Wellness, Independence & Quality of Life in Aging

How to Refer

Behaviour Support System (BSS) Team

The NSM BSS team is a team of health care professionals serving the NSM region, supporting older adults with cognitive impairment and responsive behaviours.

Eligibility Criteria

Eligibility for the NSM BSS team is limited to cases that meet ALL of the following criteria:
  • Older adults with cognitive impairment and an associated responsive behavior(s) who have utilized health care services within the NSM LHIN region.
Of note:
  • Cognitive impairment and the associated responsive behavior(s) can be due to mental health, addictions, dementia and/or other neurological or cognitive disorders.
  • Responsive behaviours are an individual’s actions, gestures and/or words in response to a real or perceived stimulus.  Examples can include: hitting, kicking, rummaging, resistance to care, wandering, exit seeking, sexually responsive behaviour, etc.  For more information see the BSS team’s standard definitions
  • There is no specific age limit as the process of aging may occur in any of the following five dimensions: chronological, biological, psychological, social and developmental. 
  • Requires a behaviour assessment and/or support in the development of a behaviour plan of care
  • Presents with a change in behavior(s) to a degree that caregivers require support to manage the behaviour(s)
  • Resides in North Simcoe Muskoka and is able to receive service in the region

Making a Referral

Referrals to the North Simcoe Muskoka Behavior Support System (BSS) are currently received, reviewed and triaged by the Central Intake Service at Waypoint Centre for Mental Health Care.  Go to Waypoint Central Intake Service for information and to access a copy of the referral form.

Complex Case Resolution

The Complex Case Resolution (CCR) process brings together agencies and providers to resolve exceptional and complex cases related specifically to older adults with cognitive impairment and responsive behaviours.  By using a standardized approach to case review and encouraging a creative and collaborative dialogue between providers and caregivers we hope to improve outcomes for the senior and the system.

Eligibility Criteria

Eligibility for CCR is limited to cases that meet ALL of the following criteria:
  • Older adults with cognitive impairment and an associated responsive behavior(s) who have utilized health care services within the NSM LHIN region.
Of note:
  • Cognitive impairment and the associated responsive behavior(s) can be due to mental health, addictions, dementia and/or other neurological or cognitive disorders.
  • There is no specific age limit as the process of aging may occur in any of the following five dimensions: chronological, biological, psychological, social and developmental.
  • There is a separate CCR process led by Developmental Services Ontario for the dual diagnosis population.
  • The responsive behavior is delaying, or has the potential to delay, the discharge and/or flow of the older adult through the system.
  • The case requires cross sector collaboration and coordinated solutions.
  • All known options have been explored and attempted (as appropriate) by the organization.

Making a Referral

The CCR process is comprised of two levels of consultation support. All cases will start with a Level 1 Complex Case Consultation.  To initiate a Level 1 Complex Case Consultation please contact Annalee King at aking@nsmsgs.ca or at (705) 417-2192 extension 103.

Prior to initiating a Level 1 Complex Case Consultation it is important to review the Complex Case Resolution guidelines as these may provide some initial support to providers to help with the assessment and management of the case.   

Note:
  • The Complex Case Resolution process does not provide crisis support.
  • Existing resources of the NSM SGS program and provider agencies will be used to support the CCR process.