Dementia Care in Asia

Our 25 years Experiences in Japan

Yoshio MIYAKE M.D.Alzheimer’s Association Japan

9th Asia Pacific ADI Regional Conference April 27-29, 2006

Seoul, Korea

Demographic change of elderly people with dementia by year

1.56

2.26

2.923.30

2000 2010 2020 2030Year

Million

Before 1980 year

From 1980 to 1989 year (1) Alzheimer’s Association Japan (AAJ) was

established in 1980.

Dementia was recognized as one of important matters in an aging society.

From 1980 to 1989 year (2)

The Ministry of Health and Welfare set up a headquarters for dementia policy 1986.

Certified professional care workers and social workers came into existence in the field of dementia care services in 1987.

From 1980 to 1989 year (3)

Medical and social supports started mainly for family caregivers, not for people with dementia (PWD).

From 1990 to 1999 year (1)

AAJ had a goal that all care services should be provided from the viewpoint of PWD as well as family caregivers.

AAJ recognized problems of younger PWD and their family.

From 1990 to 1999 year (2)

Group homes began to provide residential care of high quality to PWD.

From 2000 to 2003 year (1)

The public Long Term Care Insurance (LTCI) program was introduced and covered most of care for PWD　 in 2000.

The restraints in care facilities were

prohibited by law in 2000.

The guardianship program for PWD was improved in 2000.

From 2000 to 2003 year (2)

The Japanese Society for Dementia Care was established in 2000.

Three National Dementia Care Research and Training Centers were open in 2001.

After 2004 year (1)

AAJ and ADI held the 20th International Conference in Kyoto in 2004.

AAJ recognized needs of people with early

dementia and started supports for them.

After 2004 year (2)

The LTCI program was revised in 2006.

The Law of Prevention of Elder Abuse became effective in 2006.

Activity of AAJ (1)

Meeting of family caregivers

Helpline

Monthly newsletter

Survey

Activity of AAJ (2)

Annual study conference

Awareness campaign including WAD

Demand to government

International activities

Others

Younger people with dementia

Brief history

Survey of care conditions of family caregivers

The LTCI covers care services for them

Present　 Activities

Each chapter holds a regular meeting for younger PWD and their family caregivers.

People with early dementia Brief historySurvey of people with early

dementia and familyVolunteer training supported

by ADI

Present　 ActivitiesA few chapters hold

meetings for them.AAJ provides helpline for

them .

Present challenges Quality of dementia care in the community　 as well as in

facilities Human rights of PWD

Social supports for younger PWD and people with early dementia

Hospital acute care for PWD with physical disorders

Treatment and prevention of dementia

ConclusionsDementia care should be improved from the viewpoints of

PWD, family caregiver, quantity and quality of care, medical and social program, human rights.

Final aim of AAJ

To establish a society

where PWD are able to live

with dignity and at peace

Thank you감사합니다

9th Asia Pacific ADI Regional Conference April 27-29, 2006Seoul, Korea