Long Term Care Home Behavioural Supports Lead Initiative

Expression of Interest


ISSUED: September 5, 2017


The Toronto Central LHIN is seeking expressions of interest (EOIs) from Long Term Care homes interested in supporting a Behaviour Support Lead model.



In January 2010, the Ministry of Health and Long Term Care (MOHLTC) announced $40 Million to enhance the availability of supports and services to persons living with responsive behaviours across the province. The Toronto Central LHIN received $3.2 million for new human resources (nurses, personal support workers and other health care personnel) which supported the creation of: LTC-specific mobile specialized Behavioural Support Outreach Team, a Community Behavioural Support Outreach Team, a 23-bed Behavioural Support Unit, and the hiring of new clinicians focused specifically on education & capacity building, and crisis response support.  


The MOHLTC further awarded the Toronto Central LHIN $807,693 in August 2016 to support the hiring of new Behavioural Supports Ontario (BSO) specialized staffing resources in long term care homes and the community.


In August 2017, the MOHLTC awarded the Toronto Central LHIN $893,613 in base funding to support LTC homes in enhancing the specialized care provided to LTC Home residents.  


Purpose of EOI for Long-Term Care Homes

The purpose of this EOI is to identify long term care homes in the Toronto Central LHIN that have a commitment, ability and willingness to implement the Behavioural Support Lead model in their homes. Long term care home candidates which have provided responses that successfully address the criteria for selection will be engaged in discussions with the LHIN about their ability to implement the model. Successful homes will have funding flow to support the new position Fall 2017.


Target Population

Older adults exhibiting challenging and complex behaviours as well as those who are prone to exhibiting these behaviours due to cognitive impairment. 



Who can apply?

Long-term care homes in the Toronto Central LHIN that did not receive Behavioural Support Lead model funding in 2016/17.


Behavioural Support Lead Model

The new Behavioural Support Lead will:

  • Be a resource to serve as an in-house expert on behaviour response techniques.
  • Provide coaching, care planning and/or hands on care in the home within their scope of practice to assist in managing responsive behaviours.
  • Help front line staff working with a resident receiving psychogeriatric services to be aware of referrals, expectations, required approaches to care.
  • Provide leadership, supporting the creation of an internal behavioural support resource team which will allow for broader internal capacity to manage behaviours
  • Work with the specialized resources (Geriatric Mental Health Outreach Teams, LTC Behavioural Support Outreach Team, Nurse Lead Outreach Teams) to optimize opportunities for consultation, implementation of recommendations and education, and also ensure smooth transitions of residents along the continuum.
  • Proactively identify training and education needs for the home and coordination with the PRCs to deliver capacity building supports.


Implementation of the Behavioural Support Lead model is anticipated to:

  • Enhance capacity of LTC home staff to recognize, respond to and better manage responsive behaviours.
  • Improve staff responses to responsive behaviours.
  • Reduce need for crisis or emergency response and reduce transfer to hospitals, related to responsive behaviours.
  • Enable effective use of specialized geriatric resources and integration of care.


BSO Funding Guidelines

  • The Toronto Central LHIN will make available base funding for regulated staff to fill this role.
  • Long term care homes can apply for resources to support up to one in-house Lead to assist in managing residents with responsive behaviours. Multiple homes can jointly apply for a shared Lead, where that model is appropriate.
  • The Behavioural Support Lead will be a net new position and is expected to have training and experience in responsive behaviour management (e.g., PIECEs, GPA).
  • Funding will be for salaries and benefits only. Homes can “top up” the funding should they wish.
  • All new staff must be hired by March 31, 2018.


Criteria for Selection

Long term care homes will be assessed based on the following components:

  • Prevalence of residents with responsive behaviours.
  • Demonstrated leadership in the provision of care to older adults with complex and responsive behaviours.
  • Organizational commitment to behavioural support capacity building (i.e., staff education/training, participation in Quality Improvement initiatives), strategy development and utilization, self-funding of behavioural support staff).
  • Demonstrated successful partnerships with hospitals and outreach supports
  • Level of support from long term care home administrator and medical director to participate in this initiative.
  • Ability and willingness to share new resources with other homes to achieve economies of scale (e.g. one Lead for two or more sites).



Click here for EOI Template and send to torontocentral@tc.lhins.on.ca by 5pm on Friday September 22, 2017.


Click Here for Q & A's about the submission process.



EOI posted on Toronto Central LHIN website

Tuesday September 5, 2017

Submission of questions from service providers *

Friday September 8, 2017

Answers to questions posted on Toronto Central LHIN website

Wednesday September 13, 2017

EOI submission deadline

Friday September 22, 2017 – 5:00pm

Review of submissions by Toronto Central LHIN

September 25 – October 13, 2017



* Questions can be submitted to: torontocentral@tc.lhins.on.ca