title: Master's-level practitioners as cognitive behavioral therapy for insomnia providers: an underutilized resource.
abstract: Despite the efficacy of cognitive behavioral therapy for insomnia (CBT-I) in treating chronic insomnia, it remains underutilized. Lack of appropriately-trained CBT-I providers is a major reason. Master's-level practitioners (MLPs) may, in addition to doctoral-level psychologists, be uniquely positioned to fill this role, based not only on "goodness of professional fit" but also given a handful of studies showing these individuals' care outcomes meet or exceed standard outcomes. However, the ability of MLPs to provide CBT-I will be significantly restricted until a clear pathway is established that extends from training opportunities to credentialing. Further questions remain about how to attract and incorporate MLPs into established practices.
authors.affiliation: Center for Sleep and Circadian Neurobiology, University of Pennsylvania Medical Center, Philadelphia, PA ; Division of Sleep Medicine, University of Pennsylvania Medical Center, Philadelphia, PA.
authors.forename: Barry G
authors.initials: BG
authors.lastname: Fields
authors.forename: Sharon
authors.initials: S
authors.lastname: Schutte-Rodin
authors.forename: Michael L
authors.initials: ML
authors.lastname: Perlis
authors.forename: Megin
authors.initials: M
authors.lastname: Myers
mesh_terms: D002568:Certification; D015928:Cognitive Behavioral Therapy / Q000193:education* / Q000379:methods; D004511:Education, Nursing, Graduate; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D008297:Male; D020380:Needs Assessment; D009722:Nurse Practitioners / Q000193:education* / Q000706:statistics & numerical data; D010823:Physician Assistants / Q000193:education* / Q000706:statistics & numerical data; D011361:Professional Competence; D007319:Sleep Initiation and Maintenance Disorders / Q000175:diagnosis / Q000628:therapy*; D056508:Sleep Medicine Specialty / Q000193:education
keywords: Insomnia; cognitive behavioral therapy; nurse practitioner; physician associate