2022 ADI Asia Pacific Regional Conference (2022 ADI-APRC)

1. The 30 extracted patterns of the
innovative practices of dementia care
services in Japan
ADI-APRC 2022
Tomoki Kaneko - Keio Research Institute at SFC
Takashi Iba - Faculty of Policy Management, Keio University
Konomi Munakata - Keio Research Institute at SFC
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2. 2
About Me
Tomoki KANEKO
• Senior Researcher, Keio Research Institute at SFC
• PhD Student, Graduate School of Media and
Governance, Keio University
• Chief Editor, The Japan Dementia International
Exchange Platform
“Words for a Journey - The Art of
Being with Dementia”
published in 2015
“Words for Caring: A Pattern
Language for Living Together at
Nursing Home for the Elderly”
published in Japanese in 2022
From 2015 to 2020, as a member of the management team
of the Dementia Friendship Club in Japan, I organized the
“RUN伴 (RUN TOMO)” Project.
734845
781312
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ISBN 978-1-312-73484-5
90000

3. • Population: approx. 125 million
people
• Aging rate: approx. 28%
• Number of elderly people with
dementia: approx. 6 million.
Alzheimerʼs Disease International, About dementia. https://www.alz.co.uk/about-dementia
Ministry of Health, Labour, & Welfare. (2015), A New Orange Plan: A Comprehensive Strategy for the Promotion of Dementia Measures: Towards a Community
Friendly to the Elderly with Dementia (in Japanese).
Global Communication Centre and International University of Japan Dementia Friendly Japan Initiative (2015), Guide to a Dementia Friendly Community.
Japan
Taiwan
About Japan
3

4. AOI Care : Community-based Dementia Care
Aoi Care tries to create opportunities for
users to use the best of their ability to
contribute the local society. At Aoi Care,
care staff are not the caregivers, but the
local creators.
The elderly people at Aoi Care are free to plan their own
daily activities. They often interact and connect with local
people in different generations.
AOI Care’s practices have
been made into movies and
books. Some of them were
translated into Taiwanese!
Mr. Tadasuke Kato
- Founder Aoi Care
- Ageing Asia Global Ageing
Influencer 2019
4

5. At BLG!, people with dementia have their job; washing cars
for a local HONDA dealer, and they get paid for this job.
“Having a job” is a very important essence for them to feel
the sense of “being a part of the community” and maintain
their own Quality of Life.
Next challenge is what he calls “100BLG project”: to create
100 places like this all over Japan.
https://dac.tsukuba.ac.jp/100dfc/tokyo-machida-blg.html
https://100blg.org/project/?id=machida
For five years, we have been working
with the Ministry of Health, Labor and
Welfare in Japan, in order to realize our
members' desire to work. We have
created a system that enables people
to "work" while having a long-term care
service.
Mr. Takayuki Maeda
- President of DAYS BLG!
- Director of Japan
Dementia Working Group
BLG! : Connecting and working with the community
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6. Ginmokusei : Facility like a real home
People with dementia also have the right
to live freely, just as we live in rental
housing. Our challenge is not to hinder
their lives.
Residents here work at a
restaurant located in the same
building as a part of daily life,
and they get paid for this job.
It successfully works for them
to feel the sense of being a
part of the community by
contributing to the society.
Mr.Tadamichi Shimogawara
- President of SILVER WOOD
Co., Ltd
6
World Alzheimer Report 2020
Design, Dignity, Dementia:
Dementia-related design and the built environment
Volume II: Case studies
Ginmokusei’s practices
were introduced in the
World Alzheimer Report
2020.
Local children often come to
the candy store at
Ginmokusei. The storekeeper
is a person with dementia. It
is an opportunity where
different generations get to
interact with each other.

7. Innovative Practices of Dementia Care Services in Japan
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8. Name
Context
Problem
Solution
Consequence
Name
Context
Problem
Solution
Consequence
Name
Context
Problem
Solution
Consequence
A Good
Practice
A Good
Practice
About Pattern Language
Common
Pattern
Common
Pattern
The Pattern Language methodology allows you to extract "patterns" of how to do
things that produce good quality results in a certain area and put them into words so
that they can be used as a common ”Language".
Takashi Iba, Kan Suzuki, Naoki Iwase, Mutsumi Imai, Riki Ichikawa, 2019 “Creative Learning: Learning and Education in a Creative Society”, Keio University Press Inc.
A Good
Practice
A Good
Practice
A Good
Practice A Good
Practice
A Good
Practice
A language used for re-generating
good-quality practices
Name
Context
Problem
Solution
Consequence
8

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“Words for Caring: A Pattern Language for Living Together at Nursing Home for the Elderly”
• It is a set of 30 "words" that summarize what are important for care
givers and those who need care to co-create a "good home
environment" where they can live well together.
• It was created by interviews and fieldwork surveys of people who have
realized innovative care services in Japan
• It can be utilized as a collection of hints for thinking about and
practicing your own way of caring and creating a place.

10. Create a Role
You are caring the person every day.
▼In this context
Doing everything for the person in care might make
them feel that they are receiving a service and will
not feel like it is their place to live.
▼Therefore
Create a specific role for them, based on their wants and
strengths, and encourage them to participate in creating
their own life there.
Category: Create an environment to live naturally
Group: Overlapping Experiences

11. Warmth and Richness
You are designing or arranging the living space.
▼In this context
Putting the convenience of the caregivers first
might make the place uncomfortable and
unfamiliar for the people living there.
▼Therefore
Create a warm and rich place that you would also
like to live in, using furniture or any other things
that are carefully selected and made of natural
materials.
Category: Create an environment to live naturally
Group: Natural environment

12. Create an environment to live
naturally Root in Community and Society Always Stay Around
Natural Environment Get Close to the Community Support Everyday Life
Overlapping Experiences Be a Part of the Community Accompany the Feelings
Live in The Moment Creating the Future of Care Embrace Calmly
Open to the Community
Show the Liveness of Home
Receive and Respond
Supporting Distance
Ignite the Feeling of “I Want”
Imagine the Day As a Whole
Everyone’s Thoughts
Previous Habits
Warmth and Richness
Make an Attraction
Be good at Getting Involved
Local Festivals
View of the World
Tune the Tone
Acceptance of Weakness
Life Story
Create a Role
Future Dialogue
A Little Contribution
A Bright New Attempt
Happy Sharing
A Team to Support
Stay As Usual
Do-nothing for Support
A Small Adventure
Chances to Connect
Laugh Away
Accept Last Moments
Sense the Farewell
Farewell Party
Time to Reminisce Over
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“Words for Caring: A Pattern Language for Living Together at Nursing Home for the Elderly”

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The words enable us to have dialogue with others and think together.

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Case1: Training Program Utilizing “Words for Caring”
Training for Foreign Technical Intern Trainees working in Japan
•All the topics discussed here were very
interesting. This study provides me a lot of
knowledge and insights of the care-giving
world. I don’t just work, I want to work while
learning.
•I want to try many things and have fun with
people who need care.
•I want to actually realize what I learned today.
→Later, she conducted《Farewell Party》.
Comments from the Participants :

15. Farewell Party
Someone you have lived with has passed away.
▼In this context
Missing the person who lived together may make
other people at the home confused and feel
anxious about their days left.
▼Therefore
Hold a "farewell party" to remember and send the
person off, and have time for everyone to share
memories and feelings.
Category: Always Around
Group: Accept Last Moments

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Case1: Training Program Utilizing “Words for Caring”
Training for Foreign Technical Intern Trainees working in Japan
•All the topics discussed here were very
interesting. This study provides me a lot of
knowledge and insights of the care-giving
world. I don’t just work, I want to work while
learning.
•I want to try many things and have fun with
people who need care.
•I want to actually realize what I learned today.
→Later, she conducted《Farewell Party》.
→It helps you to get a concrete image of a good practice and expand your own ideas.
Comments from the Participants :

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Case2: Training program for next leaders in a nursing care facility in Japan
Participants share what they value and reflect on their daily practices,
using the Pattern Language cards and a radar chart.

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Check List & Chart for Analyzing and Visualizing Care Experience

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Case2: Training program for next leaders in a nursing care facility in Japan
Comments from the Participants
•In the process of choosing cards, I could find my values.
•Using the cards and radar chart, I realized what I value the most
and noticed that the day-care service is not the best choice for
me to. I realized I could work better in other types of facilities
where I can commit more to the one-on-one relationship.
•We could get to know each other on a deeper level.
→ It helps you to “better understand yourself and others”.

20. Title: The 30 extracted patterns of the innovative
practices of dementia care services in Japan
SUMMARY
• It is a set of 30 "words" that summarize what are important for
care givers and those who need care to co-create a "good home
environment" where they can live well together.
• It helps you to get a concrete image of a good practice and expand
your own ideas.
• It helps you to “better understand yourself and others”.

21. Thank you for listening!!
If you want to know more details, please contact us.
We have several sets of cards and printed copy to share with you.
Email: tkaneko@sfc.keio.ac.jp
Konomi Munakata
Rabbit pin