Fitness to Drive

Question 1

What do you need to assess when a patient with a mental health condition wants to drive?

Answer 1

MIMCAS

Mental state
Insight (how condition could affect driving)
Medications and side effects
Compliance
Accidents
Substance use

Question 2

What should you discuss with a patient who is not fit to drive?

Answer 2

Communicate this clearly
Timeframe and reassessment
Explain your duty to balance their safety and wellbeing with the safety and wellbeing of the public
Advise self-reporting to RMS
If refusing, advise you have a professional obligation to report, but you hope it can be with their consent