Would You Like To Hire And Work With Foreign Care Workers?
Guidebook for Care Service Providers onEmployment of Foreign Care WorkersWould you like to hireand work with foreigncare workers?Some care service providers are nowemploying foreigners as care workers.Those providers have commented that theworkplace has become cheerful, that itcreated a sense of unity among staff, andthat the education of foreigners led toreview of the quality of long-term care.Learn about basic Methodsfor hiring foreign care workers go to page２Learn about the CurrentSituations of hiring foreigncare workers go to page 4Learn about the specific Detailsof Various Systems in placefor employing foreign care workers go to page 6In addition, communicating the knowhow and skills of Japanese long-term careto foreign care workers can lead tointernational contribution.Case study and CommentsWould you like to hire and work withforeign care workers? go to page12by care service providers thathired foreign care workers
Summary of Four Systems for Employing Foreign Care WorkersDoes the foreign careworker available foremployment havecertified careworkerqualification?EPAEmployment of CertifiedCare Worker Candidatesunder Economic PartnershipAgreement (EPA)N/AHowever,the aim is to obtainqualification go to page 6NursingCareEmployment of foreigners whograduated a certified careworker training school in Japanand have “Nursing Care”status of residence go to pageCertifiedCareWorkergo to pageN/AEligible to takeexamination ifpracticalrequirements,etc. are met8N/AEmployment ofSpecifiedforeigners withSkilled “Specified Skilled Worker (i)”status of residenceWorker go to pageworkpermanently?After obtainingqualification,qualification andstudy experiencein their homecountry?if qualification is not obtainedwithin certain period,return to home countryGraduate ofnursing relatedschool or hasgovernmentcertification ascare worker inhome countryPermanentemploymentis possibleDependingon theperson5 yearsmaximumBased on theselection criteriaof supervisingorganizationPermanentemploymentis possibleIs thereWhat are the criteria forforeign care workers’support such asacceptancesupportorganization?Japaneselanguage skills?Vast majority hasabout N3 levelYesat time of start ofemployment *3Requirements at time ofentry forIndonesia/Philippines:about N5, Vietnam: N3Some schools *4requireaboutN2 levelIs there limitation totypes ofservicesfor employment offoreign care workers?YesAcceptancesupport byJICWELSAfter obtaining certifiedcare worker qualification,can engage in home-visitservices by providerssatisfying certainconditionsN/AN/A7Employment of foreignersTechnical using the Technical InternTraining ProgramIntern(technical intern trainee)Training Can the foreigncare workerDoes the foreign careworker haveEligible to takeexamination ifpracticalrequirements,etc. are met9*1*25 yearsmaximum*1*2YesRequirements attime of entry isaboutAcceptancesupport bysupervisingorganizationN4 levelRequirements at time ofentry :Dependingon thepersonYesNo home-visit servicesYes Certain level ofeveryday conversationskills for living Japanese language skillsnecessary for working inlong-term careSupport byregisteredsupportingorganizationYesNo home-visit services*1. Provided, however, status of residence “Nursing Care” can be selected whencertification is obtained, enabling permanent employment*3. Requirement at time of entry is about N5 for Indonesian and Filipino nationals, but about 90% of Indonesian and Filipino candidates acquireJapanese language skills of about N3 by the time six month Japanese language training is completed after entry (based on FY2018 data).*2. Technical intern trainee who completed the third year is exempted fromexamination for obtaining “Specified Skilled Worker (i )” visa (if the statusof residence is changed to “Specified Skilled Worker (i ),” maximum periodof residence becomes ten years, with technical intern and specified skills visas)*4. “Some schools” refer to certified care worker training schools that require minimum Japanese Language Proficiency Test (JLPT) of N2 orconfirmation of equivalent of N2 or higher level in Japanese language tests. In this Guidebook, Foreign Care Worker refers to care workers who are foreign nationals whose native language is notJapanese, such as foreign care worker employed as certified care worker or certified care worker candidate under EPA;foreign national with “Nursing Care” status of residence; student under casual employment; and technical intern trainee. This chart is a simple diagram of features of each system. Refer to pages 10 and 11 for details of each system.2 Criteria for N1 to N5 in Japanese Language Proficiency Test (JLPT )Japanese Language Proficiency TestCriteriaAbility to understand Japanese used in a variety of circumstancesN1Ability to understand Japanese used in everyday situations, and in a variety of circumstances to a certain degreeN2Ability to understand Japanese used in everyday situations to a certain degreeN3Ability to understand basic JapaneseN4Ability to understand some basic JapaneseN5Qualification such as “about N4” refers to cases where the individual has passed JLPT N4 or is deemed to have equivalent skills.3
Current Situations of Foreign Care Workers and EmploymentHow is the progress in employment of foreign care workers?Acceptance of Certified Care Worker Candidates under EPA[persons]1,000Actual number ofpersons acceptedin FY2018 : 773800Acceptance of Certified Care Worker Candidates underEPA which is one method of employment of foreign careworkers by care service providers started in FY2008,and the number of acceptances has increased each year,reaching a total of 4,302 individual in FY2018. EPA CareWorkers*1 have been employed in 808 facilities, etc.Living support provided to foreign care workers by long-term care facility employing EPA Care Workers (top 7 item)n 2180%400Some foreign nationals are studying at Japanesecertified care worker training schools to obtainCertified Care Worker qualification and work forJapanese care service provider, resulting in increase offoreign students from 257 in FY2016 to 591 and 1,142in FY2017 and FY2018, respectively.2002008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018[FY ]In addition, the number of applications for technicalintern training plan for care worker jobs was 1,516trainees as of end of December 2018, of which 946 haveeventually accredited and sequentially entered Japanas technical intern trainees.Aggregated total : 4,302Employment record at 808 facilities,etcSource: Ministry of Health, Labour and Welfare (MHLW) (as of January 2019)*1 EPA Care Worker refers to foreign care workers employed as Certified Care Worker Candidate or Certified Care Worker under Japan-Indonesia EPA,Japan-Philippines EPA, or Japan-Vietnam EPA (same applies below)*2 TOKUYO refers to intensive care home for the elderly (long-term care welfare institution for the elderly) (same applies below)*3 ROKEN refers to long-term care health facilities (same applies below)Long-term care facilities employing EPA Care WorkersNo plan to acceptPlanning to acceptDon’t know/undecided3.2 %20.2 %47.5 %14.6 %No answer1.5 %Continue to accept78.9 %n 218n 1,355With respect to plans for accepting foreign care workers, long-term care facilities already accepting EPA Care Workers arepositive towards future acceptance, with 78.9% responding “continue to accept.”Of the long-term care facilities who have not employed foreign care workers, 20.2% responded they are “planning toaccept,” indicating about one-fifth of facilities are considering employment.Source: FY2018 MHLW subsidy for research study “Survey on Foreign Care Worker Acceptance” (as of October 1, 2018)493.6%83.9%81.7%74.8%65.6%(Approval of leaves for religious holidays, exemption from tasks that are religious taboos)Support for environmental adjustment such as climate62.8%These are living supports provided by many long-term care facilities employing EPA Care Workers.Supports for housing, administrative procedures and housing rent contracts, etc. are being provided by majority offacilities, and can be deemed as basic support for organizing basic living requirements. About 80% of facilities are alsoproviding support to enhance communication and support for mental health. These types of supports are necessary forworking in a foreign country with some difficulty in language, etc. Consideration to culture/customs and religion, andsupport for adjusting to environment such as climate can be important depending on the home country of the care worker.For stable employment and development of foreign care workers, broad range of support including the living aspect isnecessary, in addition to instruction and education at workplace.Source: FY2018 MHLW subsidy for research study “Survey on Foreign Care Worker Acceptance” (as of October 1, 2018)Note: Of the ten items concerning support for living aspects, top seven items with higher ratio of “Strong support provided” and “support provided.”Remaining three items were “support concerning food,” “support for interaction with community/people,” and “private issues (relationship advice,lending and borrowing money, side job, etc.).”How do users and family members assess foreign care workers?Assessment of foreign care workers by users and family membersNot satisfied 2.1%Positive points of long-term care services receivedResponds immediately to nurse calls.I was grateful to be asked “are you all right? Tell me whateveryou need.” Always smiling, and always talk to me.AverageReceiving a monthly letter in Japanese about my mother whois staying at the facility. Very dedicated to everyday tasks, awonderful person.Satisfied65.1%Always smiling and happily engaged. Pays attention to smallchanges, such as commenting “how nice” when I have newshoes or changed bath towels.16.2 %Not considering,have no plan to accept100%96.8%Consideration for culture/customsConsideration for religion24.8 %Have considered, buthave no plan to accept80%Mental health careNo answer7.9 %Don’t know/undecided 17.0 %No answer 0.9 %60%Support for enhancing communication such as Japanese language schoolQuality of long-term care services provided byforeign care workersLong-term care facilities with no foreign care worker employment40%Housing supportHow many care service providers are interested in employment of foreign care workers?Planning to accept foreign care workers20%Support for administrative procedures and housing rent contracts, etc.As of January 1, 2019, 3,165 EPA Care Workers areemployed in 677 facilities, etc. Main accepting facilitiesinclude TOKUYO*2 and ROKEN*3 .6000What are supports being provided by care service providers who employ foreign care workers?n 886How do users and family members assess foreign care workers? Many users and family members highly value the quality ofservices provided by foreign care workers, with 65.1% responding “satisfied.” Examples of positive service experienceinclude frequent conversation and response.Source: FY2018 MHLW subsidy for research study “Survey on Foreign Care Worker Acceptance” (as of October 1, 2018)Note: Quality of long-term care services provided by foreign care workers indicates assessment of EPA Care Workers and other foreign care workers (casualwork by students, foreign nationals with “Nursing Care” status of residence, etc.) working at long-term care facilities by users and family members.Multiple users/family members are providing assessment for single staff. “Satisfied” includes “higher level than Japanese nationals, or fully satisfactorylevel” and “mostly satisfactory level”; “Average” includes “average”; and “Not satisfied” includes “not very satisfactory level” and “not satisfactory.”5
Four Systems for Employing Foreign Care WorkersEPAEmployment of Certified Care Worker Candidates under Economic PartnershipAgreement (EPA)Requirements“Graduated/completed nursing school/nursingcourse”, or “graduated university/tertiary educationorganization and government certified care workerat home country”*differ by countryJapanese language training (6-12 months)by Japanese language trainingorganization prior to entry and JLPT*Matching around this timeEntryTraining on Japanese language, etc. byJapanese language training organization(2.5-6 months) after entryEmployment/training by Care Service Provider4th year from entryObtain Certified Care Worker qualificationby taking national examinationContinue employment as Certified Care Worker*No limit to period of residenceEPA aims to enhance economic cooperation betweenJapan and the partner country, accepting foreignnationals from Indonesia, Philippines and Vietnam. Can hire individuals with study experience and/orqualification in home countryForeign nationals satisfying certain criteria regarding knowledgeand experience on long-term care and nursing enter Japan afterreceiving Japanese language training. Matching with care serviceproviders is made around the time of the Japanese languagetraining. Entry requirement is about JLPT N5, or N3 and aboveWith respect to Japanese language proficiency, about JLPT N5 orabove is required for Indonesia/Philippines, and N3 or above isrequired for Vietnam. Further training on Japanese language andlong-term care basics is provided after entry prior to employmentby care service providers. About 90% of Indonesian and Filipinocandidates already have Japanese language skills of about N3 bythe time they commence employment (based on FY2018 data). Cer tified Care Worker qualification enablespermanent employmentNational examination for Certified Care Worker qualification willbe taken on the fourth year after entry. Candidates who pass theexamination will have access to permanent employment withrenewal of residency. Failed candidates must return to the homecountry.NursingCareEmployment of foreigners who graduated a certified care worker trainingschool in Japan and have “Nursing Care” status of residenceRequirements(Requirement for entering training school) PassJLPT N2 or above, or study at Japanese languageeducation organization for six months or longer andcan be confirmed to have JLPT N2 equivalent or higherin Japanese language tests, etc.*differs by the schoolEntryStudying at certified care worker trainingschools (some involve prior JapaneseLanguage School attendance)Obtain Certified Care Worker qualificationEmployment by Care Service Provider(certified care worker training schoolstudents may be employed on casual basis)*No limit to period of residence Matching support by JICWELSJapan International Corporation of Welfare Services (JICWELS)is the sole provider of support for matching foreign candidatesand care service providers, coordinating employment thatrespects the intention of both parties. There is a limit to thenumber of candidates to be accepted, and service providersmust note that not all service providers will be matched withcandidates.Foreign students studying at Japanese certified careworker training schools can obtain “Nursing Care”resident status after graduating and obtainingCertified Care Worker qualification. Can hire Certified Care Worker and permanentemployment is possibleCertified Care Worker can be expected to be a specialistprofessional and can be included in placement quota uponhiring. Resident period for “Nursing Care” can be renewedrepeatedly so long as the individual desires, enablingpermanent employment.Depending on the rules of the certified care worker trainingschool, students may be employed on casual basis. Criteria for training school entry is about N2 or aboveThe Guideline sets forth that foreign students enteringcertified care worker training schools must pass JLPT N2 orabove, or study at Japanese language education organizationfor six months or longer and can be confirmed to have JLPTN2 equivalent or higher in Japanese language tests, etc. (seepage 10 for details). Specific requirements and acceptancestatus differ by school. Acceptance support organization does not exist;voluntary hiring activity is necessaryThere is no support organization for employment of foreignnationals under this system, so voluntary hiring activity bycare service providers such as collaboration with certifiedcare worker training school will be necessary.Inquire with nearby certified care worker trainingschool/Japanese language schoolParticipate in “Seminar on Acceptance ofCertified Care Worker Candidates based on EPA”held by JICWELSConfirm whether the business meetsrequirements for acceptance ofcare workers/candidatesAs the EPA acceptance support organization, JICWELSholds annual seminar on the system, procedures andacceptance case study, etc. Application for acceptingorganizations is held annually.The system has requirements for careservice providers to become acceptingorganizations. Confirm whether therequirements are met with the “Pamphleton Acceptance of Foreign Nurse andCertified Care Worker Candidates underEPA (Japanese only)” on the JICWELSwebsite.6Place a job advertisement/utilize Hello WorkConfirm if nearby certified care worker training schoolsaccept foreign students and confirm entry requirements.If there are foreign students, start by cooperating asinternship or casual employment provider.Certified care worker training schools with foreignstudents are gathering information on prospectiveemployers for graduates. Communicate that you areactively hiring foreign nationals.Some foreign students may directly apply to care serviceproviders, so placing job advertisements clearly statingactive hiring of foreign nationals can be effective forrecruitment.In addition, job advertisement can be placed with HelloWork. Employment Service Centers for Foreigners arelocated in Tokyo, Nagoya and Osaka.*Some of the prefectural branch offices of Japan Association of Geriatric Health Services Facilities provide services related to acceptance of foreignstudents studying at certified care worker training schools. ROKEN considering employment of foreign nationals with “Nursing Care” status of residencecan consult with these branch offices.7
TechnicalInternTrainingEmployment of foreigners using the Technical Intern Training Program(technical intern trainee)RequirementsExpected to engage in jobs requiring acquired skills,etc., after returning to home country; has experiencein same type of job as long-term care, etc.Prior local selection by sending organizationLocal interview, matchingLocal training and Japanese languageproficiency tests by sending organizationEntryTraining by supervising organization(two months in principle)Training (employment) bycare service providerAt end ofYear 1 Written and practical examAt end ofPractical examinationYear 3At end ofPractical examinationYear 5Return to home country*Maximum of 5 year residenceTechnical Intern Training Program is a program intended fortransferring skills from Japan to other countries, by acceptingforeign nationals at Japanese industry for certain period tolearn skills and technologies, etc., through OJT for contributionto economic development of their native countries. Execute employment contract with technical intern traineesTechnical intern trainees are employed by the care service providerafter receiving training on Japanese language and basics of long-termcare, etc. The purpose of the program is acquisition of long-term careskills (technical training); however, as the trainees learn through work,an employment contract shall be executed with the service provider. Required Japanese language proficiency is about N4at time of entry and about N3 after one yearRequired Japanese language proficiency is about N4 in JapaneseLanguage Proficiency Test at time of entry but must reach aboutN3 after one year. If about N3 level is not achieved after one year,continued residence to the third year is allowed subject tolearning necessary Japanese for mastering long-term care skillsat the employing service provider. Tests are given every one or two years, and maximumof five year employment can be obtained upon passingAdditional two year training
This chart is a simple diagram of features of each system. Refer to pages 10 and 11 for details of each system. Criteria for N1 to N5 in Japanese Language Proficiency Test (JLPT) Requirements at time of entry: Certain level of everyday conversation skills for living Japanese language skills necessary for working in long-term care Yes
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