Society of Behavioral Sleep Medicine Online Courses

Course Description

Onlines sessions will focus on managing common sleep disorders with an emphasis on patient-centered care. Discussion will focus on state-of-the-art management strategies for clinicians to employ in their behavioral sleep medicine practice.

Course Objectives

Upon completion of the course, participants should be able to:

  • Identify treatment targets and link them to cognitive behavioral strategies
  • Tailor behavioral treatments for insomnia in patients with co-morbidities
  • Employ effective techniques to address non-adherence to behavioral treatments for insomnia
  • Recognize the challenges resulting from combined pharmacological and cognitive behavioral treatments for insomnia
  • Outline common challenges and strategies associated with sleep medication tapering
  • Identify special considerations for sleep medication use in patients with co-occurring medical conditions
  • Describe normal sleep patterns and sleep disorders in women during menopause
  • Tailor CBT-I to women during menopause
  • Integrate BSM services within the medical model (Obstetrics & Gynecology clinics)
  • Outline changes in sleep patterns in women during pregnancy and postpartum
  • Identify the key hormonal changes that impact sleep during pregnancy and the postpartum period
  • Develop a treatment plan for sleep disorders in women during pregnancy and the postpartum period
  • Identify intrinsic factors and behavior phenotypes of sleep disturbance in school-age children and adolescents
  • Formulate a cognitive behavioral sleep treatment plan tailored for pediatric patients’ needs and preferences
  • Describe adaptations for the use of CBT-I in adolescents with co-morbid delayed sleep wake phase disorder
  • Utilize behavioral sleep interventions to improve bedtime problems and night awakings in young children
  • List special considerations for behavioral sleep treatment in children with Autism Spectrum Disorder and Developmental Delay

Target Audience

This course is intended for advanced practice psychologists, physicians, advanced practice nurses, and other healthcare providers treating patients with sleep disorders. This course is suitable for providers who have extensive experience in behavioral sleep practice or have already completed a beginner/intermediate level course on behavioral treatment for insomnia.

Overview/Purpose

This advanced course will examine state-of-the-art assessment and treatment strategies in behavioral sleep medicine through didactic lectures, case presentations and group discussions. The course is structured around three content areas: 1) complex insomnia cases in adults; 2) women and sleep disorders; and 3) special topics in pediatric insomnia. At this course, attendees will learn from experts how to apply innovative behavioral sleep treatment for a variety of patients with complex presentations.

2016 Society of Behavioral Sleep Medicine Online Courses

1) When a CBT-I Manual is Not Enough: Treating Insomnia in Complex Cases

A Case Formulation Approach to CBT-I: Meeting Clients Where They Are

Keynote Speaker: Colleen Carney, PhD, CPsych
Associate Professor and Director of the Sleep and Depression Laboratory, Ryerson University

Upon completion of the course, attendees will be able to:

• Identify treatment targets and link them to cognitive behavioral strategies
• Tailor behavioral treatments for insomnia in patients with comorbidities (e.g., major depressive disorder)
• Employ effective techniques to address non-adherence to behavioral treatments for insomnia

CBT-I and Challenges Associated with Sleep Medication Use

Speaker: Michael Schmitz, PsyD, CBSM 
Clinical Director, Behavioral Sleep Medicine Hospital-based Psychology Services Abbott Northwestern Hospital at Allina Health

Upon completion of the course, attendees will be able to:

• Recognize the challenges resulting from combined pharmacological and cognitive behavioral treatments for insomnia
• Outline common challenges and strategies associated with sleep medication tapering
• Identify special considerations for sleep medication use in patients with co-occurring medical conditions

Case Presentations and Discussion

Upon completion of the course, the attendee will be able to:

• Participate in an open discussion about challenging cases presented by the faculty
• Discuss clinical options for management of the patient with insomnia

Discussants: Colleen Carney, PhD, CPsych and Michael Schmitz PsyD, CBSM


2) Women and Sleep: Treatment Considerations Across the Reproductive Period

Sleep and Menopause: It’s a hot mess!

Speaker: Sara Nowakowski, PhD, CBSM
Assistant Professor, The University of Texas Medical Branch

Upon completion of the course, attendees will be able to:

• Describe normal sleep patterns and sleep disorders in women during menopause
• Tailor CBT-I to women during menopause
• Integrate BSM services within the medical model (Obstetrics & Gynecology clinics)

Sleep during Pregnancy and the Postpartum Period

Speaker: Snigdha Pusalavidyasagar, MD, FAASM
Assistant Professor of Medicine
Division of Pulmonary, Critical Care, Allergy and Sleep Medicine University of Minnesota Medical Center

Upon completion of the course, attendees will be able to:

• Outline changes in sleep patterns in women during pregnancy and postpartum
• Identify the key hormonal changes that impact sleep during pregnancy and the postpartum period
• Develop a treatment plan for sleep disorders (e.g., insomnia, obstructive sleep apnea, and restless legs syndrome) in women during pregnancy and the postpartum period

Case Presentations and Discussion

Upon completion of the course, the attendee will be able to:

• Participate in an open discussion about challenging cases presented by the faculty
• Discuss clinical options for management of the patient with insomnia

Discussants: Sara Nowakowski, PhD, CBSM and Snigdha Pusalavidyasagar, FAASM


3) Children Who Keep You Up at Night:  Treatment Challenges in Pediatric Behavioral Sleep Medicine

The Science and Art of CBT-I for Child and Adolescent Insomnias: Fitting Treatments to Phenotypes

Keynote Speaker: Danny Lewin, PhD, DABSM 
Associate Director of Pediatric Sleep Medicine Children’s National Medical Center

Upon completion of the course, attendees will be able to:

• Identify intrinsic factors and behavior phenotypes of sleep disturbance in school-age children and adolescents
• Formulate a cognitive behavioral sleep treatment plan tailored for pediatric patients’ needs and preferences
• Describe adaptations for the use of CBT-I in adolescents with co-morbid delayed sleep wake phase disorder

Insomnia in the Littlest Ones: Behavioral Sleep intervention for Infants, Toddlers, and Preschoolers

Speaker: Sarah Morsbach Honaker, PhD, CBSM
Director of Behavioral Sleep Medicine, Riley Children’s Hospital Assistant Professor, Indiana University School of Medicine

Upon completion of the course, attendees will be able to:

• Utilize behavioral sleep interventions to improve bedtime problems and night wakings in young children
• List special considerations for behavioral sleep treatment in children with Autism Spectrum Disorder and Developmental Delay

Case Presentations and Discussion

Upon completion of the course, the attendee will be able to:

• Participate in an open discussion about challenging cases presented by the faculty
• Discuss clinical options for management of the patient with insomnia

Discussants: Danny Lewin, PhD, DABSM and sarah Morsbach Honaker, PhD, CBSM

 

2015 Society of Behavioral Sleep Medicine Online Courses

An Overview of Behavioral Sleep Medicine Assessment Strategies

Patricia Haynes PhD CBSM 

Course Description: This presentation illustrates the process to perform a behavioral sleep assessment, and introduce different assessments to information a diagnosis and subsequent treatment planning.

The detailed components of the polysomnographic report is analyzed to define the technical details and relates the diagnostic findings to the recommendations for treatment of the patient’s sleep disorder.

Specific examples are presented for application of the core content with explanations of how to use and interpret sleep diaries for outcome assessment.

The learner will be instructed how to:

  1. Develop a behavioral sleep assessment
  2. Integrate and interpret the sleep diary to provide a subjective outcome assessment

Cognitive Behavioral Therapy for Insomnia (CBT-I)

Colleen Carney PhD CPsych.

Course Description: The presentation explores the causal or perpetuating factors for chronic insomnia and link each of the CPT-I techniques to the causal factors of the insomnia. An important discussion during this course focuses on the definition and clinical application of the CPT-I components: stimulus control, sleep restriction, cognitive therapy and sleep hygiene. Case presentations demonstrate how the selected strategies impact the clinical picture.

The learner will be instructed how to:

1. Link each cognitive behavioral therapy technique with the causal factors for chronic insomnia
2. List the steps involved in CBT-I components.


Integrating BSM Practice Into Health Care Settings

Carla Junquist ANP-BS, PhD

Course Description: The presentation correlates the current evidence for integration of BSM into the healthcare setting, and includes the education requirements for nurse practitioners to develop a scope of practice in sleep medicine. A stepped care model for CBT is reviewed and correlated to different patient populations and clinical disorders, which includes an interdisciplinary delivery of care for the patient with a sleep disorder.

The learner will be instructed how to:

1. Ascertain the educational background and scope of practice for Nurse Practitioners to work in a sleep medicine practice.
2. Outline a model for interdisciplinary delivery of care for the patient with a sleep disorder.


Starting and Stopping Pharmacologic Therapy for Insomnia

Andrew Krystal MD

Course Description: The presentation discusses the use of medications in combination with CBT: the appropriate choice of a medication, the risk and benefit of the medication, and expected benefits of all treatment options when assessing the need for use of a medication. The current primary treatment options for medications are compared to the use of CBT. Case presentations correlate the timing of the sleep problem with efficacy of pharmacotherapy. Strategies for medication tapering are discussed, which correlate significant clinical indicators as a measurement of efficacy.

The learner will be instructed how to:

1. Integrate the appropriate choice of a medication with CBT
2. Develop a plan to taper or discontinue medications.


Panel Discussion

Carla Junquist ANP-BS, PhD; Andrew Krystal MD, and Jason Ong PhD CBSM

Course Description: The panel discussion facilitates open dialogue with the program attendees about challenging clinical cases, the optimal treatment strategies, and the expected outcomes when addressing the patient with insomnia. Practice experiences are suggested to expand the clinical options for care of the patient.

The learner will:

1. Participate in an open discussion about challenging cases presented by the faculty.
2. Discuss clinical options for management of the patient with insomnia.


Improving CBTi Adherence and Motivation

Megan Crawford PhD CBSM

Course Description: The presentation discusses the importance of adherence and motivation for effective management of insomnia, the subjective and objective measures of adherence, plus clinical application of the strategies to improve adherence with treatment. Case studies are presented to apply the components of adherence. The cognitive and behavioral processes of change are described with review of motivational interviewing as a tool to augment the adherence with therapy. Clinical pearls and case studies presented demonstrate application of the techniques and concepts.

The learner will be instructed how to:

1. Identify baseline characteristics and treatment related factors that might impede adequate implementation of CBTi
2. Strategies to facilitate adherence with CBTi


Delivering BSM Services for Chronic Hypersomnia

Jason Ong PhD, CBSM

Course Description: The presentation defines hypersomnia and differentiates it from hypersomnolence. Clinical disorders characterized by hypersomnia are described, and associated with appropriate diagnostic testing to objectively diagnose the condition. Pharmacological and BSM treatment options are correlated to the respective disorders, and the psychosocial and occupational impact of the clinical disorders are described.

The learner will be instructed how to:

1. Incorporate CBT for hypersomnia
2. Describe the psychosocial and occupational impact of chronic hypersomnia.


Behavioral Sleep Medicine: Evaluation and Billing Procedures

Ryan G Wetzler, PsyD, CBSM, ABPP

Course Description: The presentation provides key considerations for starting a behavioral sleep psychology practice: the common diagnostic codes used in a behavioral sleep medicine program, the billing codes to use for claims submission, and the documentation requirements to be compliant with insurance and regulatory standards. Credentialing requirements are reviewed and applied to the scope of practice.

The learner will be instructed how to:

1. Identify characteristics of the behavioral sleep medicine practice
2. Assess the challenges and benefits of taking health insurance


The Basics of Circadian Rhythm Disorders

Christopher L Drake, PhD

Course Description: The presentation reviews the physiology of the circadian system as it influences phase advance and delay syndromes, a shift work disorder, the non-24 hour sleep-wake rhythm disorders, and jet lag. Case studies are presented to identify the clinical indicators of the respective disorders, and outline the changes of the circadian rhythm. Shift work safety consequences are described, and associate of individual differences in melatonin during shift work is presented. Therapeutic options such as light and OTC and prescribed medications are associated with respectice circadian rhythm disorders.

The learner will be instructed how to:

1. Link co-morbid medical and psychiatric complication with circadian rhythms disorders.
2. Integrate behavioral and pharmacologic therapies needed to realign rhythms, address excessive sleepiness or insomnia, and improve alertness.


CPAP Adherence

Sairam Parthasarathy MD

Course Description: The presentation discussed the important of treating sleep apnea, the definition of cpap adherence, and the options for treatment with devices and medications. Co-morbidities secondary to CPAP non-adherence are described and correlated with the patients’ psychological, physical, and social determinants. Specific differences of the device type: autoPAP, bilevel PAP, CPAP, and humidification are correlated to patient outcomes. The role of clinical psychology is integrated into the discussion.

The learner will be instructed how to:

1. Differentiate and correlate specific differences of PAP devices with patient outcomes
2. Discuss the role of clinical psychology to improve CPAP adherence.


Evaluation and Management of Pediatric Sleep Disturbances

Lisa J Meltzer, PhD, CBSM

Course Description: The presentation focuses on normal sleep patterns in the pediatric and adolescent patients, correlates the sleep disturbances observed, and appropriate sleep practices to incorporate with the bedtime routine. Sleep deprivation is correlated with changes in the neurocognitive status, behavior, and family dynamics.

The learner will be instructed how to:

1. Understand the aspects of normal sleep in children and adolescents.
2. Recognize basic behavioral interventions for pediatric sleep problems. 

 

Planning Committee

Suzie Bertisch, MD, MPH
Instructor in Medicine, Harvard Medical School
Department of Pulmonary, Critical Care, and Sleep Medicine Beth Israel Deaconess Medical Center

Megan Crawford PhD
Assistant Professor
Section of Sleep Disorders and Sleep Research Rush University Medical Center

Kathryn Hansen BS, CPC, CPMA, REEGT
SBSM Executive Director

Krista Lee, BS
Program Specialist, Learning & Development Allina Health

Sarah Morsbach Honaker, PhD, CBSM
Director of Behavioral Sleep Medicine, Riley Children’s Hospital Assistant Professor, Indiana University School of Medicine

Michael Schmitz, PsyD, LP, CBSM
Clinical Director
Behavioral Sleep Medicine Hospital-based Psychology Services Abbott Northwestern Hospital at Allina Health

Faculty

Colleen Carney, PhD, CPsych
Associate Professor and Direct or of the Sleep and Depression Laboratory Ryerson University

Sarah Morsbach Honaker, PhD, CBSM
Director of Behavioral Sleep Medicine, Riley Children’s Hospital Assistant Professor, Indiana University School of Medicine

Danny Lewin, PhD, DABSM
Associate Director of Pediatric Sleep Medicine Children’s National Medical Center

Sara Nowakowski, PhD, CBSM
Assistant Professor
The University of Texas Medical Branch

Snigdha Pusalavidyasagar, MD, FAASM
Assistant Professor of Medicine
Division of Pulmonary, Critical Care, Allergy and Sleep Medicine University of Minnesota Medical Center

Michael Schmitz, PsyD, LP, CBSM
Clinical Director
Behavioral Sleep Medicine Hospital-based Psychology Services Abbott Northwestern Hospital at Allina Health 

Successful Completion Requirements

• Learners must complete the activity post test and online evaluation.
• Online Evaluation - An electronic conference evaluation is available following the completion of the course.
• Certificate/evidence of attendance - Certificates will be emailed to attendees upon completion of the post test and evaluation. 

Accreditation

Physician

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Amedco and the Society of Behavioral Sleep Medicine. Amedco is accredited by the ACCME to provide continuing medical education for physicians.

Amedco designates each enduring activity for a maximum of 9.75 (1 hour for each enduring session) AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Psychologists

This course is co-sponsored by Amedco and the Society of Behavioral Sleep Medicine. Amedco is
approved by the American Psychological Association to sponsor continuing education for psychologists. Amedco maintains responsibility for this program and its content. 9.75 hours (1 hour or each enduring session).

Social Workers

Amedco, #1346, is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB) www.aswb.org, through the Approved Continuing Education (ACE) program. Amedco maintains responsibility for the program. ASWB Approval Period: 6/24/2016 to 6/24/2019. Social workers should contact their regulatory board to determine course approval for continuing education credits.

Social workers participating in this course may receive up to 9.75 clinical continuing education clock hours (1 hour for each enduring session).

Please note: Continuing medical education credits (ACCME) are accepted by the American Nurses Credentialing Center’s Commission on Accreditation (ANCC) for certification renewal if the content is applicable to the area of certification. Continuing education hours approved by the ACCME meet the ANCC-accredited continuing nursing education (CNE) criteria.

Acknowledgement of Commercial Support

There was no commercial support received for this CE/CME activity.

Online Course Fees

Join and save! If you are not a member of the SBSM and would like to become one, join the SBSM and receive instant savings including reduced course registration fees, journal subscriptions and much more. Membership is on a calendar-year basis (January 1–December 31).

The SBSM reserves the right to provide a full refund should conditions warrant. The refund will only include the cost of registration for the course.

Online Courses are $39.00 per session

Purchase a bundle of 9 sessions and save! $315.00

Online Course Registration

SUCCESSFUL COMPLETION REQUIREMENTS & ACCREDITATION

Successful completion by participants 

Learners must complete the activity post test and online evaluation. 

Online evaluation 

An electronic conference evaluation is available following the completion of the course.   

Certificate/evidence of attendance 

Certificates will be emailed to attendees upon completion of the post test and evaluation.