MCST Supporting Those Living With Dementia
JD is a 71 year old gentleman with a mixed dementia diagnosis. He lives alone in a warden supported local authority bungalow receiving some support from his brother.
This short case study describes how MCST has enhanced his life.
Maintenance Cognitive Stimulation Therapy (MCST) & JD
JD attends EveryDay’s Cedar Grove wellbeing centre weekly, in addition to the men’s group once each month. Apart from this JD has minimal integration within the community and looks to his brother as his only support. Prior to this attendance JD was socially isolated and although he enjoyed his time at the centre it was felt he would be an ideal candidate for the MCST (Maintenance Cognitive Stimulation Therapy) program delivered by the specialist dementia team within Cedar Grove. This would help to promote stronger connections with his peers.
What Is Maintenance Cognitive Stimulation Therapy (MCST)?
MCST is a weekly 4 hour program carried out over several weeks designed to improve cognitive skills and memory in attendees as well as to promote social interaction. Each session follows a specific structure to help orientate, encourage conversation about current affairs, and explore a variety of topics. These sessions include art, local history, former professions and food, using creative methods for example baking, painting, sound, quizzes and discussion.
The initial MCST session had 6 attendees and focused on a ‘childhood’ and ‘life history’ as a tool to gain a greater insight into the individuals involved. Following this first session our dementia coordinator began to question whether JD was really the right candidate for the project. She had been generally unable to ascertain his verbal skills or cognitive function due to what appeared to be a lack of engagement and input from him.
As the program progressed JD’s confidence grew and he began to share snippets of his life and his fun sense of humor emerged. He would personally thank our coordinator at the end of each session telling her how much he had enjoyed it. He’d often recall information from previous sessions. JD would often be the first to volunteer a name or theme song.
Following the final session the coordinator evaluates each participant using the final DEM-QOL assessment (a tool designed to record quality of life/mood prior and post program).
JD shared with the coordinator that he had been a loner all of his life and that he had had reservations at first about joining the group. He advised her that taking part in the MCST program had shown him that others were living with similar issues as he was. He had found a new confidence to share often personal aspects of his life with the new ‘friends’ he had made. Specifically JD shared that he was currently suffering from a UTI and that he had confided in a fellow group member who it transpired also had a UTI. He advised her that he had found great reassurance knowing that he was not alone and that he could discuss possible causes and preventative measures for the future.
JD said “it’s made me open up more” “coming here has made a difference”
To learn more about EveryDay Care at Home’s vast service offer or to hear specifically when the next MCST program is starting contact our Customer Coordination Team Tel: 0191 2877028 or e mail firstname.lastname@example.org
To learn more about our Wellbeing Centres https://www.everydayuk.org/wellbeing/
To learn more about our specialist dementia services https://www.ageuk.org.uk/northtyneside/our-services/dementia-services/
Links to useful resources :
Dementia UK https://www.dementiauk.org/
Alzheimer’s Society https://bit.ly/2tgn5UH
North Tyneside Council My Care https://mycare.northtyneside.gov.uk/web/portal/pages/home