F. Hoffmann-La Roche Ltd.

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Accessible summary• Care staff for people with learning disabilities sometimes need help to know when to ask for help when a resident has a problem with his or her memory. • We've made an easy checklist to help them know when to ask for extra help.• We hope it will speed up finding out whether people have dementia so we can offer the best help possible. • It seems to be really useful and we'd like to do more research in the future. SummaryThe aim of this research was to develop a simple screening checklist to help carers and professionals know when to make a referral for a dementia assessment. A checklist was completed for all new referrals to a dementia service for people with intellectual disabilities. The obtained scores were compared to the diagnostic outcome of a comprehensive dementia assessment. The data (n = 159) indicate a higher score on the checklist correlates significantly with a subsequent diagnosis of dementia. Cut-off scores are explored. The checklist appears to be a useful tool to prompt referrals for a full dementia assessment. By helping the referrer to know when to be concerned about dementia, it may reduce the number of people referred late or not at all.

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A221what or very much affected their performance at work. In our multivariate logistic regression model examining change in employment status, the number of hours/ week of caregiving, use of support services, a PHQ-2 depression score of 4+, caring for a spouse, younger age and lower income were statistically significant. In our analysis examining change in work performance, the number of hours/week of caregiving, use of support services, PHQ-2 score of 4+, providing assistance with greater number of ADLs and greater number of IADLs, and younger age were significant. ConClusions: Informal caregivers report high levels of change in employment and performance. Caregiver burden and the presence of depressive symptoms were strongly associated with a change in employment status and work performance as a result of caregiving. Efforts aimed at identifying high levels of caregiver burden and depressive symptoms among caregivers may potentially have an impact on employment for some caregivers.