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Behavioural Support Services


For Health Care Providers it is sometimes a challenge to know how to best support clients and families who are experiencing behavioural changes as a result of dementia. In the TC LHIN, there are many programs and services available to you and your clients to better support their health and well being. Please visit each category/tab for more information.

Behaviour Support teams in the Community

Community Behaviour Support Outreach Team (C-BSOT)
A community-based outreach team enabling inter-agency collaboration with community partners to deliver a continuum of care, caregiver support and skills training.

Community Psychogeriatric Outreach Teams (CPOT)
These outreach teams offer a variety of psychogeriatric services and assessments by multidisciplinary teams. Some of the clinics can assist in cases of seniors who are home-bound. The services include:
  1. Baycrest Geriatric Psychiatry Community Service - Offers assessments, treatment by multidisciplinary teams and long-term follow up.
  2. Sunnybrook Health Sciences Centre - Offers assessment and treatment by multidisciplinary teams including long term follow up.
  3. North York General Hospital - Offers mental health services to address the unique needs of older adults.
  4. Providence Healthcare - Provides assessments, treatments and short/long-term follow up.
  5. West Park Healthcare - Offers assessments by mental health professionals, review of health challenges and medications, provides advice and information and periodical follow up.
  6. Centre for Addiction and Mental Health (CAMH) - Offers assessments and psychogeriaric consultations, counseling, education, medication monitoring and home visits for follow-up.
  7. Toronto East General Hospital


Behaviour Support teams in Long Term Care

Long Term Care Behaviour Support Outreach Team (LTC-BSOTS)
A specialized team comprised of an advance practice nurse, registered nurses and personal support workers helping seniors with unmanageable behaviours who are living in long-term care homes

Psychogeriatric Resource Consultation (PRC) Program
The Psychogeriatric Resource Consultation Program (PRCP) in Toronto is a team of knowledge-to-practice facilitators who help to build the capacity of staff in long-term care homes and community services agencies as they care for seniors with Alzheimer's Disease and other Psychogeriatric challenges.

Geriatric Mental Health Outreach Team (GMHOT)
  1. Baycrest GPCS Team
  2. Sunnybrook Health Sciences Centre
  3. St. Michael's Hospital
  4. Centre for Addiction and Mental Health (CAMH) - Offers assessments and psychogeriatric consultations, counseling, education, medication, monitoring, and home visits for follow-up.
  5. St. Joseph's Health Centre
  6. Toronto East General Hospital
  7. Toronto Rehab Institute
  8. Toronto Western Hospital


Behaviour Support Teams in Acute Care

Behaviour Support Specialist (BSS)

Behavioural Support Transition Resource - LOFT Community Services
Behavioural Support Transition Resource is focused on supporting the transition of patients who are currently designed ALC or at risk of becoming ALC and who are experiencing responsive behaviours that are creating barriers to their transition from hospital. This includes patients with responsive behaviours related to cognitive impairment, mental health and/or substance use. BSTR develops an evidence-based Behavioural Support Plan to support successful transitions to other living destinations. Referrals are made by Toronto Central CCAC or designated representatives from hospitals supported by BSTR.



Behaviour Support in Primary Care

Psychogeriatric Resource Consultant for Primary Care (PRC-PC)
The PRC-PC program supports primary care practitioners to support their work in providing care for older adults with dementia and responsive behaviours and their caregivers. The PRC-PC provides: case based consultation in complex cases; information about community resources; up-to-date information on best practice; developing tools that can support and simplify your work; organizing learning opportunities as requested by each practitioner/team. This program is led by the Reitman Centre for Alzheimer's Support and Training and by the PRC Program of Toronto in partnership with the Regional Geriatric Program.

Behaviour Units

Transitional Behavioural Support Unit (TBSU)
Located at Baycrest, this 23-bed, specialized transitional unit provides support for individuals whose behaviours have become unmanageable in their current setting. Once the client has reached their behavioural goals, they are able to return to home or to an appropriate alternative environment.

Centralized Access to Senior Specialty Hospital Beds (CASS) Program
The Centralized Access (Intake and Referral) Process to Senior Specialty Hospital Beds is a single entry point for providing access to geriatric mental health beds at Baycrest, CAMH and Toronto Rehab Institute within the Toronto Central Local Integration Health Network (TC-LHIN).

Caregiving

Alzheimer Society of Toronto
The Alzheimer Society of Toronto seeks to offer support, information, and education to people with dementia, their families, and their caregivers through free counselling, support groups and workshops. They also strive to increase public awareness of dementia, to promote research, and to advocate for services that respect the dignity of the individual. They also facilitate free webinars and online courses through AlzEducate.

Reitman Centre including the High Risk Caregiver program
The Cyril & Dorothy, Joel & Jill Reitman Centre for Alzheimer’s Support and Training delivers unique, targeted and tailored skill-building interventions that provide family caregivers with the tools and support to manage the care of persons with dementia at home.

Education Consortium
A wide range of integrated and coordinated education and training to enhance knowledge and expertise of caregivers, primary care practitioners, long term care staff, community health service providers and acute care personnel. The consortium is comprised of the Reitman Centre at Mount Sinai Hospital, The Regional Geriatric Program, The Alzheimer Society of Toronto, and Baycrest.