[New Horizon of the Five-Year Plan for Promotion of Dementia Measures].

Abstract

In 2012, the Japanese government announced the Five-Year Plan for Promotion of Demen- tia Measures (Orange Plan). This plan was developed in the context of the realization of a community-based integrated care system to support the lives of persons with dementia and their family caregivers. The community-based integrated care system allows various services to be provided in an integrated manner, and is created in each community in accordance with the local circumstances and participation of local residents. The first pillar of the Orange Plan is the development and popularization of the standard Integrated Care Pathway (ICP) for dementia. Although few municipalities have developed ICP for dementia to date, the philosophy such as "Dementia-friendly Community" could be shared among residents and professionals in the process of development. Under the second pillar "Early Diagnosis and Intervention", the Initial- phase Intensive Support Team for Dementia (IPIST) was introduced and three types of Medical Center for Dementia were developed. However, to realize quality diagnosis and post- diagnostic integrated care throughout Japan each prefecture and municipality should consider the service-providing system for dementia depending on the local circumstances along with utilization of the national system. In 2015, Tokyo Metropolitan Government planned to deploy the MCD in all municipalities. Dementia Support Coordinators were also deployed in each municipality to facilitate access to diagnosis and provide post-diagnostic support in collabora- tion with the Dementia Outreach Team arranged at each MCD. In 2015, the government revised the Orange Plan and introduced the Comprehensive Strategy to Accelerate Dementia Measures (New Orange Plan). The most important point of this plan is to prioritize the standpoint of persons with dementia and their families when creating measures. Now we are enter- ing a new stage of the National Dementia Strategy.