The present study focuses on how to mutually engage and apply hand massage in an effective manner from the view points of therapist about applying hand massage and information obtained from patients, and proposes a method for the same. To be more precise, in order to build a hand massage method for elderly people with dementia, three cases ofhand massage conducted between June 2010 and May 2011 (distinctive cases in the initial stage of hand massage) are described, progress notes recorded in video or episode are exp1ained, and therapists’ way of engaging and his viewpoints are elucidated. In addition, from this viewpoint of engaging with therapist, we have derived and proposed a method of hand massage in the initial stage of therapy for elderly people with dementia. It also came to light that viewpoint of interpersonal assistance, which is the basic skill of social work, is also necessary.