[P4–375]: POSSIBILITY OF UNDIAGNOSED DEMENTIA PATIENTS ARRESTED FOR VIOLENT BEHAVIOUR IN JAPAN

enrollment in the Care Ecosystem study, 97 caregivers of patients with dementia randomized to the intervention group were asked (1) whether patients premorbidly made their own purchases, paid household bills by themselves, or prepared taxes or other important documents; (2) if so, whether patients had performed these activities in the preceding year; and (3) if so, whether patients had made financial errors. Results:Among patients with mild disease, 26 of 43 (60%) who had previously made purchases continued to do so in the previous year, while 15/32 (47%) continued to pay bills and 5/21 (24%) continued to prepare taxes. One patient with moderate disease continued to pay bills and prepare taxes, suggesting high financial vulnerability. (Figure 1) Patients who had completed a college degree were more likely to continue to make purchases (p 1⁄4 0.032) and to pay bills (p 1⁄4 0.015). (Figure 2) Contrary to our initial hypotheses, living alone was not associated with continued financial activities. (Figure 3) Out of 35 still participating in financial activities in the preceding year, 11 were reported to have made financial errors. Conclusions:Responses are consistent with a graduated restriction of financial activities with disease progression. We will discuss clinical experiences in the Care Ecosystem care navigation intervention of working with caregiver/patient dyads identified as vulnerable to financial errors. This publication was made possible by Grant Number 1C1CMS331346 from the Department of Health and Human Services, Centers for Medicare & Medicaid Services. The contents of this publication are solely the responsibility of the authors and do not necessarily represent the official views of the U.S. Department of Health and Human Services or any of its agencies.