認知症の本人や家族を支えるための社会制度・社会資源

Social Systems and Resources for People with Dementia

『認知症疾患診療ガイドライン2017』では，旧版では記載の乏しかった「認知症の本人や家族を支えるための諸制度と社会資源」の項目が大幅に増加した。本論では旧版発行以来，新たに創設された制度や，重要度の増した社会資源として，新オレンジプラン，認知症疾患医療センター，認知症サポート医，地域包括支援センター，認知症初期集中支援チーム，高齢者虐待防止法，若年性認知症を解説した。今後はこれらの意義，有用性についてエビデンスを確立していくことが重要である。

Abstract

In the Clinical Guidelines for Dementia 2017, the strategies to support persons with dementia and their families have increased significantly. This article provides a comprehensive and concise explanation of the importance of the newly launched systems and social resources. A new Five-Year Plan for promotion of Dementia Measures (“New Orange Plan”) supports the realization of a society where persons with dementia are able to live with dignity as long as possible. New Medical Centers for Dementia provide specialized medical services and integrate community resources for building a comprehensive support network for persons with dementia. Dementia Support Doctors provide support and advice to the primary care doctors, who are able to facilitate multi-disciplinary collaboration in the community. General Support Centers in the community provide comprehensive support for the improvement of health and medical care, and promotion of education among the general public. Initial-phase intensive support team for dementia is a multi-disciplinary team that organizes a support system for early detection and diagnosis of dementia, law against elderly abuse, and measures for younger-onset dementia. Demonstrating evidence on the significance and usefulness of these systems and social resources is an important issue for the future.