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

The Center for Deployment Psychology will be presenting a two-day course in the use of Cognitive Behavioral Therapy for Insomnia on 25 - 26 January 2023, 9:00 a.m. to 5:30 p.m., Eastern. Registration for the course is $45 and comes with 14 CEs. (Please note the refund policy at the bottom of the page.)

Course Description: This 2-day intermediate workshop will help behavioral healthcare providers to assess and treat insomnia using Cognitive Behavioral Therapy for Insomnia (CBT-I). We begin by discussing common problems military members have with sleep, as well as provide a foundation for understanding normal sleep (i.e., theories about why we sleep, how sleep is regulated, sleep architecture, and how sleep changes over the lifespan).  The workshop utilizes this foundation of understanding normal sleep functioning to further clarify clinical problems patients experience, reviewing differential sleep diagnoses and available assessment tools.  Next, we review the etiology of insomnia along with going over each step of the CBTI protocol. We go over implementation strategies and different formats for CBT-I such as telehealth and group settings.  During the workshop we will use experiential and interactive elements to develop practical skills for using assessment tools like a sleep diary, questions for a sleep specific interview, stimulus control, sleep restriction, and cognitive therapy.  This workshop focuses on clinical practice by application of assessment and intervention methods for both individuals and group members experiencing insomnia that have consistent and credible empirical support in the literature (i.e., Ballesio et al., 2019, Department of Veteran Affairs & Department of Defense, 2019; Kelly et al., 2019; Pruiksma et al., 2018; Taylor et al., 2018).

Instructional Content: Intermediate

Target Audience: For behavioral health providers who treat military personnel, veterans, and their families.  

Attendance Requirements:

• Attendees must attend the entire workshop series to earn credit.
• Role play participation is an attendance requirement for this workshop to receive credit. If you log out deliberately or do not participate during the role plays, that will count against participation.
• Content in this workshop is cumulative, and attendees are required to attend and participate entirely to receive CE credits.
• Please note that all participants must attend from their own account and not as part of a group sharing one computer.
• A functioning microphone is MANDATORY in order to be able to participate in the role-play sessions.
• Cameras will not be used for this workshop.

 Learning Objectives:

1. Distinguish Insomnia Disorder from Insufficient Sleep Syndrome.

2. Differentiate the role of process S (Homeostatic Sleep Drive) and process C (Circadian Rhythm) in regulating sleep.

3. Analyze the differences in sleep architecture between individuals with and without insomnia 

4. Demonstrate interview skills specific to conducting a sleep assessment.

5. Formulate an individualized case conceptualization (including 3 P model) of insomnia for military patients.

6. Integrate subjective sleep measures for CBT-I treatment decisions with patients.

7. Evaluate the negative effects of hyperarousal (physical, cognitive, emotional) on sleep.

8. Calculate a patient’s sleep efficiency using data from sleep diaries.

9. Apply principles of stimulus control to patients with insomnia.

10. Create new bedtime and waketime schedules for patients using sleep restriction principles.

11. Evaluate the use of cognitive therapy approaches in treating patients with insomnia.

12. Appraise the role of CBT-I in cases of insomnia with co-morbidities.

Agenda:

Day One

Check-in   
    8:45am – 9:00am

Introduction & Course Overview  
    9:00am – 9:15am

Military Aspects of Sleep   
    9:15am - 9:45am

Overview of Normal Human Sleep
    9:45am – 12:00pm  

Insomnia: Diagnosis & Etiology
    12:00pm – 1:00pm

Lunch Break
   1:00pm – 2:00pm

Session 1:
Assessment of Sleep Disturbance   
    2:00pm – 5:30pm

Adjourn:
    5:30pm

Day Two

Check-in
    8:45am – 9:00am

Session 2-4:
Stimulus Control
Sleep Restriction
Sleep Hygiene
Relaxation Training
    9:00am – 12:30pm

Lunch Break
    12:30pm – 1:30pm

Session 5-8:
Cognitive Techniques
Relapse Prevention
Other Topics:
Treating Comorbidities and other Considerations
Group CBT-I
Case Conceptualization Exercise
    1:30pm – 5:15pm

Wrap-Up and Q&A
    5:15pm – 5:30pm

*Please note that agenda times are approximate and subject to change, depending on the needs of the workshop.
 

OUT-OF-TRAINING PRACTICE: Visit “The Snoozeum” in Second Life, hosted by Center for Deployment Psychology

Continuing Education:
Course Completion Requirements: Participants are required to attend the entire training. Partial credits  cannot be issued. Attendance is taken through the use of electronic logs, and a post-training evaluation form must be completed in order to receive CE credits. There is a 30-day time limit post-training to  complete all CE requirements. CE Credit Certificates will be made available via CE21 within 30 days after all course requirements have been completed. 

Participate:

Online Platform: Zoom
Date: 1/25/2022 -1/26/2022
Time: 9:00 am – 5:30 pm, Eastern
Registration Information: Registration is done through event management system CE21, a registration link can be found on the CDP upcoming trainings page.
Registration Deadline: Registration for this training closes one week prior to the training date. Space is very limited and tends to fill well before the training date.
Cancellations/Questions: Please contact aric.bowie.ctr@usuhs.edu if you have any questions or need to  cancel your registration.
Registration Cost/Refunds: The cost for this training is $45. Registration fees will be refunded to  participants who send a written cancellation via email to aric.bowie.ctr@usuhs.edu no less than 4 weeks before the training. No refunds will be made after the training.

Location Information: Training will be held in Zoom.

Instructional Format: This live webinar is fully interactive. Attendees may ask and answer questions  throughout the presentation and participate in instructor-led discussions.

System Requirements:
Zoom:
Internet connection, broadband wired or wireless.
Operating System:
Windows 7 or higher, Mac OS X with MacOS 10.9 or higher • Web Browser: Internet Explorer 11+, Edge 12+, Firefox 27+, Chrome 30+, Safari 7+ • Hardware: 1Ghz processor or higher.
For more specific system requirements, see the Zoom system requirements page here: https://support.zoom.us/hc/en-us/articles/201362023-Zoom-system-requirements-Windows-macOS-Linux

Special Accommodations:
If you require special accommodations due to a disability, please contact Aric Bowie at aric.bowie.ctr@usuhs.edu 4 weeks prior to the training so that we may provide you with appropriate service.

Grievances:
For any grievances or concerns with this training including those related to course content, non-receipt  of certificate or other occurrences, participants may contact CDP’s Continuing Education Director, Ms. Amanda  Milochik, via email at Amanda.milochik.ctr@usuhs.edu.