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  RETURN TO DRIVING AFTER TRAUMATIC BRAIN INJURY - Part II Guest Editors: Bruno Gradenigo, Anna Mazzucchi Freefree

Europa Medicophysica 2002 March;38(1):29-32


language: English

Return to driving after traumatic brain injury in the Netherlands

Klein Hofmeijer A. M. J.

From the Rehabilitation and Physical Medicine Chairman of the Working Group on Traumatic Brain Jnjury of the Dutch Consultants in Rehabilitation and Physical Medicine


This paper describes driving licence regulations in the Netherlands in general and after required health problems, in particular after TBI. It focuses on the medico-legal procedure and the practical organisation in the Dutch rehabilitation centres. The CBR is the only Dutch statutory body responsible for administering driving tests as well as fitness certificates. A driving licence is only valid base on a valid fitness certificate. Judgement of fitness is based on a health form, filled in by the individual. It is the responsibility of the individual to give truthful information. In case of the occurrence of interim health problems like TBI, the driving licence loses its validity. Nevertheless it is the patients moral duty to report this changed health condition to the CBR. Moreover, an involuntary procedure exists in case of legal problems or when the CBR medical department is informed by a medical practioner, who has serious doubts about the patient’s driving ability and who cannot convince his patient to follow the voluntary procedure. However ethical problems arise in such a situation. Severely brain injured patients, who are mostly seen by the consultant in rehabilitation and physical medicine are informed and assisted by the rehabilitation team in the medico-legal procedure. There is direct co-operation between the rehabilitation centre and the CBR-expert in the Netherlands. The goal of the CBR is to keep as many drivers safely on the road as possible and advises in rehabilitation to safe driving. Research activities and highly qualified computer aided assessment and training facilities are briefly described.

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