How should families best manage this risk? To start, they need to determine whether their child is ready to drive, spend extra time in a wide variety of setting during practice driving, and set clear rules (and monitor compliance) to keep them safe after the learner permit phase when driving without parent supervision. Unfortunately, the evidence base is limited for proven effective ways to keep them safe during the learning-to-drive period and beyond. As we learn more, I will share guidance, but for now, here are tips from CHOP experts in ADHD: