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 a social worker with over 27 years of experience. She also has earned a Master's degree in Gerontological studies as well as a Master's of Health Care Administration. She is currently the Director of Social Work and Geriatric Case Management. She was instrumental in bringing CST to PCMH. She and colleague, Deborah Hayden, traveled to University College London (UCL) in the fall of 2014 and were trained by Dr. Aimee Spector on the techniques and principles of delivering CST. They are also under contract with Dr. Aimee Spector as the only CST trainers in the United States. She and Deborah are currently working with Dr. John Morley and his colleagues at St. Louis University Geriatric Education Center on a CST education team as well.

Deborah HaydenDeborah Hayden, RN, BSN, OTR/L

CST Co-Facilitator

Deborah has a Bachelor of Science degree in Nursing. She also obtained her second Bachelor's degree in Occupational Therapy from St. Louis University. Deborah is a co-facilitator for the CST program and was trained in CST at UCL. Her and Janice are the only CST trainers in the US.  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 pediatrics as well as inpatient hospital care. Debbie is also 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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