Purpose: This study aimed to identify factors hindering the coordinated support of older adults with dementia and educational needs.

Methods: A semi-structured interview targeted public health nurses, nurses, social workers, and chief long-term-care support specialists at general-support community centers, with over three years of experience. Data were analyzed qualitatively and descriptively.

Results: There were 11 research participants. 8 categories of Factors that make coordination difficult are: [complexity of including dementia symptoms in the long-term course of older adults] [difficulty in getting family support] [challenges in gaining acceptance of the dementia diagnosis from individuals with dementia, their families, and residents] [barriers in using existing systems and measures] [difficulties in coming to terms due to conflicting opinions between individuals with dementia, community centers, and related organizations], and [discrepancies between community general support centers and residents, including individuals and their families]. The educational needs are: [assessing the relationship between older adults with dementia and surrounding phenomena] [negotiating skills to cooperate with residents and related organizations] [facilitation skills to collaborate with residents and related organizations], and [assessing the region and develop regional support].

Discussion: Difficulties included older adults with dementia, their families, residents, different affiliated institutions, expertise, and positions, and local government. Education is required on the connection between understanding older adults with dementia and the characteristics of families and local communities. Identification of how to direct support, cooperation and collaboration should be shared across multiple professions and organizations. Acquiring district diagnosis and facilitation skills will be required.