Training programs need to attract more older drivers, especially those from rural areas or those who are very old, economically disadvantaged, or poorly educated. Programs need to teach basic driving skills and skills to compensate for age-related deficiencies. Course content and instructional methods must be tailored to the older learner. Fonseca recommended that licensing agencies serve as a link to refer older drivers to training programs, either when they come in to renew or through the mail when notices are sent. When older drivers complete this classroom and in-car training and pass a vision test, they receive a certificate good for one year to present as proof they are eligible for license renewal.
Some states require drivers with many traffic violations to take training.
Program personnel check medical histories and test for slowed reflex time, evidence of dementia, and knowledge of traffic regulations. Many older drivers hesitate to admit they are having trouble driving because they fear losing independence and mobility. Sometimes physicians, insurance companies, police, and family members inform licensing agencies that an older person's condition might affect driving skills. To help in the identification process, licensing personnel need special training to recognize conditions that represent a hazard to driving performance. When licensing agencies identify older drivers who need training, they would recommend agency-certified training programs.