Cognitive Stimulation Therapy

CST for older adults with cognitive impairment

Cognitive Stimulation Therapy (CST) is a brief, evidence-based non-medicinal treatment approach for persons with mild to moderate dementia. CST was designed in England by Dr. Aimee Spector and several dementia experts following extensive evaluation of research evidence. Evidence shows that CST can be as effective, and in some cases, more effective than medications in treating the symptoms of dementia, without any reported side-effects. Most noted are improvements in memory, concentration, language and verbal skills. CST is modeled after a program created by Dr. Aimee Spector and colleagues in the United Kingdom (University College London).

CST is a group therapy program structured as small, themed-based group sessions involving 14 or more sessions of themed activities. It is a seven week program that meets for one hour, twice a week at PCMH. Also available is a maintenance program for individuals who have participated in a CST group and would like to continue meeting on a regular basis. Additionally, we offer individual CST sessions for those who are frail and/or not able to participate in a group setting.

PCMH's CST program is administered by highly trained and experienced staff.

Janice LundyJanice Lundy, BSW, MA, MHA

CST Program Director and Co-Facilitator

Janice is currently the Director of Social Work and Geriatric Case Management at PCMH. She is a medical social worker and has Master Degrees in both Gerontology and Health Care Administration. She is a certified dementia practitioner and a core trainer for the North America Cognitive Stimulation Therapy (CST) Training Center at Saint Louis University Geriatric Education Center. Janice was instrumental in bringing Cognitive Stimulation Therapy (CST) to Perry County Memorial Hospital (PCMH). She and a colleague were trained in the techniques and principles of delivering CST at the University College London (UCL). In 2014, she joined a team at Saint Louis University Geriatric Education Center developing and providing CST education for the U.S. As a part of that team, we developed a CST Train the Trainer toolkit and assisted in the formation of the North America CST Training Center.

Deborah HaydenDeborah Hayden, RN, BSN, OTR/L

CST Co-Facilitator

Deborah has a Bachelor of Science degree in Nursing. She also obtained a second Bachelor's degree in Occupational Therapy from St. Louis University. Deborah is a certified dementia practitioner and a core trainer for the North America Cognitive Stimulation Therapy (CST) Training Center at Saint Louis University Geriatric Education Center. 

Deborah is a co-facilitator for the CST program and was trained in CST at UCL. Deborah's focus in occupational therapy has been in pediatric and adult outpatient rehab with an emphasis on ocular (vision) motor and learning disorders. Currently, along with CST, she is focusing her practice on outpatient adult and pediatric as well as inpatient hospital care. Debbie also has experience as a therapist consultant for the National Association for Child Development (NACD).

Contact Us

For more information on the origins and evidence for CST, please visit  If you or a family member are 55 years or older and suffer from mild memory loss or feel the need to be screened for memory issues, please contact your physician for a referral or call 573-768-3387.

CST Training

For information on receiving training in Cognitive Stimulation Therapy, contact Janice at

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