to the term `temporary'. The author used this
perspective to begin development of a restraint
reduction decision framework. The intent
of the work was to have the same clinical
vigour and timeframes applied to removing /
minimising a restraint as was used to apply it in
the first instance.
Director, National Institute of Dementia (NID)
of Korea, Associate Professor, Department of
Psychiatry, Seoul National University College
of Medicine and Seoul National University
Bundang Hospital, Associate Dean, Seoul
National University College of Medicine
Vice Director, Biomedical Research Institute,
Seoul National University Bundang Hosptial
It will take only 26 years for Korea to move
from an ageing society to a super-aged society,
which happened in Western countries over
100 years. The current number of dementia
patients in Korea is estimated to be about
half a million. Due to rapid population aging,
this number is expected to be doubled every
twenty years, reaching 1 million in 2025 and
2 million in 2043. The increase of the national
dementia cost will be even faster than the
growth of patient number. In 2011, the annual
national cost of dementia was estimated to
be about 6 billion USD. This was about 0.5%
of the GDP of Korea. However, this number is
expected to be doubled every 10 years, and
will reach about 81 billion USD in 2050, which
will be about 2% of the GDP. Furthermore, the
rapid industrialization of the past four decades
and value of Korean families, and resulted in
care-crisis for dementia patients.
implemented several key policies on dementia.
The first public long-term care hospital opened
in 1996 based on the "Welfare of the Aged
Act". In 2007, the national long-term care
insurance was established, the Dementia
Counseling Centers were installed in every
public health centers, and the National
Dementia Early Detection Program was
launched. In 2008, the first National Dementia
Plan was established by the Ministry of
Health and Welfare to create and maintain
an integrated national plan to overcome
dementia and to coordinate dementia research
and services across all public and private
agencies. The Dementia Management Act
(DMA) passed the National Assembly in 2011
and went into effect from February 2012. The
DMA provides the grounds for conducting
the National Dementia Plans on a stabilized
and organized basis. Based on the DMA, the
Korean government designated Seoul National
University Bundang Hospital as the National
Institute of Dementia (NID). The NID is going
to fight against dementia in collaboration with
the government, academic societies and NGOs
using 25 key strategies in 5 areas including
care, education, infra-building, research and
network. With the NID as the headquarter, we
will complete the Dementia Service Delivery
System that comprises of Regional Dementia
Centers and Local Dementia Counseling
Centers around the country.Rejuvenate,
rehabilitate and revive: the dementia choir
concept.