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Cognitive Stimulation Therapy. Is it for me?. Background. Event management and marketing Fronto temporal dementia ‘I would like to meet people in a similar situation’. Cognitive Stimulation Therapy. CST developed by team at UCL ‘ Treatment for people with mild to moderate dementia…

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Background
Background

  • Event management and marketing

  • Fronto temporal dementia

  • ‘I would like to meet people in a similar situation’


Cognitive stimulation therapy1
Cognitive Stimulation Therapy

  • CST developed by team at UCL

  • ‘Treatment for people with mild to moderate dementia…

  • …The effects of CST appear to be of a comparable size to those reported with the currently available anti-dementia drugs.’

    www.cstdementia.com


What is it
What is it?

  • CST a fun programme of activity sessions, designed to improve well-being and confidence

  • Sessions cover topics including food, current affairs, using money and word games

  • Implicit learning rather than explicit teaching

  • Multi-sensory stimulation is used


Sample session food
Sample session - Food

  • Opening (10 minutes)

  • All members individually welcomed to the group by name

  • Draw attention to the name of the group

  • Remind everyone of the activity in the last session. As a group, sing together the group’s ‘theme song’, led by song leader (use song book or CD).


Cognitive stimulation therapy

  • Discuss day, month, year, season, weather, time, name and address of the centre (use whiteboard).

  • Discuss something currently in the news (use newspaper, magazine or photograph)

  • Warm up

  • Play softball game for a few minutes –people may either state their own name, or, for the more able, the name of the person they are throwing the ball to. As the main activity is going to be food ask members to say their most or least favourite food when catching the ball.


Cognitive stimulation therapy

  • MAIN ACTIVITY (25 to 30 minutes). address of the centre (use whiteboard).

  • Suggested activities:

    • Taste foods like cream soda, ginger beer, bread pudding, Bovril

    • Brainstorm food categories e.g. soups; meats; puddings; fish; vegetables).

    • Complete names of food items e.g. Yorkshire X; Bakewell X; self-raising X; name a food beginning with a particular letter.

    • Using priced real or miniature replica groceries give people a budget and a scenario to plan, e.g. dinner for four or categorise the foods e.g special occasions, savoury / sweet.


Cognitive stimulation therapy

  • CLOSING (10 to 15 minutes) address of the centre (use whiteboard).

  • Thank everyone individually for attending and contributing to the session.

  • Summarise the discussion and ideas raised – seek feedback

  • Sing theme song again

  • Reminder of time and content of next session

  • Farewells


How was it developed
How was it developed? address of the centre (use whiteboard).

  • Systematic review of the literature on the main non-pharmacological therapies

  • Reality Orientation

  • Reminiscence Therapy

  • Cognitive Rehabilitation

  • Validation Therapy

  • Multisensory Stimulation


Cognitive stimulation therapy
Chat address of the centre (use whiteboard).

  • 12 month pilot with Age Concern Horsham

  • Trained by Dr Spector

  • Funded by Awards for All

  • Recruited from the community

  • Carers course alongside

  • Very promising results


Ucl based research people with dementia
UCL based research- people with dementia: address of the centre (use whiteboard).

  • ‘I noticed people becoming more fluent and you could see people trying to express themselves more’

  • ‘we just enjoyed ourselves there’s an awful lot of laughter’

  • ‘it helped all of us know we were in the same boat’

  • ‘I can relax, the use of the visual aids helps think things through, we share the same problem and all like coming otherwise we wouldn’t be here.’


Ucl based research carers
UCL based research - carers address of the centre (use whiteboard).

  • ‘There is no argument that my wife’s brighter’

  • ‘He enjoyed being with other people he could relate to’

  • ‘She’s started remembering things since coming to the group’

  • ‘The value of the group has been to make him more animated and motivated’


Who is it for
Who is it for? address of the centre (use whiteboard).

  • Recommended by NICE for people with all types mild-moderatedementia regardless of any anti-dementia prescription

  • Flexible should be tailored to suit capabilities and interests

  • For people with learning difficulties

  • First language

  • Young onset dementia


Where could it be run
Where could it be run? address of the centre (use whiteboard).

  • Day hospitals, GP surgeries and memory clinics

  • Community locations by voluntary sector organisations

  • Sheltered housing and care homes


How is it done
How is it done? address of the centre (use whiteboard).

  • Courses can be run from guide: Making a Difference.

  • Facilitators - activity coordinators, psychologists, dementia care advisors, nurses, psychotherapists, occupational therapists. 

  • Open training is available through For Dementia (4.2.10)

  • In-house training can be arranged through Dr Aimee Spector at cstdementia.com


When can you start
When can you start? address of the centre (use whiteboard).

  • CST is available now

  • Simple to set up and run

  • Ongoing support - live well and independently

  • The initial course is 14 sessions run twice weekly

  • Continue with a weekly programme – MCST

  • The course also provides an umbrella for carers education, professional and peer support and regular short respite.

  • Funding?


Why cst
Why CST? address of the centre (use whiteboard).

  • National Dementia Strategy – objectives & priorities:

  • Early intervention

  • Community personal support services

  • New deal for carers

  • Living well in care homes and effective workforce

  • Jointly commissioned.


Why else
Why else? address of the centre (use whiteboard).

  • Great introduction to day services

  • Positive, pro-active, self management

  • Validated hard work of staff

  • Interesting, stimulating, easy & measurable

  • Informed learning and development – care plans


Compelling economic argument
Compelling economic argument address of the centre (use whiteboard).

  • ‘Early diagnosis and treatment of Alzheimers Disease are not only socially desirable in terms of increasing economic efficiency, but also fiscally attractive from both state and federal perspectives...failure to fund effective caregiver interventions may be fiscally unsound’.

  • (Sager M, weimer D (2009). Early identification and treatment of alzheimer's disease: social and fiscal outcomes. Alzheimer's & dementia: the journal of the alzheimer's association. Doi:10.1016/j.Jalz.2009.01.028.


Next steps
Next Steps? address of the centre (use whiteboard).

How can we increase access to CST programmes?


Cst further information
CST - further information: address of the centre (use whiteboard).

  • www.cstdementia.com

  • www.careinfo.org/books/ - guide book £15 incl p&p

  • www.fordementia.org.uk - next open course 4.2.10 £110pp

  • knowlesjoanne@hotmail.com

    Hedgehogs – why can’t they just share the hedge?