Behavioural Supports Ontario (BSO) focuses on providing quality care for older adults with complex and challenging mental health, dementia or other neurological conditions.

St. Joseph’s Villa has been the Human Resources lead for this program for Ontario Health West since 2012. The Ministry of Long Term Care’s local investment facilitates the hiring of nurses, personal support workers and other health care providers. These staff are then trained in the specialized skills necessary to support the 86 Long -Term Care Homes (LTCH) within Hamilton, Niagara, Haldimand, Brant and Burlington.

The BSO trained employees provide necessary support to the LTCHs to assist in managing care for older adults who are experiencing or at risk of experiencing responsive behaviours due to their cognitive impairment.

BSO is a collaboration between Ontario Health West, Alzheimer Society of Ontario, Health Quality Ontario, the Ministry of Health and the Ministry of Long-Term Care.

Our HNHB BSO programs for Long term care is now a “Best Practice Spotlight Organization” as designated by the RNAO (Registered Nurses Association of Ontario). 


Our journey has supported best practices in:

  • Person and Family Centered Care:

See our staff share their perspective in these Videos:

  • Pain Management


  • Delirium, Depression and Dementia


Sustaining our practice, we will be adopting two new Best Practice Guidelines in 2023:

Professionalism and Nursing Leadership.


See us in action on Youtube:


BSO – Behavioural Supports Ontario – YouTube


If you are a LTCH staff member looking to access/refer to the BSO LTC team (including the Mobile Social Worker), please use this HNHB referral form.

HNHB Referral Form

If you are a Long-term Care Home staff member looking to access the BSO mobile and scheduled teams that serve long-term care (including the Mobile Social Worker), please use this HNHB referral form.