Type of Practice


Shannex is a family owned and operated organization, providing quality senior care across a full continuum of services in Nova Scotia, New Brunswick, and Ontario.

Finding continuing care options for people with complex responsive behaviors can be challenging. Many people are required to stay in a hospital setting or are refused from a nursing home because their needs are too complex. This places increased pressure on the health care system and affects the quality of life for these individuals, preventing them from living in a comfortable community they can call home.

The team at Harbourstone Enhanced Care in Sydney recognized these challenges and initiated a pilot that would create a supportive environment for managing responsive behaviors in long-term care. By using functional behavioral assessments in the preadmission process, evidence-based non-pharmacological interventions are developed that are unique to the individual, their environment, and the underlying function of their behaviors.

Because of this project, 22 residents who were previously in the hospital, or refused from other nursing homes, have a new, welcoming home at Harbourstone. Since the pilot, there have been zero placement refusals and zero hospitalizations due to behavior, zero resident-to-resident or resident-to-staff injuries and zero requests for 1:1 funding.
Furthermore, we have provided behavioral consultation services to an additional 30 residents, from 7 LTC homes, across all four zones of Nova Scotia Health Authority. Following this project, homes have reported significant improvements to quality of life for residents as well as for co-residents who had been impacted by their behaviors.

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