Canadian Psychiatrists' Current Attitudes, Practices, and Knowledge regarding Fitness to Drive in Individuals with Mental Illness: A Cross-Canada Survey

Author:

Ménard Ingrid1,Korner-Bitensky Nicol2,Dobbs Bonnie3,Casacalenda Nicola4,Beck Philip R5,Gélinas Isabelle2,Molnar Frank J6,Naglie Gary7

Affiliation:

1. Graduate Student, School of Physical and Occupational Therapy, Faculty of Medicine, McGill University, Montreal, Quebec

2. Associate Professor, School of Physical and Occupational Therapy, Centre de recherche interdisciplinaire en réadaptation du Montréal métropolitain, Faculty of Medicine, McGill University, Montreal, Quebec

3. Associate Director, Rehabilitation Research Centre, University of Alberta, Edmonton, Alberta; Associate Professor, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Alberta; Adjunct Associate Academic Professor, Department of Family Medicine, University of Alberta, Edmontaon, Alberta; Adjunct Professor, Department of Psychology, University of Alberta, Edmonton, Alberta

4. Assistant Professor, Department of Psychiatry, McGill University, Montreal, Quebec; Director of Education and Staff Psychiatrist, Institute of Community and Family Psychiatry, Department of Psychiatry, Jewish General Hospital, Montreal, Quebec

5. Senior Psychiatrist, Institute of Community and Family Psychiatry, Department of Psychiatry, Jewish General Hospital, Montreal, Quebec

6. Scientist, Elisabeth-Bruyere Research Intitute, Ottawa, Ontario; Assistant Professor of Medicine, University of Ottawa, Ottawa, Ontario

7. Associate Professor, Departments of Medicine and Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario; Senior Scientist and Geriatric Medicine Consultant, University Health Network and Toronto Rehabilitation Institute, Toronto, Ontario

Abstract

Objectives: To assess current attitudes, practices, and knowledge of Canadian psychiatrists regarding fitness to drive in individuals with mental illness and to explore variations according to provincial legislation. Method: We carried out a national cross-sectional survey, using a random sample of psychiatrists. We used a mail survey to collect data. Results: In total, 248 psychiatrists participated; the response rate was 54.2% on traced subjects. The majority (64.1%) reported that they strongly agreed or agreed that addressing patients' fitness to drive is an important issue. However, only 18.0% of respondents were always aware of whether their patients were active drivers. One-fourth strongly agreed or agreed that they were confident in their ability to evaluate fitness to drive. In discretionary provinces, 29.3% of psychiatrists reported not knowing their provincial legislation, as did 14.6% of psychiatrists in mandatory provinces; of those responding, 54.0% from discretionary provinces and 2.8% from mandatory provinces gave incorrect answers. Discussion: Psychiatrists' responses demonstrate a broad range of attitudes, practices, and knowledge. There appears to be a large gap between what is expected of psychiatrists and their readiness and self-perceived ability to make informed clinical decisions related to driving safety. Conclusion: There is a clear need for education and guidelines to assist psychiatrists in decision making about driving fitness.

Publisher

SAGE Publications

Subject

Psychiatry and Mental health

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