The PIECES' TIPS service provides timely fax or e-mail advice on clinical and educational problems. A team of experts provides the practical TIPS responses and advice for thinking through complex problems. Responses are posted in the TIPS Library.

Performance Improvement Approach

Support for a performance improvement approach is reinforced. PIECES training in and of itself is most likely “not the answer” to the complex challenges faced by organizations providing continuing care – it will need to be part of larger, long-term sustainable solutions. These solutions include clear performance expectations, on-going support and feedback from senior management regarding the application of skills and knowledge, supporting policy and procedures, time to practice and evaluate practice changes, etc.

Senior Leadership Training

Senior Leadership Training provides leaders with a solid foundation in PIECES This interactive session provides practical ideas for transferring knowledge into day-to-day practices and sustaining learning in the longer-term. Research consistently demonstrates the critical role management plays in creating a flourishing learning environment in an organization.

Support Network

Research reflects that classroom learning can translate into minimal practice improvements; therefore it is necessary to provide a network to foster support and coach transference of knowledge. The PIECES program will facilitate an infrastructure of organizational support as demonstrated below.

In-house Psychogeriatric Resource Person(s) PRP

The goal is to have one to four professionals per continuing care organization (e.g., continuing care facility, home care office, supportive living facility) across the province trained in PIECES. These professionals may include registered nurses, licensed practical nurses, psychiatric nurses, occupational therapists, recreation therapists, physical therapists, social workers, etc. When the PRP returns to work after their training he/she will:

  • Assess how team members are currently managing the cognitive/mental health needs and associated behavioural issues of residents
  • Determine how those practices compare to what was learned through participation in the training program
  • Set realistic goals for improving day-to-day practices
  • Develop practical strategies for imparting new knowledge and skills learned through participation in the training program
  • Develop strategies to encourage integration of new practices on a day-to-day basis
  • Evaluate improvements over time.

Psychogeriatric Resource Consultant(s) PRC

Each participating site will identify individuals to take the PIECES PRC training. These individuals will have a recognized designation in a health care profession and have extensive clinical geriatric mental health experience. The PIECES training will provide an overview of the program and philosophy, clarify/align the role of a PRC together with existing job description(s), review the decision-making templates and standardized assessments, practice use of learning aides together with coaching strategies, and provide networking opportunities. It is acknowledged that individuals taking this training are already geriatric mental health experts and the focus of this training will be on “process” rather than “content”. The role of the PRC involves consultation, education, and program development.

Linkages with Stakeholders

A network of health care professionals who have a special interest in working with individuals with complex needs and associated behaviours will be enhanced across the province. This network could include organizations such as the Alzheimer Society, Schizophrenia Society, Specialized Geriatric Services, Education Services and University faculty with research expertise. 

PIECES Consultation Team

The consultation team will lead and coordinate the PIECES Network. On-going development, implementation and sustainability will be supported through dialogue and linkages with Key Stakeholders and Senior Leaders. The team will be comprised of educators, multi-disciplinary clinicians, and content specialists.

Sustained Networking and Shared Learning

On-going dialogue and shared learning will be supported through webinar sessions, TIPS, individualized consultation and meetings as necessary.


The PIECES learning program is reviewed through pre and post assessment to reflect the learners’ acquisition of knowledge. Factors are identified that help and hinder the application of knowledge to the workplace. The outcomes of collaboration, coordination across sectors, and development of healthcare networks is also reviewed.

PIECES Canada Website

Me and U-First! - a FREE eight module e-learning program on dementia care, developed for front-line care providers.

Submit a TIPS Question

In our continuing efforts to further education and awareness of issues surrounding providing care to individuals who have behaviours which are difficult to manage within their care setting, the Rosehaven Provincial Program invites you to share your experiences with us.

If you have a question that you would like answered, please fill out the form below after you have worked through the ABCC Model. We will provide you with an answer as soon as possible.

We also encourage you to visit our TIPS Library which contains a database of over 150 questions and answers on a variety of topics.

Ask a Question