Seniors commonly spend a significant portion of their lives at home. Whether due to mobility challenges, financial concerns, or something else, getting out of the house or finding senior citizen transportation can become harder over time. In many cases, the biggest hindrance lies in some level of cognitive impairment. When an older individual becomes confused, lost, agitated, or forgetful, traveling quickly becomes a dangerous endeavor, even if it is a simple journey down the street.
The good news is that while transportation options may become slightly more constricted for seniors with cognitive challenges than those without, there are still multiple viable choices. Be sure to understand how each option works so you can help your loved one select transport that suits their needs and can help them reach their destination safely.
The Unique Risks of Cognitive Impairment
Traveling as an older person can be risky for many reasons, but those with cognitive impairments face even greater threats. As many as 71% of elders with some diagnosis that affects their cognition still attempt to travel outside the home (depending on the location of study), while of these, around 40% are unable to successfully travel the same route repeatedly.
In other words, it is common for older folks to encounter difficulties completing their travels safely, but the risk is greater than in other cohorts. Unlike those with mobility challenges who may fall during their trip and draw attention, an individual who is lost and confused may not be noticed or aided.
Research on elders wearing medical alert devices to track their locations revealed that almost 90% of individuals with cognitive impairment have ended up lost or wandering from their intended route at least once, and more than 15% have done so repeatedly. When becoming lost, the second most common scenario to do so was during public transportation use.
Safer Senior Citizen Transportation Options
Because general public transit, such as trains and buses, can pose a significant risk to elders with impaired cognitive abilities, it is important to find alternatives that are safe, accessible, and available. Some options that are customized toward the specific needs of this demographic include:
Paratransit
Paratransit services are mandatory according to the ADA and are available to those who are unable to use regular public transportation. Participants must be able to demonstrate a diagnosis of their cognitive condition in order to qualify, but once they do, they can schedule transit ahead of time. The ride, which may be an accessible bus or van, will pick the senior up and then drop them off at their specific destination.
This service is valuable for families, as it keeps their loved ones on track. They arrived exactly at the intended location rather than at a bus stop or transit hub, reducing the chance of getting lost.
Non-Emergency Medical Transport (NEMT)
For older folks whose time spent out of the house is primarily on medical appointments such as doctor visits or physical therapy, NEMT is an option worth considering. Typically, NEMT must be scheduled at least 24 hours in advance.
The provider will pick the individual up at a specified point, such as their home, deliver them to their appointment, and then return to get them and bring them home afterward. This process reduces the time the senior is left alone, increasing their safety.
Ride-Shares
For greater flexibility, some families elect to utilize ride-share services such as Uber. Drivers can indicate whether they are using an accessible vehicle so families can make informed choices for their loved ones. Many people prefer Uber because once they find a driver who complements their aging family member and takes care of them well during the journey, they can develop a repeat relationship with this trusted individual.
Volunteer Organizations
Many families are unaware that volunteer organizations in their area can provide transportation options specifically geared toward seniors with cognitive impairments. Volunteers may make themselves available on an individual’s schedule to take them to appointments or errands, wait for them, and then take them home.
This option can be effective because it leaves the individual unattended as little as possible. Additionally, some programs function through “buddy” volunteers who accompany the elderly individuals as they go about their day. Not only does this keep them safe, but it can provide much-needed socialization and friendship.
Learn More About Senior Citizen Transportation Options Near You
If you are learning more about options to help your family member with a cognitive impairment to get out of the house safely, consider transportation that is specifically geared toward those with extra needs. Contact us to discover how the Shepherd’s Center of Northern Virginia is making a difference in communities like Oakton, Vienna, Dunn Loring-Merrifield, Great Falls, Herndon, and Reston. If you’re outside these areas but have questions, give us a call, and we’ll guide you to the Shepherd’s Center nearest to you!