DEMENTIA CARE IN THE PUBLIC LONG TERM CARE INSURANCE PROGRAM IN JAPAN

1
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
• Alzheimers Association Japan

2
Demographic Changes(1)

• Rate() of old people (over ages of 65)
  among the whole population
• (from the National Institute of Social Security
  and Population)

3
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)
4
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

5
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
• ? paymentInsurance due and 10 of each care
  cost

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From Application to Service Provision in the
LTCI
Application by insured people
Local government
Investigation of condition
Opinion of doctor
Evaluation by computer
Certification screening meeting
Eligible Care requirement
Ineligible No Services
Care service plan
Provision of community and/or residential care
services
7
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

8
Services in the LTCI (2) Residential services

• ? Home for the elderly
• ? Geriatric care facility
• ? Geriatric hospital

9
Problems in the LTCI

• ? Certification of people with dementia
  
• ? Quality of care
• ? Restraints at facility
• ? Younger people with dementia
• ? Payment
• ? Others

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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

11
Conclusions
Alzheimers Association Japan
www.alzheimer.or.jp