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Dementia Care in Asia Our 25 years Experiences in Japan Yoshio MIYAKE M.D. Alzheimer

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Dementia was recognized as one of important matters in an aging society. ... The Ministry of Health and Welfare set up a headquarters for dementia policy 1986. ... – PowerPoint PPT presentation

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Title: Dementia Care in Asia Our 25 years Experiences in Japan Yoshio MIYAKE M.D. Alzheimer


1
Dementia Care in Asia Our 25 years
Experiences in Japan Yoshio MIYAKE
M.D. Alzheimers Association Japan
  • 9th Asia Pacific ADI Regional Conference
  • April 27-29, 2006
  • Seoul, Korea

2
Demographic change of elderly people with
dementia by year
3
Before 1980 year
4
From 1980 to 1989 year (1)
  • Alzheimers Association Japan (AAJ) was
    established in 1980.
  • Dementia was recognized as one of important
    matters in an aging society.

5
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.

6
From 1980 to 1989 year (3)
  • Medical and social supports started mainly for
    family caregivers, not for people with dementia
    (PWD).

7
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.

8
From 1990 to 1999 year (2)
  • Group homes began to provide residential care of
    high quality to PWD.

9
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.

10
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.

11
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.

12
After 2004 year (2)
  • The LTCI program was revised in 2006.
  • The Law of Prevention of Elder Abuse became
    effective in 2006.

13
Activity of AAJ (1)
  • Meeting of family caregivers
  • Helpline
  • Monthly newsletter
  • Survey

14
Activity of AAJ (2)
  • Annual study conference
  • Awareness campaign
  • including WAD
  • Demand to government
  • International activities
  • Others

15
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.

16
People with early dementia
  • Brief history
  • Survey of people with early dementia and family
  • Volunteer training supported by ADI
  • Present Activities
  • A few chapters hold meetings for them.
  • AAJ provides helpline for them .

17
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

18
Conclusions
  • Dementia care should be improved
  • from the viewpoints of
  • PWD,
  • family caregiver,
  • quantity and quality of care,
  • medical and social program,
  • human rights.

19
Final aim of AAJ
  • To establish a society
  • where PWD are able to live
  • with dignity and at peace

20
Thank you ?????

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