Behavioral Supports Video:

Psychogeriatric Resource Consultant Video:

Behavioural Supports Ontario

The Behavioural Supports in Ontario project (BSO) aims to improve the lives of Ontarians with behaviours associated with complex and challenging mental health, dementia or other neurological conditions living in long-term care homes or in independent living settings. This principle-based Framework for Care is designed to mitigate the strain and improve outcomes for persons with responsive behaviours, families, health providers and the healthcare system.

Framework Principles

Person and caregiver-directed care is the overarching principle:

  • Everyone is treated with respect and accepted “as one is”
  • Person and caregiver/family/social supports are the driving partners in care decisions
  • Respect and trust characterize relationships between staff and clients and care providers

Supporting principles bring these concepts to life for those making daily decisions about care:

  1. Behaviour is communication: Behaviours are an attempt to express distress, solve problems or communicate unmet needs. They can be minimized through interventions based on understanding the person and adapting the environment or care to satisfy the individual’s needs.
  2. Diversity: Practices value the language, ethnicity, race, religion, gender, beliefs/traditions, and life experiences
  3. Collaborative Care: Accessible, comprehensive assessment/interventions include shared interdisciplinary plans of care that rely on input and direction form the client and family members
  4. Safety: A culture of safety and well-being is promoted where older adults and families live and visit and where staff work
  5. System coordination and integration: Systems are built upon existing resources and initiatives. Partners to enable access to the range of needed, integrated services and supports
  6. Accountability and Sustainability: The accountability of the system, health and social service providers and funders to each other is defined and ensured

BSO Outreach Counsellors

The role of a BSO outreach counsellor is to provide education, support, counselling and guidance to caregivers and family members who are caring for a loved one with Alzheimer’s disease and related dementias. BSO counsellors also help families and caregivers navigate the health care system to link them with available community resources. Support for families is provided in the form of a one-on-one home or office visit, a talk over the phone, or assistance in reaching out and connecting with other individuals living with dementia in the community through support groups and educational workshops. A BSO counsellor is able to provide more intensive support to family members and caregivers whose loved one is experiencing responsive behaviours, or may have a concurrent disorder.

BSO Community Support Workers

The primary role of the community support worker is to address responsive behaviours of members within Adult Day Programs. Community support workers also provide assistance with the transition of individuals suffering from Alzheimer’s disease and related dementias from home into day programs and from the day program into long term care. Community support workers work closely with individuals to develop strategies in order to minimize responsive behaviours. These strategies are then communicated to caregivers, day program staff, and staff within the long term care home.

BSO Psychogeriatric Resource Consultant

The primary role of the PRCs work is educational and developing staff and organizational capacity to provide care for seniors with responsive behaviours related to complex physical, cognitive and mental health needs. The PRCs facilitate the transfer of knowledge to practice through formal and informal on-site staff development. Through a consultative model, the PRCs have built capacity throughout the system to better support the person with responsive behaviours and the caregiver. PRCs promote and work with the PIECES model and teach the PIECES program to regulated care providers and supervisors. The PRCs are also qualified as Gentle Persuasive Approach (GPA) coaches and U-First facilitators, delivering these programs to front-line workers, often in collaboration with other trained coaches and facilitators. PRCs collaborate with other training resources to develop and deliver customized training to meet the learning needs of individuals in long-term care and in the community



Last Updated: 11/08/2017