The BSO-DOS© is a direct observation tool that provides objective and measurable data about a person living with dementia. The data collected can be utilized by clinical teams and care partners to identify patterns, trends, contributing factors and modifiable variables associated with responsive behaviours/personal expressions. This information is useful in the development and evaluation of tailored, person-centred interventions to address unmet needs through activities, environments, approaches and/or medications.
The BSO-DOS© and Permissions:
BSO-DOS© Supporting Resources:
BSO-DOS© and Permissions
The Behavioural Supports Ontario-Dementia Observation System (BSO-DOS©
) is the intellectual property of the Behavioural Supports Ontario Provincial Coordinating Office (BSO PCO), North Bay Regional Health Centre, Ontario, CANADA. It is intended that the BSO-DOS©
is to be made easily accessible and utilized broadly, while preserving the integrity of this standardized tool. As such, the following permissions are provided and/or required:
Paper Version (PDF File) - Clinical Use & Educational Purposes
Electronic Version Development – Clinical Use
Permission is GRANTED for the paper version of the BSO-DOS© (available below) to be downloaded, printed, photocopied, distributed and used for clinical use and/or educational purposes. Alterations to the BSO-DOS© are prohibited.
Permission is REQUIRED from the Behavioural Supports Ontario Provincial Coordinating Office for the BSO-DOS©
to be reproduced, distributed and used electronically. Please click here
to request this permission.
Permission is REQUIRED from the Behavioural Supports Ontario Provincial Coordinating Office for the BSO-DOS© to be downloaded, printed, photocopied, distributed and used for research purposes. Please click here to request this permission.
BSO-DOS© Supporting Resources
BSO-DOS© Start-Up Checklist
Start-Up Checklist is for clinical leads, educators and/or administrators to support implementation of the BSO-DOS©
. It provides a list of key strategies to help organizations adopt the BSO-DOS©
BSO-DOS© Instructional Video
Instructional Video is for all team members involved in completing and analyzing the BSO-DOS©
. This 11 minute video highlights instructions and features of the BSO-DOS©
that will assist team members in utilizing the tool.
BSO acknowledges CTS Canadian Career College as an exemplary community partner in the production of the BSO BSO-DOS© Instructional Video.
BSO-DOS© User Guide
The BSO-DOS© User Guide provides a quick reference for direct care staff on how to complete the BSO-DOS©. Clinical teams may find it helpful to print and laminate copies to assist in completion of the tool.
BSO-DOS© Resource Manual
Resource Manual is an in-depth resource for clinical leads, educators and advanced care clinicians that can assist in supporting the team in adopting the BSO-DOS©
and answering questions that might arise. It includes background information; definitions of each behaviour and context; how to complete each section; frequently asked questions; and case studies.
Archived Webinar: Implementing the BSO-DOS© Strategies for Your Team
This webinar: 1) Describes the innovations within the new BSO-DOS©
and its value for practice within interprofessional teams, 2) Points to available resources to support the implementation and meaningful utilization of the BSO-DOS©
, and 3) Provides successful strategies in implementing the BSO-DOS©
from real stories and lessons learned by early adopters. Follow-up Q&A