Transcript DEMENTIA CARE IN THE PUBLIC LONG TERM CARE

DEMENTIA CARE
IN THE PUBLIC LONG TERM CARE
INSURANCE PROGRAM IN JAPAN
Miyake yoshio MD,
Sugiyama hirotaka MD,
Shivani Nandi Ph.D and
Katsuta toshiko
Alzheimer’s Association Japan
Demographic Changes(1)
Rate(%) of old people (over ages of 65 )
among the whole population
27.4
17.3
7.9
1975
2000
2025
year
(from the National Institute of Social Security and Population)
Demographic Changes(2)
Increase of old people with dementia
Year
Number (million)
２０００
１．５６
２０２５
３．１５
(from the Ministry of Health, Labor and Welfare)
Social services for people with
dementia and their family
●Counseling at public health center
● Diagnosing at dementia center
● Day care
● Short term stay
● Residential car at geriatric facility
● Special unit car at psychiatric hospital
● Group home care
● Help line for family caregiver
● Early detection network for wandering
● Legal support
● Others
Public Long Term Care
Insurance(LTCI) Program
● Date of introduction: April 1st 2000
● Insurer: Local government
● Insured : People of ages of 40 and over
● Service Provision to:
Certified old people of ages of 65 and over and
younger people of ages of 40 to 64 suffering from
aging related diseases including dementia
● payment:Insurance due and 10% of each care cost
From Application to Service Provision in the LTCI
Application by insured people
Local government
Opinion of doctor
Investigation of condition
Evaluation by computer
Certification screening meeting
Eligible Care requirement
Ineligible
No Services
Care service plan
Provision of community and/or residential care services
Services in the LTCI (1)
Community services
● Home visit by nurse and home helper
● Day care
● Short term stay
● Group home care for people with dementia
● Allowance for equipments and renovation
of house
Services in the LTCI (2)
Residential services
● Home for the elderly
● Geriatric care facility
● Geriatric hospital
Problems in the LTCI
● Certification of people with dementia
● Quality of care
● Restraints at facility
● Younger people with dementia
● Payment
● Others
LTCI and AAJ
●Survey on services from a viewpoint of
people with dementia and family caregiver
● Demand for improvement of the LTCI
to the Ministry of Health, Labor and Welfare
as well as to local governments
● Help line service
● Others
Conclusions
Alzheimer’s Association Japan
www.alzheimer.or.jp