title: Using behavioral health consultants to treat insomnia in primary care: a clinical case series.
abstract: 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.
authors.affiliation: Department of Family Medicine, Uniformed Services University, USA. jgoodie@usuhs.mil
authors.forename: Jeffrey L
authors.initials: JL
authors.lastname: Goodie
authors.forename: William C
authors.initials: WC
authors.lastname: Isler
authors.forename: Christopher
authors.initials: C
authors.lastname: Hunter
authors.forename: Alan L
authors.initials: AL
authors.lastname: Peterson
mesh_terms: D000328:Adult; D000368:Aged; D005194:Family Practice; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D011320:Primary Health Care; D011614:Psychotherapy, Brief; D007319:Sleep Initiation and Maintenance Disorders / Q000175:diagnosis / Q000503:physiopathology / Q000523:psychology* / Q000628:therapy*; D055815:Young Adult