Specialized Programs & Services

Madonna is one of the only rehabilitation providers in the region that has on-site driver rehabilitation services, provided by certified driver rehabilitation specialists. Having this service on-site means that discussions regarding driving can be truly integrated into interdisciplinary treatment planning, patients and families have easy, timely access to information about driving, and the entire team is tuned into those things that are necessary prior to having a driver evaluation. Driver Rehabilitation Services at Madonna include several different pieces, described below.

Abilities Assessment: To determine if driving is an option following an injury or illness, Madonna's Occupational Therapists who are specially trained and certified in driver rehabilitation complete an assessment that includes the following basic skills:

• Reaction time
  
• Visual accommodation (day and night vision)
  
• Visual and perception skills
  
• Hand, arm and leg sensation, movement and control
  
• Ability to get in and out of a vehicle
  
• Problem-solving and judgment skills
  
• Basic driving knowledge
  

Driver Evaluation: Based on abilities and limitations, an on-road driving evaluation may be recommended. Using Madonna's training car, which is equipped with hand and foot controls, patients are evaluated on:

• Applications of basic driving skills and knowledge
  
• Ability to maneuver a vehicle safely
  
• Need for any adaptive equipment
  

Vehicle Modification and Adaptive Equipment: There are many products available to assist people with various limitations with access and driving. Madonna's Driving Instructors work with local venders to ensure proper modification of each individual's personal vehicle. Driver retraining also involves selecting, installing and training individuals in the use of appropriate adaptive equipment such as hand controls, spinner knobs, or special mirrors.

Training: Driver training takes place either in Madonna's vehicle or in the patient's vehicle, and can occur in Lincoln or the surrounding area. Specific routes, such as how to get to work or school, or practice in rural versus urban environments are selected depending upon the specific needs and abilities of each individual. Other areas of training may include:

• Relearning basic skills (as noted under Assessment)
  
• Reviewing defensive driving techniques and strategies
  
• Learning to use and care for specialized equipment
  
• Increasing reaction times
  

Certification: Madonna's Driver Rehabilitation Service is licensed by the State of Nebraska. Instructors are Occupational Therapists who have completed specialized training in driver education for persons with disabilities, and hold national certification as a Driver Rehabilitation Specialist. For more information about this certification, visit www.aded.net