Globally, it is projected that by 2050 the number of people with dementia will reach 152.8 million, about three times the current figure. A key challenge is to deepen understanding of dementia and to build a social system that can accommodate people with dementia. In Japan, in order to protect the dignity of dementia patients and enable them to live socially with hope, and to systematically advance dementia policies, the Basic Law on Dementia was enacted in January 2024. Across Japan, there is a strong focus on dementia prevention, promoting understanding of dementia, and creating a society that coexists with dementia patients through initiatives such as dementia supporter training programs and dementia cafes. Among these, dementia cafes are particularly popular in Japan.Since March 2022, the presenter has started a dementia cafe using music therapy at the paid nursing home H, conducting the music therapy-based dementia cafe once a month. The aim of this study is to revitalize participants through music therapy, continue the community-linked dementia cafe, and expand its operation. The paid nursing home H addressed in this study carries the slogan "Living Together, Creating Together". It was established with the hope of becoming a place where people of all ages—adults, children, and the elderly, whether healthy or living with some form of handicap—can take each other's hands, help one another, and truly "live together and create together" within the same community. Participants in the dementia cafe include residents with dementia, community members with mild cognitive impairment (MCI), elderly people living alone, people with dementia and their families, and staff from the community comprehensive support center. The program is developed based on requests from participants. Although the schedule sometimes overlaps with music therapy sessions and bath or home medical care times, music therapy is popular and continues to be conducted regularly. The program is primarily based on singing activities, incorporating musical instruments, exercise, vocal training, and tea time. Specifically, the session always starts by asking participants, "What is the date and day of the week today?" to check their orientation. Next, the facilitator informs participants about any commemorative days in the world or in Japan that fall on that date, based on prior research. Since there are wheelchair users and people who use a cane due to hemiplegia, several alternatives are provided for the warm-up exercises so that everyone can participate even if they cannot move certain parts. For dementia patients who have limited understanding of words, mimicking movements by observing is often a strength, so verbal instructions are carefully crafted to explain the meaning of each movement and delivered slowly and attentively. Next, vocal exercises are conducted every time, either by following a consistent routine or by performing the specific vocal exercises needed for the songs being sung at the moment, using live sound. Then, the prepared 6-7 songs are sung while incorporating physical exercises, instrumental activities, and sign language. Key points for singing are also explained. Although participants are given lyric sheets, some continue folding them until they become very small, while others may put them away and lose track of them. Even if a lyric sheet is lost midway, the music therapist remains calm and gives time to search by asking, "Is it in your bag?" "Is it hidden under your clothing?" or "Is it on the back of your chair?" Extra lyric sheets are prepared just in case. During the session, the singing includes periods for deep breathing or brain training. Transposing accompaniments may use the transpose function, and participants' hummed tunes may be captured and turned into a melody, requiring improvisation, arrangement skills, and musical ear. When dementia patients recall and speak while singing, or begin to sing loudly, the therapist encourages this by repeating songs and using prompts like, "Oh, did that happen?" to help them remember. Although dementia patients are prone to memory lapses and loss of confidence, recalling positive past experiences through singing can be effective in maintaining memory. After the approximately 45-minute program concludes, tables and chairs are rearranged into a conversation-style setup around the table, participants enjoy talking with nearby people. The presenter primarily oversees the dementia cafe focused on music therapy, but there are also various other activities. The recognition of the dementia cafe has grown, and the group has expanded as sessions continue. Participants look forward to music therapy more and more as sessions progress; unfamiliar people become friends, and after music, they share their daily lives during tea time and show concern for each other’s health. This demonstrates the connecting power of music among people. Since anyone can develop dementia, the activities of the dementia cafe are maintained, and future efforts aim to utilize it as a space for intergenerational interaction.