Presentation Information
[SY-92-02]Community-Based Dementia Care in Japan: The Kyoto-Style Orange Plan and the Long-Term Care Insurance System
*Jin Narumoto (Department of Psychiatry, Graduate School of Medical Science, Kyoto Prefectural University of Medicine(Japan))
Keywords:
Dementia-Friendly Community,Long-Term Care Insurance (LTCI),Public–Private Partnership
Japan is facing a super-aged society, with over 29% of its population aged 65 or older. As the prevalence of dementia continues to rise, building a dementia-friendly community has become a national priority. In response, Japan has developed a range of policy measures, including the Long-Term Care Insurance (LTCI) system and locally driven initiatives such as the Orange Plan. This presentation introduces Japan’s approach to community-based dementia care, with a particular focus on the "Kyoto-Style Orange Plan," a collaborative model developed in Kyoto Prefecture. The LTCI system, launched in 2000, provides care services based on need rather than income, supporting aging in place through home- and community-based services. It enables early access to care for individuals with dementia and supports caregivers through a structured care management system. Building on this foundation, Kyoto has implemented its own regional dementia policy: the Kyoto-Style Orange Plan. This initiative emphasizes intersectoral collaboration among healthcare professionals, care providers, government agencies, businesses, and community volunteers. Key components include dementia awareness campaigns, the training of dementia supporters, the development of dementia care pathways, and support for early diagnosis and decision-making. A distinctive feature of the Kyoto model is the engagement of diverse stakeholders, including private companies, in dementia-friendly initiatives. Companies declare specific actions to support people with dementia, such as adapting services, providing staff training, and participating in community education. These actions are coordinated through the Kyoto Dementia-Friendly Cross-Industry Partnership, which fosters innovation and social responsibility. By integrating national policy with local creativity, the Kyoto-Style Orange Plan offers a replicable model of community-based care. This presentation will highlight its structure, outcomes, and potential relevance to other aging societies facing similar challenges in dementia care.