Job Description BSO Therapeutic Recreation Position Description Full-time- Monday to Friday- (3 Days and 2 Evening) Behavioural Supports Ontario (BSO) is a service enhancement that has been implemented across Ontario since 2012 to better support older adults with responsive behaviours. BSO’s three pillars are (1) System Coordination & Management; (2) Integrated Service Delivery: Intersectoral & Interdisciplinary; and (3) Knowledgeable Care Teams and Capacity Building. Hamilton Niagara Haldimand Brant BSO (HNHB BSO) consists of various interprofessional teams that have been implemented across the health care continuum. The BSO Recreation Therapy position has been newly created to further enhance and expand upon the scope of BSO teams. As part of the HNHB BSO structure, this position will hold multiple accountabilities to Extendicare Hamilton, HNHB BSO, and Ontario Health West. Direct support and accountability for this position will be provided by the hiring organization, Extendicare Hamilton, and indirect reporting accountabilities and supports will be guided by HNHB BSO and Ontario Health West.
Core Qualifications: Therapeutic Recreation degree and/or postgraduate therapeutic recreation diploma
Membership in good standing with Therapeutic Recreation Ontario (TRO) and/or with Canadian Therapeutic Recreation Association (CTRA)
Registered Recreation Therapist (R/TRO) certification; or eligible to obtain registration with TRO
Additional Training/Certificates: P.I.E.C.E.S.TM and/or U-FIRST! Gentle Persuasive Approaches (GPA) basics training
Montessori Methods or Dementiability Methods for Dementia Care
Mental Health First Aid for Seniors
Training an asset Indigenous Cultural Competency Training or equivalent training an asset
Teepa Snow “Positive Approach to Care” Training an asset
Additional Attributes: Demonstrated positive person-family centred values and practice
Demonstrated understanding that all behaviour has meaning, as reflected in practice
Flexibility and adaptability to competing needs within fast-paced work environments
Excellent organizational and time management skills
Excellent interpersonal skills and ability to work as an effective member of an inter-agency and interdisciplinary team; with a strong collaborative nature
Strong communication skills and ability to communicate in a non-stigmatizing way
Ability to positively represent and advocate on behalf of BSO in public forums/committees
Demonstrated awareness and competency regarding cultural diversity, including francophone, LGBTQ and Indigenous-specific considerations
Proficient computer skills
Physical ability to assist residents and move program equipment
Good attendance and work record
Criminal Reference verification
Experience: Relevant clinical experience (3–5 years as a Recreational Therapist) working with older adults and care partners in long-term care and community settings
Experience working within an interprofessional team model; long-term care setting preferred
Experience implementing quality improvement initiatives
Experience supporting the lived experience of older adults living with dementia or at risk of responsive behaviours and their care partners
Experience with electronic documentation, including assessments, and care planning functions
Knowledge:



Demonstrated extensive knowledge working with individuals with various forms of dementia, delirium, complex mental health, substance use, other neurological conditions, including those with or at risk of responsive behaviours and the effects on care partners
Knowledge and familiarity with recent research and best practices for our patient population and ability to apply this knowledge
Knowledge and understanding of all pertinent legislation and policies, including the Long-Term Care (LTC) Homes Act, the Personal Health Information and Protection Act (PHIPA, 2004), the Mental Health Act and other pertinent legislation
Knowledge of internal and external community resources
Shared Care Delivery: Demonstrated patient-family-care partner focus and commitment to the Mission, Vision, Values and goals of BSO, Extendicare Hamilton and respective partner agencies
Plan, facilitate and implement purposeful individualized therapeutic recreation founded on interest, need and ability in accordance with established policies, primary care and clinical team collaboration, and overall plan of care and within the scope of practice
Enhance the positive impact and spread of BSO (1:1 and group) therapeutic modalities to address and prevent responsive behaviours, while adapting to individual changing needs
Promote brain health through engagement activities tailored to maintaining skills and abilities and focused on validation, individual success, and social stimulation
Work in collaboration with all care partners to find the best possible quality care solutions for the patient/family
Create and nurture continuous improvement of Behavioural Support and organizational practices for improved system co-ordination
Support the spread of improvement practices with internal team members (e.g. activation and restorative teams) regarding overall prevention of responsive behaviours through therapeutic programming or education
Clinical Accountability: Actively participate in all relevant professional development as coordinated at the regional, hub and local level as guided by HNHB BSO Structure
Participate in and/or facilitate referral-based complex case reviews
Actively engage in BSO quality improvement initiatives within the organization and as part of the regional structure
Monitor, document, and evaluate therapeutic activities and relevant literature
Formulate individualized therapeutic program plans and goals
Conduct evaluation of practices using measurable outcomes
Maintain accurate, complete, organized and legible clinical records
Maintain and submit standard data collection, as required by the regional lead organization (HNHB BSO) and Ontario Health West
Time Type Full time
Compensation Details Compensation Details Compensation will be discussed during the recruiting process. At Extendicare, we’ve spent more than 50 years dedicated to enhancing the quality of life for residents in our long-term care homes across Canada.



When you join Extendicare, you become part of a compassionate, mission-driven team committed to creating a secure, supportive, and enriching environment for every resident we serve. We provide competitive compensation that reflects the value of this role and the unique qualifications each candidate brings. Final salary offers are based on a variety of factors such as your skills, experience, education, and alignment with the responsibilities of this position. Base salary is one component of our broader total rewards package. We may use artificial intelligence (AI) tools to support certain stages of the recruitment process, such as reviewing applications, analyzing resumes, and assessing candidate responses. These tools assist our recruitment team but do not replace human judgment — every application is reviewed by a member of our team to ensure thoughtful and equitable consideration. If you would like more information about how your data is processed, please contact us.
Extendicare is an equal opportunity employer committed to respectful and inclusive hiring practices. We welcome all applicants, including those from equity-deserving groups, including Indigenous peoples, women, people with disabilities, and visible minorities. Extendicare is committed to fostering an accessible, inclusive, and equitable hiring process. We will gladly accommodate the needs of applicants throughout all stages of the recruitment process upon request and in accordance with applicable legislation. If you require support during any stage of the process, email us at [email protected].
We acknowledge that the care we provide across Canada occurs on lands that have been cared for by many Indigenous peoples for generations. We recognize First Nations, Inuit, and Métis Peoples and their enduring connection to this land, and the importance of respect and cultural safety in the work we do.
Extendicare is a leading provider of care and services for seniors across Canada, operating under the Extendicare, ParaMed, Extendicare Assist, and SGP Purchasing Network brands. We are committed to delivering quality care to meet the needs of the growing seniors’ population, inspired by our mission to provide people with the care they need, wherever they call home. We operate a network of 99 long-term care homes (59 owned, 40 under management contracts), deliver approximately 14.0 million hours of home health care services annually, and provide group purchasing services to third parties representing approximately 153,600 beds across Canada. Extendicare proudly employs approximately 23,000 individuals and manages an additional 5,000 joint venture employees, all of whom are highly qualified, trained and dedicated team members and passionate about providing high-quality care to help people live better.
Our Mission To provide people with the care they need, wherever they call home.
Our Vision Everyone in Canada has access to the care and support they need to live their best lives.
Our Values We embrace every person for the individual they are. We care for each person as we would our own family. We collaborate with others because we achieve more together. We are relentless in our efforts to improve. We respect the resources entrusted to us.

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📌 Recreation Therapist - BSO Lead- Full time - Hamilton (Ontario)
🏢 111000 Extendicare (Canada
📍 Ontario