting their products and participating in educational conference activity. We simply could not put on the type of program that you expect, with the quality that you deserve at a price that is reasonable without these companies. We cannot thank these generous leaders of the industry enough. Be sure to show your support and gratitude by visiting their booths in the exhibit hall and taking the time to learn about their products; your clients and your programs will benefit by the information you gather in the exhibit hall. By Achieving the Triple Crown of Expertise, Professionalism and Service, ADED is the leader in the driver rehabilitation industry providing quality education, networking with experts in the adaptive driving technology world and learning from highly experienced colleagues in the field. This is quite simply an event that you cannot afford to miss. I sincerely hope you will make the investment in your continued growth and expertise in the field of driver rehabilitation by coming to conference. There is always something new to learn and there are always new friends to make in this most rewarding industry. I look forward to seeing YOU in Louisville!Sincerely, Liz Green, Executive Director

Liz Green Executive Director


2015 Scholarship opportunitiesScholarships are available for course, conference or certification exam!

ADED Memorial Scholarship-five (5) scholarships per course will be awarded to course attendees to help cover expenses. Each award is for $1000.

· The Impact of Disability, Vision and

Aging and their Relationship to Driving (September 19-20, 2015—Spokane, WA). Scholarship application deadline: July 19, 2015

· The Impact of Disability, Vision and Aging and their Relationship to Driving

(November 2-3, 2015—San Antonio, TX). Scholarship application deadline: September 1, 2015

All scholarship applications must be submitted on-line. Please visit www.aded.net for more information.

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ADED News Brake-Elizabeth Green- [email protected]

ADED 2014 Color 3 column ad_ADED 2014 Color 3 column ad 5/5/14 1:31 PM Page 1

Taken from the NMEDA presentation: Auto Manufacturer Trends & How they Impact Transportation Mobility Devices By: Andrew Bayer, Bruno Independent Living Aids

uSA Today Top 20 best Selling vehicles in 2014

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Chapter Officers Mid West (iN, oH, mN, Wi, mi, il)prESiDENT: Danielle Czajkowski, mS, oTr/l, CDrS [email protected]

viCE prESiDENT: Eva m. richardville, oTr, CDrS, CApS [email protected]

SECrETAry: Dawn Kleber, CoTA, CDrS [email protected]

Northeast (mE,ri,vT,mA,NH,CT,Ny, NJ,pA, Nova Scotia, New brunswick, Newfoundland and labrador)

prESiDENT: linda mcCumber, oTr/l, CDi, CDrS [email protected]

SECrETAry: Eva rodriquez, phD, oTr/l [email protected]

OntarioprESiDENT: Nellemarie Hyde,

bA,bSc(oT),oT reg (oN), CDrS [email protected]

viCE prESiDENT: Shah baqar,oT [email protected]

SECrETAry: Tamalea Stone, oTr [email protected]

Georgia/South Carolina ChapterprESiDENT: ian mcClure, CoTA/l, CDE, CrS, CSo [email protected]

SECrETAry: John Anschutz [email protected]

Kentucky/Tennessee/West VirginiaprESiDENT: michele W. Coffey, oTr/l, CDrS [email protected]

SECrETAry: Suzanne Farnan-maddux, oTr/l, CDrS suzanneFarnan-maddux@

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CaliforniaprESiDENT: Sandra okada, oTr/l, mSG, CDrS [email protected]

SECrETAry: purnima Karia, oTr/l, CDrS [email protected]

ColoradoprESiDENT: Terri Cassidy oTr, CDrS [email protected]

viCE prESiDENT: marlis lane oTr/l, CDrS [email protected]

SECrETAry: Denise Kaplan oTr, [email protected]

Northwest (bC,or,WA)

prESiDENT : Jeff lango, oTr/l, CDrS [email protected]

SECrETAry: mark russel, mS, ATp, CDrS [email protected]


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The value of a CDrS, what is it worth?Amy Lane, OTR/L, CDRS

When searching for the definition of value, you’ll find a variety of descriptions and methods to measure this. For a CDRS providing driver rehabilitation services, it can be just as hard to define. But the bottom line is that value is de-pendent on the person’s perception of the ser-vice. Furthermore, it may not be realized until long after services are completed. As driver rehabilitation specialists, we often show our value through our best practices. Edu-cation is an integral part of our job. Keeping our clients informed and focused on each step of the rehabilitation process allows them not only to understand but also to realize the potential re-turn on their investment. Although clients may be hesitant due to the costs associated with our services, the ability to gain or regain safe and independent transportation often outweighs the investment. Our clients who are able once again to drive their vehicles realize this and are typi-cally quite satisfied and eventually see the value of our services. Many of us do not have to promote our program or services on a regular basis, and when we do, even though it is necessary, it can be somewhat awkward. This could occur when a client is mis-informed about the need for a comprehensive driving evaluation or doesn’t realize the hours

that are necessary in a training program. Some-times they don’t understand the state licensing requirements and feel that it is discriminatory. Or the client is planning to pursue the purchase of a vehicle or adaptive equipment without con-sidering the risks associated with purchasing equipment on-line, sight unseen. Or they don’t consider the how the equipment will be installed or serviced. Matters are made worse when the clients do their own research and have already invested in equipment or vehicles, and we are now left to help our clients navigate the unfamiliar and messy process. Often, they don’t even realize the chaos that has been created or the effort oth-ers will need to invest to remedy the situation.That is exactly what happened to me this past year. It began in what appeared to be a typical referral for driver rehabilitation. Someone want-ed to drive again, and her doctor recommended she be evaluated. She contacted my program; in-formation was shared; paperwork was initiated; and she was scheduled for an initial evaluation.Prior to the initial meeting, I obtained general history and background information about the client. A handful of details were revealed, help-ing to formulate a plan. I learned that this client, while undergoing a right below knee amputa-tion, had a mild right CVA at some point during

the surgical procedure. In response to the ques-tion about the year, make, and model of the ve-hicle she plans to drive, she only listed the make of vehicle, with no other details. Clearly, this would need to be examined a bit more. Among other things, this was an indication that not ev-erything was being fully disclosed.She made it known that she could only take a few steps with a walker; consequently, she uses a power wheelchair most of the time. As such, she could not easily get out of her home. Due to her homebound status, she requested that I meet her at her residence for the initial session. Al-though not ideal, I made it work.When I met her, more information was made known: even though she is close to 70 years old, she was still working at a daycare center until her surgery, and she hoped to return to work in the near future. Up until this point, no one had given her information about vocational rehabili-tation (VR) services. Best practices compel us to know what resources are available and to locate service providers for our clients. Thus, time was spent educating her about the type of services VR can offer to help her return to work. A refer-ral was quite appropriate, and so more time was spent contacting VR counselors. That was the right thing to do.

(Continued on next page)


During our meeting, she continued to disclose that her extended family contacted a vehicle modification company. Her family wanted to help her, and therefore they have pooled their money together for a down payment on a vehicle. More questioning revealed that a salesperson came to her home and showed them a vehicle that would work for her. She wasn’t able to get into the driver’s seat dur-ing the demonstration, but he reassured her that she would fit and could then drive with hand controls. Both my client and her family learned that this vehicle is significantly less costly than a lowered floor mini-van that they had seen at a local mobility equipment dealer. In the end, because of their limited funds, a deposit was made for a 2008 model of the ve-hicle he had demonstrated. My client did not have many details about the vehicle she had purchased or specific equipment that would be installed in the sight unseen 2008 used vehicle. Obviously, I needed more infor-mation. On behalf of my client, a call was made to the parent company and then to the salesper-son. As a CDRS following best practices, I acknowl-edge that the preparatory step in producing a prescription/recommendation for driving equip-ment includes consideration of all the find-ing from various assessments and evaluations. Most importantly, the recommendations should be based on a client’s performance in driving the vehicle with equipment that is functionally equivalent to what is being prescribed. Accord-ing to ADED Best Practices, a prescription/rec-ommendation form is the last step in the driving evaluation process. In my client’s case, it ap-peared to be one of the first steps.The salesperson was quite nice when I called him. He willingly provided me with the list of adaptive equipment and modifications, which included a bi-fold ramp, a transfer seat base (in my opinion, this was not necessary as there would be no turning space for the wheelchair which would sit parallel to the driver’s seat), hand controls (he was unsure what type, but needed to look that up), a spinner knob and a gas pedal guard. When I questioned about wheelchair securement, he replied that there are tie down tracks on the floor, if needed. When I informed him that there was no possible way that she could access those, he commented that considering the tight space, she could just use her wheelchair brakes. Wait a second! Proper wheelchair securement is non-negotiable. We must be diligent with best practices. The cost of education provided to the salesperson and client is minimal, but the poten-tial value the client receives in safely securing a wheelchair is huge. After my time spent on the soap box about wheelchair securement, the salesperson remarked that they could possibly install some type of automatic docking system for her. Thank you!Our conversation continued as I informed the salesperson that our mutual client is required to be licensed to drive with adaptive devices in this state. If she is to be licensed, she needs to un-dergo a driver’s training program. Was he con-cerned that she would try to drive for the first

time with hand controls in her new/used vehicle without being properly licensed? His response: “Isn’t that what you are going to do?” My re-sponse: “Why yes, but how would that occur if I had not gotten involved?” At some point, I realized this was going to go downhill fast. His indifference to the correct process and my atti-tude about the lacking of best practices was not a good mix. I certainly didn’t want to cause any problems for my client’s future relationship with this salesperson. I got the information I needed and ended the phone call.My evaluation had gone from “typical” to “this is going to be interesting” to “you’ve got to be kidding.” An hour later, I hadn’t even begun the clinical assessment, much less put her behind the wheel to assess her driving skills.Fast forward a few months to where things started to fall into place. Approval from VR was obtained for driver rehabilitation services, and she was able to participate in a comprehensive driving evaluation. As I suspected, she present-ed with mild residual effects of her stroke, in-cluding weakness in her left arm, low endurance and visual-spatial issues. Her training program included not only learning to use hand controls (similar to those that would be installed in her vehicle) but also to work on visual search skills and visual-spatial strategies. Consistent cen-tered lane positioning was a concern and a ma-jor focus in her training sessions. To think that she would have been trying to learn to drive in a vehicle without an instructor, instructions or an instructor’s brake is scary to say the least.Her vehicle was eventually delivered after a pe-riod of heavy snow and subzero temperatures. The flatbed delivery truck was unable to make it down her driveway, which was covered in packed snow, topped off with a sheet of ice. They unloaded the vehicle a few blocks away in a parking lot. Because of the weather, my cli-ent was unable to walk or use her wheelchair outside. Therefore, the delivery technician re-viewed all the vehicle details with my client’s son, who was to give the information to my cli-

ent. Her son was in agreement with my strict instructions to not attempt to drive until she was licensed. Ultimately, she was able to demonstrate consis-tency with her driving skills and successfully passed her state driving re-examination. There was no formal checkout or final fitting that oc-curred between the client, dealer and CDRS. It was up to me to assure that the she was able to operate the equipment that was installed, even though I had not prescribed it. Fortunately, no additional adjustments or modifications were necessary. She was now finally able to drive her vehicle, being properly licensed and educated on the devices. I understand the need for our clients to balance costs with their personal needs. I’m sure we all do this on a regular basis in our own daily activi-ties. Yet when clients try to save money by pur-chasing equipment or vehicles on their own, it doesn’t always turn out so well. The importance of using a qualified mobility equipment dealer that meets QAP guidelines typically benefits the client. In the end, I’m not sure if I was of any value to the sales representative of this manufacturer. My hope is that prior to the next sale he will not recommend hand controls or any adaptive driv-ing equipment to be installed without the proper evaluation or training. In this client’s case, I’m not confident that the highest level of standards and business practice was adhered to by the manufacturer or representative.On a more positive note, my client’s endless stream of thank you and compliments assured me that she recognized the benefit of me not only being her driving instructor but also her advocate. In summary, don’t discount what you do. While the value of what we do is often limited to what the client sees, our clients aren’t always looking in the right direction. It is our responsibility to show them the entire picture. That’s the value of a CDRS!

intro to Driver rehabilitationby Dan Allison, MS, OTR/L, ATP, CDRS

Kim White and I were fortunate to have a great class of participants for the ADED In-tro to Driver Rehabilitation class that was offered by in partnership with Anne Arun-del Community College May 15 – 16 at the campus in Arundel Mills Maryland.It was a diverse group with a total of 20 participants; at least 6 were from driving instruction backgrounds, and included one participant from Brazil and one from Japan. For those not familiar with the ADED Introduction to Driver Rehabilitation course:This two-day course (16 contact hours) is ideal for those new to the field of driver rehabilitation. The skills and knowledge needed to establish an adaptive driving

program or become a new staff member for an established program was discussed and shared. Topics of the course include: pro-gram development, behind the wheel train-ing techniques, introduction to adaptive driving equipment and program documen-tation. Also discussed was collaboration with mobility equipment dealers, family and medical team members. TOPICS COVERED:• The basic components of a driver clinical and behind the wheel assessment• Resources for collaboration within the driver rehabilitation community• Necessary and optional components for starting a driver rehabilitation program• The roles of other professionals involved in independent and adapted mobility


Encounters with medically-impaired license Applicants

by Pat Niewoehner, OTR/L, CDRS

Encounters with Medically-Impaired License Applicants is a web- based training tool devel-oped to help reduce vehicle crashes involving drivers with medical impairments. The goal of the training is to help department of motor vehicle (DMV) license office staff identify im-pairments in the three areas required for safe driving: vision, motor skills and cognition. Each state that receives federal highway dol-lars is required to have a strategic highway safety plan. In partnership with safety advo-cates from across Missouri (e.g., law enforce-ment, health care providers, advocacy groups, planning organizations, etc.), The Missouri Coalition for Roadway Safety was formed and the “Blueprint to Arrive Alive” developed. The “Blueprint” addresses areas that will make the biggest reduction in roadway fatalities and injuries (e.g., serious crash types, substance- impaired drivers, inattentive drivers, older drivers, motorcycles, etc.). The Encounters Training was developed by the Missouri Coali-tion for Roadway Safety in collaboration with the Missouri Department of Revenue Driver

License Bureau.Missouri has a voluntary state reporting law; reporting is encouraged for any condition that could impair or limit a person’s driving abil-ity. The importance of making determinations on driving safety and ability based on a per-son’s medical condition and functional status has gained a lot of attention in the past 10-15 years, and research on screening tools and methods for determining medical-fitness to drive is abundant. A physician may identify red flags for driving safety during a routine office visit and request a driving evaluation which is frequently performed by a driver rehabilitation specialist. Police officers have been trained to recognize red flags when interacting with medically-impaired drivers (e.g., confusion, disorientation, poor attention skills, etc.). Mis-souri data suggest that law enforcement are the most likely mechanism to utilize the state’s voluntary reporting law by submitting a Driver Condition Report (request to review a person’s driving skills), followed by department of mo-tor vehicle license office staff (Meuser et al., 2008). When police officers are filing reports

after an on-road incident, public safety has al-ready been compromised. Missouri currently provides DMV license of-fice staff training on evaluating driving impair-ments and a mechanism for reporting possible unfit drivers . Following the recommendations of the National Highway Traffic Safety Ad-ministration (NHTSA) 2013 Traffic Safety for Older People – 5 – Year Plan, The Encounters Training is aimed at strengthening the exist-ing education that license office staff receive for identifying potentially medically-impaired drivers. Web-based training materials were developed to identify visible symptoms of im-pairments that may make a license applicant unsafe behind the wheel. Signs and symptoms of medical conditions that impair visual, cog-nitive, or psychomotor function (Staplin et al., 2012) are emphasized in the training.Driver license office staff are trained to ob-serve conditions which may affect driving safety and ability; they do not have medical training. The major goals of The Encounters Training are increasine awareness of how ob-

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servable conditions may affect driving, under-standing who to report for medical review of fitness to drive and learning how to report ap-propriately. Depending on the information re-ceived on a driver license applicant’s condition (via reporting process), the Missouri Driver Li-cense Bureau may ask for additional informa-tion, add driving restrictions, require a written exam or driving skills test performed by a Mis-souri Highway Patrol Driver Examiner, vision exam, physical exam, and/ or evaluation by a driver rehabilitation specialist, or deny driving privileges. The Missouri DMV Medical Advi-sory Board (MAB) evaluates each case on an individual basis. The MAB often relies on the opinion of the person’s personal physician as to whether the applicant or licensee can drive safely. The driver may be required to have a physical examination and Physicians State-ment form completed by his/her doctor.The Encounters Training is presented with a short introduction and three modules follow-ing the phases of the driver license renewal process: walking to the counter, exchanging information, and vision testing. A fourth mod-ule addresses the state (Missouri specific) re-porting proces, and includes explanation and instruction on how DMV office staff complete a Possible Driver Impairment form.

Each Encounters Training module starts with brief written material organized in three cate-gories (red flags associated with deficits related to vision, motor skills and thinking/memory problems), followed by video examples and finally, a quiz to demonstrate mastery of the subject matter. Examples used have been cho-sen to represent common medical conditions known to affect driving safety and ability. The content is written in lay terms with simple, easy- to- understand language. The connection is made between observable conditions seen in the license office and possible behaviors on the road, e.g., When driving it is important to be able to read all the road signs and understand what they mean. Then a driver can react in a timely manner to avoid crashing into other ve-hicles, pedestrians or objects. Imagine if a per-son turned the wrong way on a highway ramp or was driving through a construction zone and they were unable to understand a sign.Standardized patients (actors who are trained to model certain medical conditions) were used to create encounters between medically-impaired license seekers and license office staff. Vid-eos were created to demonstrate scenarios that simulate typical interactions at a driver license renewal office. The scenarios were created in collaboration with experts involved in research

on medical fitness to drive, on aging, veteran license examiners and an occupational thera-pist/certified driver rehabilitation specialist. Introduction: Certain abilities are needed to drive safely. Those abilities are in 3 main cat-egories: vision, motor skills and memory and thinking skills. As license office employees you may be the first professional to identify an impairment related to driving safety and abil-ity. Keep in mind that medical conditions can involve symptoms that may vary from minor to severe. Many people are unaware that they have a certain medical condition. Others may be in denial that a condition could affect driv-ing. Since everything we do is connected to our brain, many medical conditions affect different areas of our body. For example, a stroke can affect an applicant’s vision, motor skills, and/or memory. Dementia (meaning memory and/or thinking problems that impair function) can affect an applicant’s ability to follow simple directions, reaction time (like moving a foot from the gas to the brake pedal) and/or the ability to recognize and understand road signs.MODUlE 1Walking to the Counter: reviews observable behaviors when the applicant is walking into



the license office, getting up from a chair or approaching the service counter, emphasiz-ing motor skills and vision. Video examples: stroke, glaucoma, severe arthritis. Vision – Watch for applicants who have to look down frequently, as ie they are not sure about what may be in front of them. Motor Skills – If an applicant is using a walker or a cane, look to see if they are using it cor-rectly: do they look safe walking, appear to understand how to use the walker or cane cor-rectly, or look like they are going to fall? Thinking/Memory Problems – Pay attention to any signs of confusion, inability to under-stand directions, repeating statements or sto-ries, or difficulty finding the right word to say.”MODUlE 2Exchanging Information: reviews observable behaviors when the applicant is talking with li-cense office staff, filling out forms, providing required information, paying fees, with empha-sis on motor skills, vision and cognition. Video example: Parkinson’s Disease and dementia. Vision – “Look for unusual head movements when the applicants ars looking at documents – such as turning their head at different angles. The applicants may move the document closer or farther away to try to see the content clear-ly. This may happen when they are reading a piece of paper or signing their name.Motor Skills – Observe if applicants are slow to move any part of their body, or if their re-sponse times are unusually slow. Some im-pairments, like Parkinson’s Disease, can cause parts of the body to shake. This may mean that holding a pen and writing is very hard, or get-ting a license or credit card from a wallet or pocket is very difficult. Watch for signs of loss of strength as they grasp or hold their license, important papers, or possibly drop items.Thinking/Memory Problems – An early sign of a thinking or memory problem is repeating the same question or story within minutes. The applicants may not be able to answer basic in-formation or knowledge related to the time, date, their residence or phone number.MODUlE 3Vision Testing: reviews observable behaviors related to recognizing, understanding and in-terpreting information from the environment, including road sign, emphasizing vision and cognition. Video example: macular degenera-tion and dementia. Vision – Some applicants may miss several road signs because of impaired vision or due to memory and thinking problems that prevens them from understanding what the sign means. Motor Skills – Asking an applicant to place his/her head in the vision testing machine sounds simple enough. If the person has severe arthritis or an injury affecting the neck, they may have limited ability to move their head and neck, when it comes to driving, a person

needs to be able to scan his/her environment by freely moving thr head and neck from side to side frequently.Thinking/Memory Problems - If the ap-plicants havs difficulty understanding how to place their head in the vision machine, they may have a medical condition affecting their ability to understand simple directions. When driving, it is important to be able to read all the road signs and understand what they mean. Then a driver can react in a timely manner to avoid crashing into other vehicles, pedestrians or objects.After reading the content and viewing the vid-eo, a brief quiz is presented to re-inforce the material presented. The content and examples were chosen to represent significant and ob-servable medical conditions that are known to affect driving safety and ability. Web design of The Encounters Training has strong visual ap-peal and is easy to navigate.Few states utilize best practice techniques sup-ported by recent evidence when making deter-mination of medical-fitness to drive. Missouri is considered a model state in developing evi-dence-based tools used to train DMV license office staff, law enforcement and physicians on medical conditions that may affect driving safety and ability. Through partnerships with

local universities and experts in the field of medical-fitness to drive and aging, driver reha-bilitation specialist and community stakehold-ers, Missouri serves as a role model for other states.The project was funded in 2012, was pilot test-ed in 2014 and disseminated to the Missouri Driver License Renewal office staff in May 2015. The training has been designed for dis-semination to other states or jurisdictions. The training was funded by a grant from the Missouri Coalition for Roadway Safety in col-laboration with the Subcommittee on Elder Mobility and Safety (SEMS) an, stakehold-ers from across Missouri, working to achieve goals related to older driver safety and com-munity mobility (Missouri Highway Patrol, AARP, Area Agency on Aging, AAA, etc.). SEMS is part of the Missouri Coalition for Roadway Safety and collaborates with partners such as the Missouri Department of Revenue Driver License Bureau and the Missouri De-partment of Transportation. Pat Niewoehner, OTR/L, CDRS is a staff OT/CDRS at the VA Medical Center, St. Louis, MO and co-chair (with James Stowe, PhD, Clini-cal Research Specialist, School of Medicine, Washington University in St. Louis) Subcom-mittee on Elder Mobility and Safety.

Encounters with medically-impaired license Applicants (Continued)

Courses offer Free Educational opportunities

A committee of NMEDA and ADED members has been active in developing several courses that offer free educational opportunities for referral sources, the generalists and those new to our fields to understand the automotive mobility industry and what it has to offer our custom-ers. These courses include the Comprehensive automotive mobility solutions for the Health Care Professional (CAMS-HP) full day course and a 1.5 hour Lunch and Learn as well as the Conducting Wheelchair Transportation Assessments (CWTA) Lunch and Learn. These courses offer insights into the process of evaluating and purchasing appropriate automotive solutions and assist the allied health care practitioner in being an advocate for those we serve who need automotive mobility solutions. For more information go to www.NMEDA.org.

Leah Belle OTR/L, CDRS, CDI

Education Committee updateThis has been a busy year for the Education Committee. Currently we are working on increas-ing opportunities for Continuing Education using Online learning formats. We are working with MedBridge to develop several 1-2 hour courses that give a basic overview of content from our core ADED courses. These courses will be geared toward the generalist. If this is successful, we will pursue development of course content directed towards CDRSs. In addi-tion, a very dedicated group is working on updating the Traffic Safety for the Driver Rehabili-tation Specialist which will be presented at ADED conference this year. We will be presenting the The Impact of Disability, Vision, Aging and their Relationship to Driving in Washington and Texas this year and hope this opens up other opportunities to offer ADED courses in these regions. Our next project will be updating the DVA course. If you would like to volunteer to assist with this or any other Education Committee projects, contact Leah Belle at [email protected].


in-Service for 3rd year residents on Aging and Driving by Julie Sullivan, CDRS

DriveAble Solutions in Arizona has partnered with Phoenix Baptist Family Medicine Residen-cy Program to provide an in-service to 3rd year residents on aging and driving. The residents are scheduled for a half-day with an evaluator from DriveAble Solutions. They observe a complete

clinical evaluation and follow-up counseling session with the client. They do not go behind-the-wheel with the evaluator and the client. The focus is on elderly clients with medical diagno-ses. To date, we have served two physicians. In the fall of 2015, we will continue to work with an additional 1 to 2 residents per month. We have found that they have been most interested

in who and when to refer. They are also fasci-nated to see the depth of knowledge and testing it takes to become a CDRS. We have provided them with a zip drive of information pertaining to driving and medi-cal referrals. We have included general medi-cal driving information, such as The Medical Conditions and Driving: A Review of the Lit-erature (NHTSA funded), How to Read a Neu-ropsychological Report for Driving referral in-dicators, the Revised AMA Physician’s Guide to Assessing and Counseling Older Drivers (NHTSA funded), our local Area Agency on Aging Elder Resource Guide, and information on the Carfit program. We have also included information on the zip drive that is Arizona specific, such as Arizona’s standards for vision, physical, and psychological testing, the physi-cian’s immunity from civil or criminal liabil-ity when reporting, and Arizona’s Medical and Vision Examination Reports that are required from physicians when medical events occur. Additionally, we have included the Hartford brochures, DriveAble Solutions cards and bro-chures, a link to our website, and, of course, the ADED website link and brochures! We will continue fine tuning the program as it devel-ops. So far the feedback has been very positive, and they have thoroughly enjoyed their experi-ence with us and appreciate the knowledge they have taken with them. We look forward to con-tinuing this collaboration in the future!

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ALS Challenges for the Driver Rehabilitation SpecialistChad Strowmatt, OTR/L, CDRS

When I first went into private practice, my best friend and business partner came to my house for an early morning trip to Galveston for some salt water fishing. As we talked quietly in the truck, I could not help but notice that he was slurring his words and appeared to have been drinking. My partner had driven down from the Dallas area the night before, so I naturally thought he might be tired from the trip. However, as we talked about his energy and noticeable difference in his verbal skills, it was clear something was wrong. He said he had fallen suddenly while snow skiing in New Mexico a few weeks ago and was knocked un-conscious for a few seconds. The fasciculation’s in his shoulders and his slurred speech did not disappear as we stood on the fishing pier through-out the day. This was my first intimate view into ALS, commonly known as Lou Gehrig’s disease. As driver evaluators we are confronted with the important role of helping someone maintain their independence and preparing for the foreseeable future of adaptive equipment use. With a diag-nosis of ALS, this can be one of the most chal-lenging tasks we are faced with. The age of the client, the rate of progression, the family history of the disease, and the cost of adaptive equipment can play a role in helping determine the best rec-ommendations for driving. In my circumstance, each case has had to be judged separately with a tremendous variation in outcomes. One such case happened recently in our private practice. We saw an amazing 40ish teacher with

a supportive husband, 2 teenage children, and the functional equivalent of weakened lower extrem-ities. She had good upper extremity function, normal verbal skills, a diagnosis 18 months old, and no family history. The client had defined her ALS progression as “slow” with only recently needing to move into a power wheelchair for en-ergy conservation. She could still walk, transfer, dress herself, and perform all the duties of an el-ementary school teacher. The client prepared for her progression by realis-tically considering a minivan for wheelchair ac-cess and to drive from a wheelchair. She quickly accommodated for the mechanical hand controls, purchased a Toyota Sienna to plan for easier power steering resistance, and was evaluated/trained in her own Permobil wheelchair. This all happened in August of 2014. Four months elapsed from the time she earned her restricted driver’s license to the delivery of her personal van. In December of 2014, she was seen in her own van for final delivery fittings/training with a disastrous outcome. She had lost function in her arms and could no longer turn the steering wheel with one hand. She had insufficient strength to depress the brake adequately with mechanical hand controls and had lost her ability to perform basic hair grooming/makeup application. She could no longer transfer or stand briefly. As a CDRS, this outcome was disheartening and up-setting. I could see myself in her shoes with a young family, professionally satisfying career, and strong marriage. After I watched her do her best to turn the steering wheel for a few minutes,

I quietly wept. All I could do as a therapist was hold her while we both silently cried. Unfortunately, a variation of this has occurred several times in my career as a CDRS. Some-times, the drivers will be functional for 2-3 years. Other times, they have changed so rapidly that they passed away before their van conversions were finished. In one case, the driver with ALS drove for eight years and only recently stopped driving. He continues to work part time perform-ing marriages, baptisms, and other duties as a church minister. He gives me hope that the rav-ages of the disease can be slowed. I frequently tell OT students and others that are interested in the driver rehabilitation field, I feel that as a CDRS, we have the best job in the world. We can break down the driving task, adapt it for the person’s strengths, and help him/her gain independence. As driver rehabilitation professionals, the percentage of people we see with physical disabilities that cannot be accom-modated for, in my opinion, is low. The technol-ogy of the driving systems and the applications of accessible vehicles allows for drivers to drive that were not candidates 30-40 years ago. In my partner’s case, he wanted no technology. He was late to move into a wheelchair. His athletic per-sonality dictated his strategy of working out so that he would remain strong enough to perform tasks normally. Once his strength diminished and his swallowing was problematic, he retired from driving. He reluctantly agreed to allow others to

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(Continued)


The Link Between Agent Orange and the Onset of MSBy Jason Strowmatt, CDRS

I noticed as an evaluator that I was seeing a higher number of men with MS than I had in all the time prior to this point. I also noticed that they were all Veteran’s Administration (VA) clients.. Some were service con-nected and some were not, but all stated they handled

Agent Orange in some form or another during their years of service. So I began to ask a few extra ques-tions in my medical intake and discovered that if the diagnosis of MS was made within a seven year win-dow after military service then they were considered a service connected veteran. ADdiagnosis of MS any time after that window could still benefit from some VA services, but they were limited. I am by no means an expert on VA benefits or MS for that matter. Heck, some days I just struggle to type my reports. But this is some of the information I have found. The VA benefits reads as the following: “If you had symptoms of MS in the military or within seven years after honorable discharge, you may be eligible for service-connected disability, including medical care, medications and equipment. However, eligibility for care at a VA facility is NOT contingent on a deter-mination for service connected disability. Rather, the eligibility is based on processing of an application for medical benefits. To determine your eligibility for service connected and non-service connected ben-efits you need to apply for health benefits.” [1]

How the VA determined the seven year window: “In establishing presumptions for specific diseases, Congress has expressly indicated that the presump-tive periods are based on the conclusion that diseases manifested within such periods may be presumed to have had their onset during service. When Congress established a seven-year presumptive period for mul-tiple sclerosis, in what is now 38 U.S.C. § 1112(a)

(3), the Senate Committee on Finance explained that the presumptive period was“ ‘based on information obtained from the National Institute of Health that it was the opinion of its scientific staff that 7 years was not an unreasonable period to recognize as the interval between onset and diagnosis in multiple scle-rosis.’ ” [1]

The Veterans Administration states that “the ongo-ing research indicates that there is no known link between MS and Agent Orange, MS and radiation exposure, or MS and serving during the Gulf War.” [1]

But what about my clients? They were all veterans of the Korean War and Vietnam War. According to an article in the Journal of Preventative Medicine and Public Health, there was an increased prevalence of chronic diseases in those with a higher exposure rate to Agent Orange based on a study done on 100,000 Korean Vietnam veterans. As with all studies, there are many variables, and there are many ways statisti-cal data can be interpreted. Even the journal article admits that just the occurrence of a chronic disease would affect the reported exposure to Agent Orange and thus skew the results. [2]All I can say is I saw six male veterans in less than one year who all claimed they had MS as a result of their exposure to Agent Orange.[1]

[1]http://www.va.gov/MS/Veterans/Benefits/Health_Care_Benefits_for_Veterans_with_Multiple_Sclerosis.asp[2] http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3796647/

drive him in a wheelchair accessible van when transferring him was too difficult and dangerous. Both scenarios illustrate the moral and ethical dilemma we are faced with when it comes to progressive medical conditions. Diseases and conditions that are unpredict-able or that we do not truly know the life expectancy are a challenge. I see our role as being a resource for our clients. They dic-tate their medical treatment and the lengths that they want to go to overcome physical decline. I see our role as someone who ad-vises, recounts past experiences, commu-nicates about realistic expectations, and al-lows the client to experience their options. I cannot say whether my business partner’s approach was correct or whether the teacher and minister were correct. I just know that in both cases, ALS is unforgiving and emo-tionally strenuous.

ALS Challenges (Continued)

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ADED Attends AoTA Conference and ExpoNashville TN – ADED President, Jenny Nordine, OTR/L, CDRS, and Executive Director, Elizabeth Green, OTR/L, CDRS, attended the American Oc-cupational Therapy Association’s 95TH Annual Conference and Expo, April 16-19, 2015. ADED hosted a booth, shared with NMEDA, in the Expo’s Transportation Zone. Local ADED members were also on hand to assist in the exhibit booth. This special section of the Expo includes other vendors that relate to community mobility and driver rehabilitation and evaluation. Attendance at the conference was over 9,000 plus over 350 exhibitors. Interest in the ADED/NMEDA booth ranged from students interested in the field, experienced occupational therapists investigating options to join the field and generalist occupational therapists searching for resources for their clientele. Seminars of interest to driver rehabilitation specialists and generalist occupational therapists were offered. There were also several poster and research presentations dedicated to driving and community mobility.

ADED Attends mobility ExpoAtlanta GA – Executive Director, Elizabeth Green, OTR/L, CDRS, attended the first an-nual Mobility Expo, May 15-16, 2015. ADED hosted a booth and shared information about driver rehabilitation and mobility solutions with consumers, therapy students and other health care professionals in the area. Local ADED members were also on hand to assist in the ex-hibit booth. Attendance at the expo was reported to be around 1,600 over the 2 day event. Free

seminars of interest to consumers were grouped into tracks covering: Children with Disabili-ties, Aging in Place, The ADA: vocation and employment, Technology and Leisure. ADED member, and current board secretary, Beth Gib-son, OTR/L, CDRS presented Transportation options for Aging in Place.


Wheelchair Transportation Safety WebsiteThe University of Michigan Transportation Research Institute is supporting a website that promotes the implementation of Wheelchair Transportation Safety and a complete

listing of crash tested wheelchairs, seating components and securement systems. It is a follow-up from the work of the Rehab Engineering Research Center on Wheelchair

Transportation Safetyhttp://wc-transportation-safety.umtri.umich.edu/

Mary Ellen Buning

Elizabeth Green Earns Certified Association Executive Credential

Washington, DC, June 24, 2015—ASAE has announced that Elizabeth Green, OTR/L, CDRS, CAE, Executive Director of ADED has earned the Certified Association Executive (CAE®) designation. The CAE is the highest professional credential in the association in-dustry.To be designated as a Certified Association Executive, an applicant must have a mini-mum of three years’ experience with non-profit organization management, complete a minimum of 100 hours of specialized pro-fessional development, pass a stringent ex-amination in association management, and pledge to uphold a code of ethics. To main-tain the certification, individuals must under-

take ongoing professional development and activities in association and nonprofit management. More than 4,000 association profes-sionals currently hold the CAE credential. The CAE Program is accredited by the National Commission for Certifying Agencies (NCCA). ASAE is a membership orga-nization of more than 21,000 association executives and industry partners represent-ing 10,000 organizations. Its members manage leading trade associations, indivusal mem-

bership societies and voluntary organizations across the United States and in nearly 50 countries around the world. With support of the ASAE Foundation, as separate nonprofit entity, ASAE is the premier source of learning, knowledge and future-oriented research for the association and nonprofit profession, and provides resources, education, ideas and advocacy to enhance the power and performance of the association and nonprofit community. For more informa-tion about ASAE, visit www.asaecenter.org.

Aded Contact Hour Associate Provider

New Program For 2015 Announcing the ADED Contact Hour Associate (ADED-CHAP) program! Providers of edu-cational programs related directly to the field of driver rehabilitation may apply for ADED-CHAP status. ADED-CHAP designation will be in effect for a period of 3 years and any program offered under that status is automatically approved for ADED contact hours. A special section of the ADED website will list ADED-CHAP providers and any course or events that they may be offering. CDRS’s attending any ADED-CHAP programs will be able to use those hours towards renewal without having to apply for contact hour approval. Win-win!Important notice for CDRS holders: This new policy replaces the “automatically approved” policy, therefore all non-ADED sponsored or approved continuing education has to go through certification committee review process. CDRS’s may apply as an attendee for CE credit or the hosting organization may apply for single course credit or to become a CHAP provider.

ADED is pleased to announce the details for the 2015 CDRS Exam.Applications are now being accepted for the 2015 CDRS Exam

The CDrS Examination is designed to test a well-defined body of knowledge representative of professional practice within the field of driver rehabilitation.To apply for the CDrS Examination, interested parties must complete the application included within the CDrS handbook. Visit the ADED website to download CDRS examination handbook and apply.

This year there are two ways you can take the CDRS Examination!Paper/Pencil: The CDrS Examination is scheduled for the afternoon of August 4, 2015, at the Hyatt regency in louisville, Kentucky. The examination will be offered after the conclusion of the 2015 ADED conference.

Computer-based: The CDrS Examination is also available at over 190 Amp Assessment Centers in the united States and Canada during the entire month of August.Applications must be received by July 1, 2015, regardless of location where examination will be administered. please see the CDrS Exam Handbook for full details.

read to apply for the exam? visit Amp to submit your application today!

Deadline July 1, 2015

New in 2015. Online Auction.

raising money for a good cause.In an effort to improve the overall ADED Auc-tion, we will be trying a new, ONLINE plat-form for the ADED auction in 2015. As you may know, the Auction has customarily been held during the banquet, on Monday evening at the Annual Conference. Our objective with this new, online format is to allow all members the opportunity to bid, and hopefully bid up the wonderful donations we receive from our gen-erous contributors. We hope that thanks to this new platform, you will be able to participate and help us raise money for the Memorial Scholar-ship Fund. Keep an eye out for more info and for your chance to participate!

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B&D Independence, the leader and most trusted name in transfer seating for decades, now offers the world’s first side-mounted docking console.

HighTower® boasts a sleek and streamlined design while its brackets are made to meet the needs of individual wheelchairs and vehicle systems. This is good form and functionality all in one small butpowerful package.


rEQuEST For propoSAlS

CDRS Examination Study Guide

ADED plans to offer an examination study guide to better prepare potential applicants for the CDRS examination. ADED is ac-cepting proposals from individuals or or-ganizations for the design and publication of a study guide that would be marketable in both a written and web-based format. For more information, please contact the ADED office: [email protected].

New in 2015. Online Auction. Raising money for a good cause.

In an effort to improve the overall ADED Auction, we will be trying a new, ONLINE platform for the ADED auction in 2015. As you may know, the Auction has customarily been held during the banquet on Monday evening at the Annual Conference. Our objective with this new, online format is to allow all members the opportunity to bid, and hopefully bid up the wonderful donations we receive from our generous contributors. We hope that thanks to this new platform, you will be able to participate and help us raise money for the Memorial Scholarship Fund. Keep an eye out for more info and for your chance to participate!


ADED Contact Hour Associate Provider

New Program for 2015

Announcing the ADED Contact Hour Associate (ADED-CHAP) program! Pro-viders of educational programs related directly to the field of driver rehabilita-tion may apply for ADED-CHAP status. ADED-CHAP designation will be in ef-fect for a period of 3 years and any pro-gram offered under that status is automati-cally approved for ADED contact hours. A special section of the ADED website will list ADED-CHAP providers and any course or events that they may be offer-ing. CDRS’s attending any ADED-CHAP programs will be able to use those hours towards renewal without having to apply for contact hour approval. Win-win!Important notice for CDRS holders: This new policy replaces the “automatically ap-proved” policy, therefore all non-ADED sponsored or approved continuing educa-tion has to go through certification com-mittee review process. CDRS’s may apply as an attendee for CE credit or the hosting organization may apply for single course credit or to become a CHAP provider.

ADED CONTACT HOUR ASSOCIATE PROVIDER

P R O V I D ER

CHAP•

CD

RS™

–APPROVED •

Jan - Dec 14

Ordinary Income/ExpenseIncome

Advertising 53,474.00Certification 28,566.84Chapter Meetings 1,515.00Conference 260,434.30Contributions/Donations 15,271.28Education 50,472.12Membership Dues 121,801.05

Total Income 531,534.59

Gross Profit 531,534.59

ExpenseADED Educational Courses 24,562.91Annual Conference 144,659.13Awards & Appreciation 3,070.73Certification Expense 23,203.93Chapters 2,637.71Consultants 10,403.02Depreciation 1,259.00Health Insurance Stipend 6,000.00Marketing 33,750.28Operating 41,015.75Publications 28,621.25Scholarships 28,920.59Taxes 7,328.79Travel and Meetings 43,172.71Uncategorized Expenses 0.00Wages 95,801.00

Total Expense 494,406.80

Net Ordinary Income 37,127.79

Other Income/Expense 120.09

Net Income 37,247.88

4:22 PM ADED, Inc.05/22/15 Profit & LossCash Basis January through December 2014

Page 1


™

CHANGE IS...SAFER.SIMPLE.

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WC19 Wheelchairs

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NOT JUST INTELLIGENT...See ALL of the amazing features and bene�ts at:

QSTRAINT.COM/QLK-150

INTELLIGENT.Technology is changing how we live. And the world’s most advanced docking system, the QLK-150, is changing how wheelchair users drive their vehicles.

More advanced features than any

other product on the market:

SMART Microprocessor (ECM), Over-Torque Protection, Removable Cover, Low Current Draw, Heat Treatment, Eco-Friendly Steel Coating, even a Sleep Function...just to name a few.

In addition, the QLK-150 is the �rst and only system tested to higher WC-19 wheelchair loads; and also the only system tested Forward, Rearward and Sideways.


July 31-August 1, 2015 | ADED 2-day CoursesAugust 1, 2015 | ADED pre-conference Workshops

August 2-4, 2015 | ADED Annual Conference & ExhibitsHyatt regency louisville Ky

Kentucky international Convention CenterEarly bird registration deadline | July 8, 2015

39th AnnuAl

ConferenCe & exhibitsAuGust 2015

Toll free: 866-672-9466 | Website: www.aded.net | E-mail: [email protected]


“We appreciate the ease to get our daughter in and out using the Valet Plus versus the heavy lifting and twisting we went through with other vehicles.” — Matt R. Ontario

PediatricsVALET® PLUS

Find out more:[email protected]

Transport infants and young children in car seats safely and easily with the Valet Plus optional LATCH kit.

• Valet Plus LATCH kit is FMVSS 255 compliant when not exceeding weight limits*

• Forward or rear facing car seats; first or second row

• Valet Plus LATCH kit safely secures the child seat while the Valet Plus rotates in and out of the vehicle.

*The Bruno LATCH system is rated up to 80 lbs. If the weight of child and car seat is greater than 80 lbs, the vehicle’s seat belt must be used.

b r u n o . c o m


NNEW

VEIGEL DETROIT Left Hand Control

Detroit Push-Right Angle Detroit Push-Pulla.com

Available in Push-Rock, Push-Pull & Push-Right Angle configurations

Lock-out device for both gas and brake - making the hand control inoperable

Adjustable brake and gas settings allow for custom configuration for specific drivers and vehicles

Stylish plastic trim cover

www.veigel-na.com [email protected] (800) 488-7688

Technology Designed to Help

Detroit Push-Rock

Solutions for best-Selling vehicles 2014


Accessing the ForumsTo access the ADED Forums please SIGN IN to your ADED account. You will need your ADED username and password. If you have ever been an ADED member your profile is already established. The website is new but your user name and password are the same.If you have forgotten your username and password please click Forgot your password? and simply follow the instruc-tions to reset your password. Or feel free to call the ADED office at 866-972-9466.

Forum LocationFrom the ADED home page locate the Member Services pull down bar and select FORUMS.The forum page will appear highlighted with a light blue bar. Click here to navigate to the forums.

Accessing the ForumsThe forum page will appear with the categories highlighted in a blue bar with the forums underneath. The organization follows this format:CATEGORY>FORUMS>TOPICSSelect a topic by clicking on the forum name.

Subscribing to a ForumYou don’t even have to log in to the website to see what people are saying. Within a forum you can subscribe and re-ceive notices when people post. Under FORUM ACTIONS select the green arrow for “Subscribe to Instant Updates”, or to get a weekly summary of what’s been going on in the forums select “Digest”.To review or change the forums and thread you are follow-ing you can select the “My Subscriptions and Settings” Tab.

PostingTo post within an existing thread you have two options. First, the “Quick Reply” box allows you to simply type and enter text. Second, by selecting “Reply Using Full Editor” you can enter text, as well as control fonts, links, images and upload documents.

ADED Member Services–mEmbEr ForumMost members are not using a great benefit, the ADED Forums area of the website, this was formerly known as the bulletin board on the old site. This is a powerful way for members to communicate and share information with each other. ADED Forums are a threaded discussion board that makes it easy for members to ask questions, share information, and connect with other members. Only current, signed in members will have access to the ADED Forums.

The ADED Forums has been designed with categories to keep discussions contained and organized. Within individual fo-rums, you can start a discussion, comment on an existing discussion, answer a question, or post a video or link to something interesting. You can subscribe to instant updates (you will get an email if someone posts in the forum) or get a weekly digest of the news in your forum subscriptions.


COFFEE - OUR FORUM SANDBOx

Forum Index » Coffee - Our Fourm Sandbox

Caffeine 8 R. Dant Don’t forget about Monster!

by J. Anschutz, Shepherd Center

Tuesday, June 10, 2014

Tea 0 R. Dant Test 2

by R. Dant

Tuesday, May 27, 2014

Decaffeinated 1 R. Dant The more caffeine the better!

by C. Allison, Jr., Shepherd Center

Tuesday, May 27, 2014

Crescent Industries has been manufacturing reliable vehicle control products for many years from complete systems to an individual relay pack to help with the small jobs.

At Crescent, we never lose sight of our mission . . . to help others.

We believe in handing a person the key to unlock the door of dependency and to enter the world of independence.

We have a Can Do attitude!

Crescent Industries 191 Washington Street | Auburn, ME 04210

207-777-3500 | fax [email protected]

State-of-the-Art Adaptive vehicle Control products

VoiceScan—Activate a switch and a voice announces your functions such as wipers, horn, lights, etc. When you hear the desired function, activate again to select.

Command 16—A 16 switch lighted Electronic Console to control the secondary functions of your vehicle such as lights, ignition, windows, heater fan, wipers, and other accessory controls.

Remote Controls—Remote controls for all wheelchair lifts including Ricon, Crow River, Braun, Mobil-Tech, I,M,S, and others. They can be purchased with magnetic entry and dash controls

Magnetic Entries—available for all lifts.

ADED Member Services–mEmbEr Forum

Moderator(s): Robert Dant, Elizabeth Green

Page 1 of 1

Forum Actions Subscribe to Instant UpdatesSubscribe to DigestMy Subscriptions &

SettingsRSSTop PostersNew Topic

PracticingWe have a forum sandbox titled “Coffee” for you to play in and get the feel for the functionality.


We are seeking individuals

interested in being part of

the ADED leadership:

President–Elect

Treasurer

Board Member at Large

Mobility Equipment Dealer

Representative

With exception of President-Elect, all positions are a 2 year

term. President-Elect term runs 3 years through the Pres-

ident-Elect, President and Past President terms.

Service on the board of

directors earns you contact hours toward CDRS renewal.

Your service on the ADED board of directors is a worthy and worthwhile service to our

community.

For more information contact: Larry Bowen, Board Development Chair E-mail: [email protected] Position descriptions and consent to run forms are available online: www.aded.net

It is time to get ready for the ADED board elections. Have you thought about running for the ADED board, but didn’t know what was involved or what qualifications are needed?

For more information contact: Larry Bowen, Board Development Chair E-mail: [email protected]

ADED Board


12

ADED MENTOR PROGRAM

Purpose: To establish a network that will provide an opportunity for experienced members to meet newer members (1st or 2nd time conference attendees) with a goal of welcoming, mentoring, and integrating them into the association. It is expected that with mentoring, new members would have a positive first experience with ADED, therefore increasing the likelihood of greater participation and longevity. Additionally, the more experienced members would continue to develop their skills as they interact with those with less experience. Benefit: The most immediate benefit would be establishing a sense of belonging. Longer term benefits would include building an informal network within the organization that would include members from the various professional backgrounds, increasing membership longevity, and offering a way for more experienced members to “give back” to ADED. Process: The mentor will be a member from the field of driver rehabilitation. Certification as a driver rehabilitation specialist (CDRS) is not a requirement. Every effort will be made to help the new member establish contact with a Mobility Equipment Dealer in their geographical area. Responsibilities: The purpose of the Mentoring Program is not to require an intense, long term teaching/training period, but rather to be a resource person while the new attendee becomes familiar with ADED as an organization. Enjoy these benefits of the Mentor Program:

Mentors and new attendees will be introduced on-line prior to arriving at the ADED conference. Mentors can offer the new attendee guidance with workshop and seminar selection. At conference, mentors may offer to accompany new attendees to the Opening General Session, New Attendee Orientation and escort them through the Exhibit Hall. The mentors may offer to maintain contact with the new attendee throughout the year following conference. Mentors can help the new attendees grow their professional network by introductions and referrals to other professionals in the industry. Mentors can earn up to 3 contact hours towards CDRS renewal.

ADED MENTOR PROGRAM REGISTRATION

Choose One: ____New Member: I am a: ___ 1st time ___ 2nd time ADED Conference attendee and would like to have a mentor at conference. ____Mentor: I would like to a mentor a new attendee at conference.

Name: _________________________________________ Phone: ___________________ Company: _______________________________________ Fax: ___________________ Address: _______________________________________ _______________________________________ E-mail:

I plan to attend the following : (check all that apply)

___ 2-day ADED Education Course (Fri & Sat) ___ Full-day Workshop (Sat) ___ ADED Conference (Sun – Tues)

My background is in:

___ Driver Educator ___ Healthcare Professional ___ Mobility Equipment ___ Other (specify) ________________

Sign up now!

Fax or e-mail registration:

828-855-1672

[email protected]

New Attendee Orientation

Sunday August 2


ADED Committees 2015 Sub-committee

Sub-committee

Exe

cuti

ve C

omm

itte

e B

oard

Lia

ison

: P

resi

dent

Executive Committee CHAIRS: Lisa Clubb

[email protected] Vacant

Leah Belle [email protected]

Education

CHAIR: Leah Belle [email protected]

1st Term: 2014-2015

MEMBERS: Mary Beth Meyer Susanne Adamson

Sue Fassett Kim White

Janet Berthiaume

Certification Co-CHAIR: Lisa Clubb (AH/TS)

[email protected] 1st Term: 2014-2015

Co-CHAIR: Natalie Goldman (AH) [email protected]

1st Term: 2015-2016

MEMBERS: Melinda Smithwick (AH)

Sandra Wataoka ( AH/TS) Rosamond Gianutsos (AH) Ann Forest-Clark (AH/TS)

Donald Sampson (TS) Laura Juel (AH)

Position open

Qua

lity

Com

mit

tee

Boa

rd L

iais

on:

Pre

side

nt E

lect

Quality Committee CHAIRS: Carrie Monagle

[email protected] Larry Bowen [email protected]

Board Development

CHAIR: Larry Bowen [email protected] 2nd term: 2014-2015

MEMBERS:

Anne Hegberg Jurgen Babirad Craig Rogers Lori Benner

Mary Schwartz

Professional Development

CHAIR: Carrie Monagle [email protected]

1st Term: 2014-2015

MEMBERS: Jennifer Biro Jesse Hunter

Marc Samuels Alyssa Merilees

Leah Belle (liaison)

Fin

ance

Com

mit

tee

Boa

rd L

iais

on:

Tre

asur

er

Finance Committee CHAIR: Peggy Gannon

[email protected] 1st term: 2014-2015

MEMBERS: Liz Green

Jerry August Eva Richardville

Scholarship CHAIRS: Jill Sclease

[email protected] 1st term: 2015-2016

MEMBERS: Nathalie Drouin Janice Girouard

Melissa Key Jerry Kenny

AD-HOC Committees 1. Research-Reports to ProfDev

CHAIR: Beth Rolland [email protected]

2. Grants-Reports to Finance CHAIR: Beth Rolland

[email protected]

AD-HOC Committees Reports to President

3. Driver Program Toolkit

CHAIR: James Morrison [email protected]

4. Code of Ethics Review CHAIR: Gina Lewis

[email protected] 5. Logo/Branding Review

CHAIR: Liz Green [email protected]

Mar

keti

ng C

omm

itte

e B

oard

Lia

ison

: P

ast P

resi

dent

Marketing Committee

CHAIR: Liz Green [email protected]

2nd term: 2015-2016

MEMBERS: Guy Hanford Staci Frazier

Jason Strowmatt Gina Lewis

Publications

CHAIR: Staci Frazier [email protected]

1st term: 2015-2016

MEMBERS: Matt Meltzer

Constance Truesdail Amy Lane

Susie Touchinsky Ashley Crook


2015 ADED MEMBERSHIP APPLICATION Membership period runs January 1 – December 31, 2015

Please provide contact information as you want it to appear on the website directory:

Name: Credentials: Company: Telephone Number: Mailing Address: Fax Number E-Mail Address: Website Address: � Directory Opt out: please DO NOT post my information on the www.aded.net membership directory � Mailing Address change: I would like my ADED mail to go to this address:

Please indicate your membership level below:

Membership Dues:

Indi

vidu

al

Mem

ber Individual members shall include all persons involved in provision, implementation,

or administration directly related to the provision of driver rehabilitation. ❏Individual RENEWING Member: Rate=$135

❏Individual NEW Member: Rate=$150

Individual

$

Faci

lity

Mem

ber A facility member shall be an individual member employed by a business or agency

involved in provision, implementation, or administration directly related to the provision of driver rehabilitation. ❏New membership ❏ Renewing membership

❏Facility Member-LEVEL 1* (1-3 Individuals): Rate=$270 ❏Facility Member-LEVEL 2* (4-6 Individuals): Rate=$660

❏Facility Member-LEVEL 3* (7-10 Individuals): Rate=$1080 *PLEASE PROVIDE LIST OF FACILITY MEMBERS INCLUDING CONTACT INFO

Facility*

$

Mob

ility

Eq

uipm

ent

Dea

ler

Mobility equipment dealer members shall include businesses involved in providing installation, services, and/or retail sale of equipment, vehicles, or rental vehicles for individuals with disabilities.

❏New membership ❏ Renewing membership Rate=$175

Mob. Equip. Dealer

$

Cor

pora

te

Mem

ber Corporate members shall include businesses solely involved in manufacturing and

distributing products used by driver rehabilitation specialists or individuals with disabilities.


Corporate

$

Ass

ocia

te

Mem

ber Associate members include students, educators, researchers or other stakeholders

with an interest in the mission of the Association who are interested in gaining more knowledge about the field but do not provide driver rehabilitation services. Associate members shall not have voting rights, nor are they eligible to serve as an officer.


Associate

$

PLEASE RETURN THIS APPLICATION WITH PAYMENT IN US CURRENCY FOR PROPER PROCESSING. REMIT TO: 200 First Ave NW Suite 505 Hickory N.C. 28601

For credit card payments: complete the following information and fax to 828-855-1672 or mail to address above. ❏VISA Account #: ❏AMERICAN EXPRESS Expiration Date: month: /year: ❏MASTERCARD ❏DISCOVER Card Holder’s Name: Zip Code of Billing Address: Card Holder’s Signature:


Jenny Nordine OTR/L, CDRS

PRESIDENT

480-449-3331

[email protected]

Amy Lane OTR/L, CDRS

PAST PRESIDENT

412-864-3068

[email protected]

Dan Allison MS, OTR/L, ATP, CDRS

MEMBER AT LARGE

404-350-7763

[email protected]

Dana Benoit MSc., OT, CDRS

PRESIDENT ELECT

514-487-1891 x377

[email protected] [email protected]

Eric Mansfield

MOBILITY EQUIPMENT DEALER

330-633-1118

[email protected]

Peggy Gannon CTRS, CDRS

TREASURER

904-858-7242 [email protected]

Gina Lewis

CORPORATE

418-889-0419

[email protected]

Beth Gibson OTR, CDRS

SECRETARY

770-514-9954

[email protected]

Elizabeth Green OTR/L, CDRS, CAE

EXECUTIVE DIRECTOR

Toll free: 866-672-9466 direct line: 828-855-1623 cell phone: 828-302-2119

[email protected]

Mary Beth Meyer OTR, CDRS, CDI

MEMBER AT LARGE

845-229-2626

[email protected]

2015 ADED BOARD OF DIRECTORS


Left Foot Accelerator

Flip-Up & Quick Release

Pedal Extensions

The Carospeed Menox Hand Control is specifically designed to give physically limited drivers the benefit of control and ease when driving a vehicle. Driving be-

comes an easy and enjoyable experience with Carospeed Menox.

Common reasons for choosing Autoadapt Menox Hand Controls

-Floor mounted push pull with more adjustability.

- "brake latch" enables use of right hand. - aesthetically designed to match vehicle style.

-not an obstruction when moving in and out of vehicle.

- transferable into future vehicle. -multi-function option for secondary controls

Steering Devices

Carospeed Menox Hand Controls www.autoadapt.com

Distributed in the USA and Canada by Driving Systems Inc.

Pedal Guard

Scott System Driving Controls Secondary Controls

The CP05 Palm Control steering knob is equipped with 3 rocker switches to provide six switches in total. Each

switch is designed and programmed to operate specific secondary controls. The switches provide primary and residual operations. The primary

operation is achieved by a smooth touch of the button. The residual

operation is achieved by holding the button ON for about one second.

dSi provides the technology

necessary for disabled drivers to experience independence.

The Scott Driving System has been devel-

oped over the last 40 years and is a complete system

which permits the physically challenged to safely perform all driving tasks without assistance,

including entering and leaving the vehicle. The system provides for safe extended mobility for the driver who must remain in his

or her wheelchair while driving The system has been successful in a

variety of disabilities. Patients with post polio, multiple sclerosis,

muscular dystrophy, spinal muscular atrophy and spinal cord

injury up to C4/C5 are successfully driving on a daily

basis.

- Reliability

- Low Maintenance -Long Service Life

- OEM Steering Option

driving systems incorporated 16139 Runnymede Street Van Nuys CA 91406 U.S.A. Tel: 818.782.6793 Fax: 818.782.6485 www.drivingsystems.com [email protected]


Update your* hand controls . . .

. . . your students will love it!

... and you will too!* special offer for ADED members - please call us for more info

KEMPF is a NMEDA member.

DARIOS is VA accepted.No maintenance required. Lifetime warranty.KEMPF features nationwide free at-home pick-up, delivery and at-home next day free service should the need arise.www.kempf-usa.com 1-888-4-KEMPF-US (453-6738)

Digital Accelerator Ring optimized for speed


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VOL. 39 NO. 3 | Summer 2015 EDITION€¦ · ing the number of CDRS’s available. This year we are...

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