Assessment and Treatment of Sleep Disturbances in Military Populations: Cognitive-Behavioral Therapy for Insomnia (CBT-I)

This 2-day workshop provides training in the assessment and treatment of deployment-related sleep disturbance with a focus on Cognitive Behavioral Therapy for Insomnia (CBT-I), an evidence-based approach to treating sleep problems.  It covers the rates and types of sleep problems identified in the military population, introduces sleep mechanisms and theories, highlights current research findings on this topic, provides training in conducting a sleep-focused differential assessment and reviews clinical strategies and interventions.  The instructors teach cognitive and behavioral interventions to treat insomnia, including skills for using Stimulus Control and Sleep Restriction.  Military case examples are incorporated to illustrate key concepts and techniques. Participants are expected to engage in case discussion and role-plays in class to practice CBT-I techniques, and attendance at both days is required.

Learning Objectives:

​      1.      Describe the prevalence of sleep problems experienced by military personnel during and after deployment.
     2.   
Discuss the Two-Process (Homeostatic & Circadian) Model of Sleep.
     
3.      Classify the four stages of sleep.
     
4.      Perform sleep-focused differential assessment.
     
5.      Plan an appropriate course of CBT-I treatment based on individualized case conceptualization.
     
6.      List recommended subjective sleep measures.
     
7.      Identify types of insomnia and the symptoms associated with such sleep disturbance.
     
8.      Communicate basic sleep principles and sleep hygiene to patient using psychoeducation.
     
9.      Score a patient’s baseline sleep log including calculations of sleep efficiency.
     
10.  Develop skills for using stimulus control.
    
11.  Calculate sleep data to prescribe bedtime and wake time schedule using sleep restriction.
     
12.  Compare strategies for implementing individual and group CBT-I.
     
13.  Explain adaptations of standard cognitive approaches to patients with insomnia.
     
14.  Recognize the role of sleep disturbance in PTSD and TBI.