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- Title
Cognitive Behavioral Therapy for Insomnia Treatment in a Military Deployed Operational Setting Utilizing Enlisted Combat Medics: A Quality and Process Improvement Project.
- Authors
Amin, Rohul; Wirtz, Brooke E.
- Abstract
Insomnia disorder is a prevalent condition especially among the American military, affecting up to 50% of service members. It is shown to affect military performance. Guidelines recommend the use of nonpharmacologic approaches as initial treatment of insomnia. Cognitive behavioral therapy informed insomnia treatment (CBTI) has the greatest evidence, however it requires specialized training. While deployed in the Middle East in support of US military operations, we faced a resource challenge while caring for service members with insomnia. In order to meet the needs of the population, we created a checklist based CBT-I informed treatment to enable our health extenders, including combat medics and behavioral health specialists. Following institutional review board determination of this project as nonresearch, we implemented this as a Quality Improvement/Process Improvement Project (QI/PI). Here we describe the 4 phases of this QI/PI and our outcomes. This process can be easily reproduced in either the deployed or garrison setting with minimum efforts and resources, enabling delivery of high quality, evidence-and guidelines-based treatment while using combat medics and behavioral health specialists to their maximum potential.
- Subjects
INSOMNIA treatment; COGNITIVE therapy; HEALTH of military personnel; MENTAL health services; MILITARY medicine
- Publication
U.S. Army Medical Department Journal, 2017, p52
- ISSN
1524-0436
- Publication type
Article