Certification · PT · OT

Certified Driver Rehabilitation Specialist

PTOT27 citations · 3 lenses

CDRS certification. Driving evaluation and adaptive equipment prescription. Functional independence outcome (return to driving) is meaningful for patient autonomy.

Score anatomy · every lens
Cash-pay viability ×25
75/100

Driving evaluations and adaptive driving training are largely cash-pay or paid by vocational rehab, with families willingly paying.

Pricing leverage ×20
70/100

Evaluations commonly run $400-$800 and on-road training $150+/hr with little fee pressure.

Market differentiation ×15
90/100

Very few CDRS-certified clinicians per state; among the most differentiated rehab niches.

Owner leverage ×15
55/100

Adaptive driving programs scale modestly by adding instructors and adapted vehicles, though vehicle capital is heavy.

Consumer demand ×15
55/100

Older adults, TBI/stroke survivors, and disabled teens generate steady demand, but volume per market is limited.

Credential investment ×10
20/100

Requires adapted vehicles, on-road training, and ADED credentialing; capital and time intensive.

Sources · 27 on file
  1. 01
    HELPING AUTISTIC YOUTH GET BEHIND THE WHEEL: WHAT OCCUPATIONAL THERAPISTS NEED TO KNOW
    S. Askari; E. Ghafari · Occupational Therapy Now · 2025
    Otherdoi:10.63192/otnow.1921167
    DOI ↗
  2. 02
    Lifespace and occupational participation following acquired brain injury during driving disruption: a mixed methods study
    L. Bassingthwaighte; L. Gustafsson; M. Molineux · Disability & Rehabilitation · 2025
    Otherdoi:10.1080/09638288.2024.2338192
    DOI ↗
  3. 03
    Automated Vehicles: Future Initiatives for Occupational Therapy Practitioners and Driver Rehabilitation Specialists
    S. Classen; I. Gelinas; P. Barco; B. Gibson; E. Haffner; M. Jeghers; I. Wandenkolk; H. Devos · OTJR: Occupational Therapy Journal of Research · 2024
    Otherdoi:10.1177/15394492241229993
    DOI ↗
  4. 04
    The use of driver screening tools to predict self-reported crashes and incidents in older drivers
    T. Attuquayefio; M. H. Huque; K. M. Kiely; R. Eramudugolla; A. A. Black; J. M. Wood; K. J. Anstey · Accid Anal Prev · 2023
    Otherdoi:10.1016/j.aap.2023.107193
    DOI ↗
  5. 05
    Effect of driving training on car crashes and driving skills in older people: A systematic review and meta-analysis
    H. Ishii; Y. Okubo; T. Doi; K. Tsutsumimoto; S. Nakakubo; S. Kurita; K. Uemura; S. Misu; R. Sawa; Y. Hashiguchi; H. Shimada; H. Arai · Geriatr Gerontol Int · 2023
    Meta-analysisdoi:10.1111/ggi.14702
    DOI ↗
  6. 06
    Crash Risk Predictors in Older Drivers: A Cross-Sectional Study Based on a Driving Simulator and Machine Learning Algorithms
    V. C. Silva; A. S. Dias; J. M. D. Greve; C. L. Davis; A. L. S. Soares; G. C. Brech; S. Ayama; W. Jacob-Filho; A. L. Busse; M. E. M. de Biase; A. C. Canonica; A. C. Alonso · Int J Environ Res Public Health · 2023
    Cross-sectionaldoi:10.3390/ijerph20054212
    DOI ↗
  7. 07
    Professional reasoning of occupational therapy driver rehabilitation interventions
    A. Berndt; C. Hutchinson; D. Tepper; S. George · Aust Occup Ther J · 2022
    Otherdoi:10.1111/1440-1630.12804
    DOI ↗
  8. 08
    Self-Reported Driving Difficulty, Avoidance, and Negative Emotion With On-Road Driving Performance in Older Adults With Glaucoma
    S. L. Sabapathypillai; M. S. Perlmutter; P. Barco; B. Wilson; M. Gordon; D. Carr; A. M. Bhorade · Am J Ophthalmol · 2022
    Otherdoi:10.1016/j.ajo.2022.04.011
    DOI ↗
  9. 09
    Visual functions associated with on-road performance by older drivers evaluated by a certified driving rehabilitation specialist
    T. A. Swain; G. McGwin, Jr.; C. Owsley · Ophthalmic Physiol Opt · 2022
    Otherdoi:10.1111/opo.12985
    DOI ↗
  10. 10
    Survey of Occupational Therapy Driver Assessors' Rehabilitation Interventions With Older Drivers
    C. A. Unsworth; A. Baker; D. Morton-Kehle; S. Darzins · OTJR (Thorofare N J) · 2022
    Cross-sectionaldoi:10.1177/15394492211050634
    DOI ↗
  11. 11
    Driver Rehabilitation Utilization and Need Among Community-Dwelling Older Adults
    E. Marfeo; M. Grinnell; A. Coffey; N. Ward · Am J Occup Ther · 2021
    Otherdoi:10.5014/ajot.2020.040501
    DOI ↗
  12. 12
    Behind the Wheel: Specialized Driving Instructors' Experiences and Strategies for Teaching Autistic Adolescents to Drive
    R. K. Myers; M. E. Carey; J. M. Bonsu; B. E. Yerys; C. J. Mollen; A. E. Curry · American Journal of Occupational Therapy · 2021
    Otherdoi:10.5014/ajot.2021.043406
    DOI ↗
  13. 13
    Driving specialist's ratings of on‐road performance and naturalistic driving crashes and near‐crashes
    T. A. Swain; G. McGwin; J. F. Antin; C. Owsley · Journal of the American Geriatrics Society · 2021
    Otherdoi:10.1111/jgs.17359
    DOI ↗
  14. 14
    Visual and Cognitive Impairments Differentially Affect Speed Limit Compliance in Older Drivers
    S. Wang; A. Sharma; J. Dawson; M. Rizzo; J. Merickel · J Am Geriatr Soc · 2021
    Otherdoi:10.1111/jgs.17008
    DOI ↗
  15. 15
    Validity and Reliability of the Traffic Sign Naming Test (TSNT) and Written Exam for Driving Decisions (WEDD) as Measures of Fitness to Drive Among Older Adults
    P. P. Barco; M. Wallendorf; K. Rutkoski; K. Dolan; D. Rakus; A. Johnson; D. B. Carr · American Journal of Occupational Therapy · 2020
    Otherdoi:10.5014/ajot.2020.034389
    DOI ↗
  16. 16
    Visual Field Impairment and Driver Fitness: A1-Year Review of Crashes and Traffic Violations
    L. Kristalovich; W. Ben Mortenson · American Journal of Occupational Therapy · 2019
    Otherdoi:10.5014/ajot.2019.030973
    DOI ↗
  17. 17
    Navigating issues specific to medical risk and driving: Embracing the complexity
    R. Sangrar; B. Vrkljan · Occupational Therapy Now · 2019
    OtherPMID 135497607
    DOI ↗
  18. 18
    Post-concussion driving management among athletic trainers
    J. D. Schmidt; L. B. Lempke; H. Devos; R. C. Lynall · Brain Injury · 2019
    Otherdoi:10.1080/02699052.2019.1664765
    DOI ↗
  19. 19
    The process of determining driving safety in people with dementia: A review of the literature and guidelines from 5 English speaking countries
    L. Walsh; E. Chacko; G. Cheung · Australasian Psychiatry · 2019
    Otherdoi:10.1177/1039856219848828
    DOI ↗
  20. 20
    The Alabama VIP older driver study rationale and design: examining the relationship between vision impairment and driving using naturalistic driving techniques
    C. Owsley; G. McGwin; J. F. Antin; J. M. Wood; J. Elgin; G. McGwin, Jr. · BMC Ophthalmology · 2018
    Otherdoi:10.1186/s12886-018-0686-5
    DOI ↗
  21. 21
    Effects of Driving Skill Training on Safe Driving in Older Adults with Mild Cognitive Impairment
    H. Shimada; R. Hotta; H. Makizako; T. Doi; K. Tsutsumimoto; S. Nakakubo; K. Makino · Gerontology · 2018
    Otherdoi:10.1159/000487759
    DOI ↗
  22. 22
    Driving Intervention for Returning Combat Veterans: Interim Analysis of a Randomized Controlled Trial
    S. Classen; S. Winter; M. Monahan; A. Yarney; A. L. Lutz; K. Platek; C. Levy · OTJR: Occupation, Participation & Health · 2017
    RCTdoi:10.1177/1539449216675582
    DOI ↗
  23. 23
    Development of a driving readiness program for adolescents and young adults with cerebral palsy and spina bifida
    M.-E. Lafrance; D. Benoit; N. Dahan-Oliel; I. Gélinas · British Journal of Occupational Therapy · 2017
    Otherdoi:10.1177/0308022616672480
    DOI ↗
  24. 24
    Developing a Canadian-Specific Version of the Fitness-to-Drive Screening Measure<sup>©</sup>
    S. Classen; L. Alvarez; P. J. M. Ferreira; C. H. Chen; C. K. Meyer; A. G. Nywening · OTJR: Occupation, Participation & Health · 2016
    Otherdoi:10.1177/1539449216650462
    DOI ↗
  25. 25
    Interrater reliability of Western University’s on-road assessment
    S. Classen; S. Krasniuk; M. Knott; L. Alvarez; M. Monahan; S. Morrow; T. Danter · Canadian Journal of Occupational Therapy · 2016
    Otherdoi:10.1177/0008417416663228
    DOI ↗
  26. 26
    Characteristics of on-road driving by persons with central vision loss: Learning to drive with a bioptic telescope
    J. M. Wood; J. Elgin; G. McGwin; C. Owsley · Assistive Technology · 2016
    Otherdoi:10.1080/10400435.2015.1088594
    DOI ↗
  27. 27
    Certified Driver Rehabilitation Specialists' Preferred Situations for Driving Simulator Scenarios
    H. K. Yuen; J. O. Brooks; A. Azuero; J. K. Burik · American Journal of Occupational Therapy · 2012
    Otherdoi:10.5014/ajot.2012.001594
    DOI ↗
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