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Using behavioral health consultants to treat insomnia in primary care: a clinical case series
Author(s) -
Goodie Jeffrey L.,
Isler William C.,
Hunter Christopher,
Peterson Alan L.
Publication year - 2009
Publication title -
journal of clinical psychology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.124
H-Index - 119
eISSN - 1097-4679
pISSN - 0021-9762
DOI - 10.1002/jclp.20548
Subject(s) - insomnia , primary care , sleep medicine , cognitive behavioral therapy , intervention (counseling) , medical diagnosis , primary insomnia , cognition , psychiatry , cognitive behavioral therapy for insomnia , medicine , psychology , physical therapy , sleep disorder , family medicine , pathology
Cognitive–behavioral treatments for insomnia are as effective as medications and have longer lasting effects. The current study used a clinical case series design to evaluate the effectiveness of a brief behavioral intervention for insomnia delivered in a nonresearch, real‐world family medicine clinical setting. Participants included 29 sleep‐impaired patients who were seen regardless of their comorbid conditions. The treatment included three brief visits with a behavioral health consultant (BHC), plus the provision of a self‐help insomnia‐treatment book. At posttreatment 83% of participants achieved a mean sleep efficiency >85%, as compared to only 14% at baseline. Limited‐contact behavioral treatment of insomnia delivered by BHCs within a collaborative care family medicine clinic effectively reduced symptoms of insomnia, regardless of comorbid medical diagnoses. © 2009 Wiley Periodicals, Inc. J Clin Psychol: In Session, 65:1–11, 2009.