P3‐367: Global economic cost of dementia

low potential categories. Increased meaningful occupation is further reflected in the significant reduction in sleep observed from the initial to final observations (varying) across facilities between 51% to 72% reductions). There was a “significant increase in Personal Enhancers and a decrease in Person Detractors between round two and three mapping; 374 PEs and 57 PDs recorded in relation to staff-resident interactions in round two whereas 438 PEs and 39 PDs were recorded in round three. Table 1 presents observations of personal enhancers and detractors in relation to each of the psychological needs. One hundred and forty-four (39%) PEs were staff actions which supported the participants need for ‘occupation’ (the need for occupation relates to being involved in an activity in a way that is personally meaningful: it is about feeling you have an effect and impact on what is done and how). This rises to one hundred and sixty-five PEs in round 3, although as a percentage of observations it remains unchanged. The most frequently observed types of PDs were those which undermined ‘occupation’ (49% of the total observations in round 2) usually presenting in the form of "objectification” of residents. Sixty-seven (17%) PEs related to enhancing resident ‘comfort’ (comfort promotes security and decreases anxiety; it helps people relax).The most notable differences between round 2 and round 3 personal detractors are in relation to the psychological need of’identity’. Eighty-eight (21%) PEs related to enhancing resident ‘identity’ need. When considered in the light the drop in PDs in relation to ‘identity’ need from 37% in round 2 map to 11%, this is a significant change. In round 2 interactions which undermined residents’ identity (37% of the total observations in round 2) were most often staff talking to residents as if they were infants.Conclusions: Overall, across participating facilities, DCM results showed that personal enhancers increased by 40%, thereby increasing the potential for staff to sustain residents’ personhood, meeting residents psychological needs and enhancing well-being. Personal detractors decreased.