1. Driving Retirement Karen Kafantaris AARP Michigan Associate State Director Livable Communities and Community Service kkafantaris@aarp.org

2. AARP MISSION AARP is dedicated to enhancing quality of life for all as we age. We lead positive social change and deliver value to members through information, advocacy and service. AARP's VISION A society in which everyone ages with dignity and purpose, and in which AARP helps people fulfill their goals and dreams.

3. Started in 1958 by a retired school teacher – Dr. Ethel Percy Andrus Over 40 million members nationwide 1.6 million members in Michigan

4. A state office in every capitol city Focus on state level activities involving Livable Communities Community Service Economic Security and Work Health and Supportive Services Advocacy – both State and Federal

5. The New Buzz Word Driving Retirement

6. A Few Statistics There are 4.5 million non-drivers older than age 75 today There will be 6 million non-drivers older than age 75 by 2020 A man who is 70 today is likely to outlive his driving years by about 6 years A woman who is 70 today is likely to outlive her driving years by about 11 years

7. Possible Implications of Driving Retirement Potentially means Loss of independence and personal empowerment Physical and social isolation Impairment of mental and physical well-being Increase in health care expenditures Compromises ability to remain independent in one’s home

8. Interventions to support the transition process Pre-decision: Current driver – raising awareness using brochures, family and community discussions Decision: Retiring Driver – Family conversations or group discussion programs Post-Decision: Retired Drivers – Family and community involvement and group support programs

9. Stages and challenges Pre-Decision: characterized by increased difficulty in driving. Balancing Act: Older drivers find themselves in a balancing act, balancing obstacles to driving against the desire for independence Awareness of driving abilities, emotional responses to driving and consequences of continuation or cessation

10. Stages and Challenges Decision stage Characterized by either voluntary or involuntary decision to cease driving Dual challenge of both making the decision and owning the decision

11. Stages and Challenges Post-Decision: Make practical and emotional adjustments to lifestyle Practical – finding new ways of accessing the community or substituting different interests that don’t include driving Emotional – coming to terms with the losses that driving represented and maintaining feelings of control and ownership over the lifestyle

12. Recommendations Increase awareness of alternative driving options Address perceived barriers Provide education and support to assist non-drivers to use transit alternatives Improve media representation of retired drivers Provide education and support to family members Provide education and training to health professionals to enable them to assist people with transport planning in the future

13. Is This Issue Being Addressed Transitioning issues need to be addressed at the community level - are more typically being addressed at the organization level (i.e. AARP and AAA- 1B) Funding for increased public transit and Para transit is another need that needs to be addressed

14. 89 % of individuals surveyed by AARP said they wanted to remain independent in their own home Driving Safety for the older driver is an emotionally charged issue

15. What causes the need for driving retirement Aging is an individual process that affects each person differently Physical functions – i.e. strength, flexibility, range of motion Visual limitations Cognitive capabilities

16. Transitioning to driving retirement Self regulation Recognizing when to stop is more difficult Auto-centric society Little knowledge or use of alternative transportation Relationship to driving/what driving means to them

17. AARP Mobility Programs Driver Safety Program CarFit We Need To Talk

18. AARP Driver Safety Program Understanding the effects of aging on driving Learn driving strategies that take into account the changes we experience as we age Identify the most common crash situations we face Better understand today’s roads, vehicles and other road users Identify when driving may no longer be safe

19. CarFit A collaboration between AAA (American Automobile Assn.) AARP AOTA (American Occupational Therapy Assn) ASA

20. CarFit Ill-fitting vehicles can make driving uncomfortable and even unsafe Vehicles that fit better keep individuals safer While on the road In the event of a crash Help individuals remain safe while on the road longer and therefore able to be independent longer

21. We Need To Talk Developed by MIT Age Lab Hartford Financial Services Group, Inc. AARP

22. We Need To Talk Research determined that one of the most effective approaches to transitioning from driving to non-driving was through family conversations.

23. We Need To Talk 90 minute seminar about How to have the conversation about giving up the keys.

24. We Need To Talk Having the conversation over a period of time. First conversation should begin before the need to stop driving is at crisis point Identifying or creating opportunities for conversations about limiting or stopping driving On going conversations are important

25. We Need To Talk Choosing the right person to have the discussion with the older driver. Spouse Adult Children Physician Law Enforcement

26. We Need To Talk The right time to begin the conversation How to prepare for the conversations The different levels of conversations

27. We Need To Talk Planning for how your loved one is going to carry on their normal activities Helps emotionally to have a plan How to deal with a high risk driver who refuses to stop driving Dementia and driving

28. We Need To Talk Deal with strong emotions, e.g., older drivers feeling angry or sad, family members feeling angry, frustrated or guilty It’s a tough thing to do

29. AARP Resources We Need To Talk – Family Conversations With Older Drivers At the Crossroads – A Guide to Alzheimer’s Disease, Dementia and Driving