dementia care in asia
TRANSCRIPT
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 201 0 2020 2030 Ye a r
Mil l io n
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