- He wheels into the van.
(laughing)
We get the chair around, the driver's seat chair around
and he just reaches underneath the wheelchair,
pulls out his catheter bag and throws it onto my seat.
(laughing)
I was like, oh, I really hope that doesn't break.
(laughing)
I really hope that doesn't break.
(upbeat music)
It's important that we talk about drivers with disabilities
or people that have disabilities
who are learning how to drive with hand controls
and those types of things.
And I did a lot of that while I was working
at Parkwood Hospital in London, Ontario,
while I was finishing up my undergraduate degree.
I also did some CDL work, (indistinct) drivers,
truck drivers and bus drivers.
So we only worked with paraplegics.
They had full control of their upper extremities.
And the van, they could wheel into the van
and then transfer because the seat,
the driver's seat turned 90 degrees.
They could transfer into the driver's seat,
and then drive the van with hand controls.
Hand controls are really easy to drive.
I mean, the car was incredibly easy to drive.
It was simply a handle on this side,
that controlled the throttle and the brake.
And you just pulled back on the lever to throttle up.
It was an automatic car.
And then to apply the brake,
you just pushed the whole assembly forward,
which, you know, as you're breaking
the vehicle is slowing down,
it's causing you to move forward anyway.
So it assist with the breaking,
and makes it fairly simple.
Both the car and the van also had a spinner knob
because obviously they're only driving with one hand,
people with disabilities.
Most people who are paraplegics
did have difficulty for the first one or two,
maybe even three lessons.
For people who are driving vehicles with hand controls,
and most of these people had driven before.
So we were simply retraining them to drive
with hand controls.
And the biggest thing was to teach them fine motor control,
which they had learned with their legs previously
when they were driving a car.
Now we're teaching them fine motor control
to operate the throttle and the brake with their hands.
So that was a fairly big transition.
Carrie, have you ever worked with anyone
with high functioning autism or Asperger's syndrome,
to help them with driving skills?
I have worked with people,
learning disabilities and those types of things,
for those types of people Carrie,
there's a lot of focus on the fundamentals.
I taught my sister in law for example,
to drive, and she had a learning disability.
She had a lot of trouble with it.
And with her, it was not very much driving on the road.
I had to focus a lot on slow speed maneuvers,
backing down an alley,
going to the parking lot, forward figure eights,
reverse figure eights, slow speed maneuvers,
backing into parking spaces.
And we spent a lot of time doing that.
More than most people would, probably three times as much.
And people who have those kinds of high functioning autism
and Asperger's syndrome, and those types of challenges,
that's what you have to do with them
in order to be able to get them to drive safely.
Because they have to have a very high level of understanding
where their vehicle is in space and place.
And they have to have a very high level
of controlling the primary controls.
But people who are in wheelchairs
have a lot of upper body strength,
and they're very capable of getting themselves,
transitioning themselves into the vehicle
and then getting a hold of their wheelchair
and throwing it in the back seat.
There are some people who can do that.
For people who can't do that,
what they do is they have enough strength
to transition to themselves in the vehicle.
But what they do is they'll have,
they'll drive a pickup truck with a topper on it.
And the topper will be on a hydraulics
that will lift up to the side.
And then they'll have a little crane
in the back of the pickup truck that they can work remotely.
There was a woman I worked with on Vancouver Island,
and she was fully capable of transitioning herself
into the vehicle.
And then she would, what she would do
is she would take the wheels off her wheelchair,
and put each wheel in,
and then fold the body up of the wheelchair.
And she was able to get the body of the wheelchair.
I think she put it in the front seat.
Or as you said, they're in an electric wheelchair,
which are very heavy.
An electric wheelchair weighs out
somewhere between 500 and a thousand pounds.
They're incredibly heavy.
For those people, they'll just get a van
with a ramp on it and they'll just back right into the van,
and then they'll transition into the seat.
So that's the other way that they deal with
people with wheelchairs, electric wheelchairs
and those types of things.
There's many different modifications
for those types of people.
Tamara,
how do you teach people with intellectual disabilities?
Tamara, it's what I was talking about before,
about a lot of focus, and a lot of time and energy
with slow speed maneuvers.
Do you want to isolate the skills and abilities
that the person with the disability needs to learn?
Those fundamental skills have to be at a much higher level
before you take those drivers
and you put them out into traffic,
because that ability to know exactly where your vehicle is
in space and place,
and your ability to control the primary controls,
has to be at a much higher level for these people
because they have a cognitive disability.
So you have to spend much much more time and energy
on teaching people with disabilities
mastery of the primary controls,
and where the vehicle is in space and place.
Before you put them out into traffic.
For people with disabilities,
you have to understand that you have to have an incredibly
reliable vehicle in place because they can't break down
on the side of the road, right?
They can't get stuck in those types of things
because they can't handle emergency situations
in the same way that other people can.
We do have a video with Jen,
who had low vision and that's available here on the website.
And we worked with people with low vision as well,
or people who had one eye and were driving.
And people who have one eye,
don't have any depth perception.
People with brain injuries
who have experienced brain injuries.
And I worked with one gentlemen,
he had fallen 70 feet off a silo.
He fell 50 feet off one silo onto the roof of another silo,
and then he fell 20 feet to the ground.
He broke like 22 bones in his body.
He sustained a brain injury, lost like 15 of his teeth.
He was the better part of two years of recovering.
And I wouldn't wish a brain injury on my worst enemy
because first of all, you're just, you're never right again.
And there are days that it's just impossible
for you to even function because your brain
simply will not function.
And teaching people with brain injuries to drive again,
you would go two or three days with lessons in a row
to teach them how to drive.
And they would be absolutely fine.
Everything would be good for two or three days.
And then on the fourth day, they wouldn't be able to cope.
They couldn't even go to the toilet.
And I had one gentlemen, Brian,
we'd gone out for two or three lessons, everything was fine.
And then on the fourth day we went out
and we're not even out of the parking lot in the hospital
and he's driving towards like straight for a light stand,
And I just kind of took the wheel,
put the vehicle into neutral and I said to him,
I said, "Brian, what's going on??
He said, "Oh, I'm not havin' a good day"
I said, "Yeah, you should have called me and told me that."
I said, "Because you know,
"we're just going to turn around and go back."
So know that with people with brain injuries,
people who have intellectual disabilities,
those types of things,
if you're working with them and they're showing signs
that they're not able to take on information,
they're not able to do the work,
they're not able to control the vehicle.
You just need to take a break,
and you need to come back at it at another time,
you can't keep just pushing forward
as you do with most students, all right.
You know, so Sam came in, we had a lesson, went out,
he was an amputee, both legs above the knee,
and was in a wheelchair.
And so we went out in the van because
he was in a wheelchair, he had good upper body strength,
so he could get in and out of the van.
And got in the van, went out for a drive
and everything went well.
And had a couple of lessons, everything was going all right.
He had finally got funding to get his own van
with hand controls and whatnot.
And so one day, it was like the third lesson
and we're at the back of the hospital,
'cause that's where our office was,
for the driver rehabilitation center.
And I met him out in the parking lot,
he comes wheelin' across the parking lot
up onto the sidewalk.
And he looks up at me and he kind of points
back to his beaten up blue dilapidated van.
And he says to me,
"You know, I'm really glad I'm getting these,
"these hand controls."
I said, "Oh, oh yeah?"
He says, "Yeah."
He says,
"I've been drivin' that for two years with a broomstick."
(laughing)
Katie, have you ever worked with someone
who has severe hearing loss?
Yes.
I have worked with people with severe hearing loss,
and deaf people.
We've worked with deaf people, especially driving truck.
I would argue in my personal experience,
and my own experience
that people with hearing disabilities
are the most challenging to learn how to drive.
And I don't know why that is.
Most of my experience with drivers with hearing loss
has been with trucks.
And there's so much of learning how to drive
that is auditory.
People don't realize this.
We don't have a lot of focus on the auditory
component of learning how to drive.
And it's really important.
(chuckling)
There's a lot of sounds that are going on,
especially if you're learning how to drive manual,
just ask people who drive manual transmissions.
Katie, I find that driving is the same
as those who don't have hearing problems.
Awesome.
So that's really great that you're doing well.
Faron, hearing helps with the immersion
of surroundings I think.
Yes it does.
You know, there's a lot of things that are going on
that we can listen to when we're driving.
It doesn't mean that you can't drive without hearing.
So I think we'll leave that there for today.
If you have any questions at all, as I said,
send me an email, Rick@smartdrivetest.com,
more than happy to help you out,
and get you goin' and get you drivin'.
And remember pick the best answer,
not necessarily the right answer.
Have a great day, bye now.