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

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. Before 1980 year. From 1980 to 1989 year (1).

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

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  1. Dementia Care in AsiaOur 25 years Experiences in JapanYoshio MIYAKE M.D.Alzheimer’s 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) • Alzheimer’s 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 PWDin 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 • PresentActivities 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 • PresentActivities A few chapters hold meetings for them. AAJ provides helpline for them .

  17. Present challenges • Quality of dementia care in the communityas 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 you감사합니다 9th Asia Pacific ADI Regional Conference April 27-29, 2006 Seoul, Korea

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