In 2012, Japan's Child Welfare Law and the Law for Comprehensive Support for Persons with Disabilities were revised. After a system transition to accommodate people with profound intellectual and multiple disabilities (PIMD), the Law for Supporting Children with Medical Care was enacted in 2021. However, support for people with PIMD who require medical care and those over 18 years of age is still far from sufficient. Advances in medical care have led to an increase in the number of people with PIMD who require medical care and an increase in the life expectancy of people with PIMD. The burden of care and nurturing parents have to bear from their child's birth requires a “shift to social support,” “support for aging caregivers,” and “support after the death of a parent.” In this paper, we once again outline the people with PIMD and the system. We also attempt to look at the issue of support, including the transition period from “child” to “adult” based on the general situation in Japan, as well as future prospects for support for the coexistence of adult people with PIMD in the community.
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