Behavioural Supports Ontario

Behavioural Supports Ontario (BSO) is services for older individuals living with responsive behaviours such as dementia, mental health needs, addictions, and other neurological disorders. 

In the South East LHIN's regions, Providence Care is the provider of BSO and has three main components:

  1. Mobile Response Teams - providing around the clock support as required to residents and staff in long-term care homes
  2. Geriatric Psychiatry Outreach Teams - providing specialized assessment and consultation for people living in long-term care homes, retirement homes, hospitals or their own homes
  3. Psychogeriatric Resource Consultant - supporting staff across the continuum of care through consultation and education

BSO use the three main components above to enhance the quality of life for older people living within mental health needs and also to support their caregivers. The Behavioural Support Services assist clients in Leeds, Grenville and Lanark, Frontenac, Kingston, Lennox and Addington, Hastings, and Prince Edward County.

How BSO started in southeastern Ontario

The South East LHIN was one of the "early adopters" of BSO, and took a generous amount of time to plan. 

A model of how BSO would work within the health care system was created. This model was that was used was aligned with the Provincial BSO plan.

For more information about how this project was developed, view the BSO Action Plan documents below:


Behavioural Supports 

Transition Unit

The South East LHIN helped to create the Behavioural Supports Transition Unite (BSTU) to give additional support to seniors living with challenging behaviours. 

This 20 bed, inpatient program puts the patient and family at the centre of the care team, therefore allowing the family to be part of the care plan.

The BSTU works together with the patients, family and identified care team to:

  • Assess the emotional, social, environmental, and physical need s o f each patient
  • Create and follow through with treatment and care plans based on what that senior needs to balance behaviours 
  • Shift the patient to the most appropriate home setting (community, retirement or long-term care)

The care team can be made up of many professionals, such as:

  • Nurses
  • Personal Support Workers
  • Recreational therapists
  • Social workers 
  • Physicians, including Consulting Geriatric Psychatrists
  • Pharmacy consultants
  • Physiotherapy and occupational therapist
  • Speech-Language pathology
  • Spiritual care
  • Registered dietitians

Throughout the patients stay, the team will work with the individuals and services who were already involved with the patient prior to admission. This helps to gather the best possible history to inform the new care plan.

The BSTU also works with health care teams who provide care upon the patient leaving to ensure the care plan can be carried out in the discharge. This allows the patient and family to be support throughout the whole journey, including the discharge from the program.