Pathways to Cognitive Wellness

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Nearly 50% of dementia cases are linked to modifiable risk factors such as physical inactivity, poor diet, hypertension, sleep disturbance, depression, substance use, and social isolation, yet most services begin only after symptoms appear. Older adults, especially in rural, remote, and Indigenous communities, lack access to culturally grounded, practical support to change daily habits in ways that actually stick. Standard health education and brief counselling rarely translate into sustained behaviour change, and no programs integrate Indigenous ceremony, land‑based healing, and plant‑based medicines with Western dementia‑prevention science.

Pathways to Cognitive Wellness addresses this gap with a co‑designed, 12‑week dementia‑risk reduction transformational education program for adults 60–79 at elevated risk but without dementia, focused on sustainable lifestyle change, cultural safety, and hope.

Pathways to Cognitive Wellness (PCW) is a unique, co‑designed dementia‑risk reduction program that combines transformational education (online and in‑person), lifestyle medicine, and brain‑health science with Indigenous wisdom, Nature, plant‑based medicine, and ceremony.

Over 12 weeks, adults 60–79 with elevated dementia risk participate in a blended program that weaves together movement, nutrition, sleep, and vascular risk management; brain‑health literacy; Indigenous‑led ceremony and land‑based learning; and reflective, community‑based practices that help people see themselves as “good medicine” in their families and communities.

A carefully supervised, one‑time therapeutic dose of botanical psilocybin in Nature, with physicians and Elders present, is embedded within this broader ceremonial and educational journey—never as a stand‑alone “drug treatment.”

PCW is now trial‑ready, and designed for scale through primary care and community partners.

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