Session Five: The next goal – towards Canada, France, Japan and the United States. Japan: Dr. Yoshiki Niimi MD, Office for Dementia and Elder Abuse Prevention, Ministry of Health, Labour and Welfare, Japan

1. New care and prevention models
Yoshiki Niimi, MD
Senior Specialist for Dementia
Office for Dementia and Elder Abuse Prevention Health and Welfare Bureau for the Elderly
Ministry of Health, Labour and Welfare, Government of Japan
First Global Dementia Legacy Eventin London on June 18, 2014
～ 2014 Legacy Event in Japan～

2. 0
5
10
15
20
25
30
1950 1960 1970 1980 1990 2000 2010
Japan UK
USA France
Germany Sweden
Australia Canada
Proportion of People Aged 65 and over
(%)
Proportion of the elderly in Japan is the highest in the world.
U.N. World Population Prospects : The 2010 revision

3. Elderly people with dementia in Japan
dementia
15%
4.39million
2.8M
Elderly people 28.7M :23% against a total population
aged 65 and over
Healthy elder people
using long-term
care system
Cover by Five-Year Plan for
promotion of Dementia
Measures
・Earlier Diagnosis and
Intervention
・ Enlightenment
・livelihood support services
ＭＣＩ
13%
3.80 million
MCI: Between normal and dementia
1.6 M
independent in daily life

4. Primary Care
Doctors
Definitive diagnosis
Medical Center for Dementia
collaboration Healthcare
Primary Care
Doctors
Person
suspected
to be with
dementia
consultation
Awareness
consultation
collaboration
collaboration
Integrated community care
support center
IPIST
Medical and Care
specialists
＋
Team Conference
Certified doctor
①Visit（assessment）
②Conference (planning）
③Visit（guidance）
④Visit（Intensive
support）
4
succession
Long-Term Care
Support
Specialists
Long-term care
Initial-phase Intensive Support Team(IPIST)

5. "Ninchishō Supporter" Training Programme (90 min)
4,279,310 participants as of 30 June, 2013
Training for "Caravan Mates"
or lecturers who teach in Supporter Training
Programme (6 hr)
86,217 participants as of 30 June, 2013
"Ninchishō (Dementia) Supporters"
What are "Ninchishō Supporters"?
- With good knowledge and understanding of dementia, they support
the elderly with dementia and their families at regional/professional
levels, to the extent possible
（2005-）
Over 3 million Dementia Supporters are trained nationwide.

6. To live in community in a pleasant and familiar environment
Livelihood support/preventive long-term care
Senior citizens’ club, residents’ association, etc.
* necessary
services are
available
within 30
minutes
Integrated community
care support center/
care manager
Integrated Community Care System
Healthcare
Long-term care
Housing

7. New care and prevention models:
Community-based care and prevention of dementia
Japan Legacy Event in Tokyo
Day One 5th Nov Day Two 6th Nov Day Three 7th Nov
Opening speech
Welcome speech
Session 1
Dementia in the Community
Session 2
New stakeholders in Dementia Care
and Prevention
Inspection tours
• Tokyo
 Current care technique, care
research and educational system
• Kyoto
 Integrated Community Care for
dementia
• Aichi
National Center for Geriatrics and
Gerontology
 Center for Development of Advanced
Medicine for Dementia
 Center for Gerontology and Social
Science
 Research Institute
 Hospital
sectional meetings (4~6)
Overview, Research, Stakeholders
,etc.
welcome reception
Session 3
New Care and Prevention model for
Dementia
Session 4
For the future
Closing speech
Tentative Program

8. Thank you for your attention
ご清聴ありがとうございました。
For people, for life, for the future
National Center for Geriatrics and Gerontology
Ministry of Health, Labour and Welfare