How have standards battles played a role in the organizations innovation cycle?

THK_DIK2.docx

The information technology industry has many examples of de facto standards that resulted from a dominant design, and examples of a dominant design that have resulted because of de jure standard. Reflecting back on the organization you researched for the Module One discussion, how have “standards battles” played a role in the organization’s innovation cycle? How has the organization’s innovation cycle played a role in “standards battles”? Finally, in responding to your peers’ posts, consider the role that standards play in innovation as well as in adoption of new technologies in the information technology industry. How have standards affected innovation in information technology? How has ensuring ethical and legal compliance to standards affected innovation in information technology?
Ref:

https://www-sciencedirect-com.ezproxy.snhu.edu/science/article/pii/S0963868709000043

?

https://www-proquest-com.ezproxy.snhu.edu/intermediateredirectforezproxy

In your local area, identify a group of people with unsatisfied product needs who represent a market. Could this market be reached by a business organization? Why or why not?

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BUS230 CLASS
Discussion 3.1
Reading 3.5. Conscious Capitalism: Creating a New Paradigm for Business:
Explain Mr. Mackey’s theory about entrepreneurs and why they go into business.
Discussion 3.2
Case 3.9. Chipotle: Buying Local and Health Risks:
What lessons should companies take away from the Chipotle experience?

MRKT 110 CLASS
Discussion 3.1
In your local area, identify a group of people with unsatisfied product needs who represent a market. Could this market be reached by a business organization? Why or why not?

Discussion 3.2

What are the categories of situational factors that influence consumer buying behavior? Explain how each of these factors influences buyers’ decisions.

Explain the interrelatedness of the functions and forms of organizations.

Competency
In this project, you will demonstrate your mastery of the following competency:
· Explain the interrelatedness of the functions and forms of organizations.
Scenario

You currently work for Currier Grocery, a small, nonprofit grocery store. In your position at Currier, you spend most of your time balancing multiple positions and responsibilities within the organization. Recently, you have felt as though you cannot grow your skills in the areas you are most interested in, such as data analytics. You are looking to change jobs, but are uncertain of which type of organization is right for you.
One day while you are having lunch with your colleague, Buzz Nes, he suggests that you research companies that interest you and consider whether they may be a good fit. Before you get started, Buzz reminds you how important it is to consider the organization’s form, whether the organization’s goals align to your own, and how your interest in data analytics could fit into the larger organization.
As you read about other organizations, you know some may not currently offer employment opportunities, so you decide it’s a good idea to take notes for reference and check back to see if positions are available at a later date. As you research organizations that interest you, consider what you might say in a job application or interview. You will want to be able to talk about where you currently work and how it compares to the organization you are hoping to work for.
Directions
You decide to research several organizations and focus on one to start. Select 
one organization from the Business Organizations document in the Supporting Materials section below. You will compare and contrast Currier Grocery (the organization you currently work for) and the one organization you select. To guide your research and personal job notes, address the following in the template provided:

· An organization’s form is the overarching characteristics that define the type of organization, including how and why the organization formed; the organization’s location(s), size, and type of ownership; whether the organization is nonprofit or for-profit; the goods and services the organization offers; how long the organization has been in business; and the organization’s mission, vision, and core values. 
Compare and contrast the characteristics of each organization’s form. Specifically, be sure to identify the characteristics of each organization’s form and take note of the similarities and differences between each.

· Organizations are typically organized or structured into groups of functional areas. These functional areas develop groups of staff, or departments, to ensure the smooth flow of information and operations within the organization structure. 
Describe the role of key functional areas within each organization. Consider the following:

· What key functional areas exist within each organization?
· What role does each function play within the organization?
· How might a data professional support the organization’s functions?
·
Discuss the relationship between each organization’s form and its functions within the organization. Specifically, address the following:

· How might the purpose of each functional area vary based on the form of the organization?
· What functional areas might a data analyst work closely or consult with?
What to Submit
To complete this project, you must submit the following:

Job Notes

Review the business organizations in Supporting Materials and select one. You will compare and contrast your current employer, Currier Grocery, to the organization you selected. Prepare and organize your notes into 2 to 3 pages using the Notes Template. Be sure to explicitly identify the organization you selected in your notes. All references must be cited in APA format.

Supporting Materials
The following resource(s) may help support your work on the project:

Document: 

Currier Grocery Profile

Review the profile for your current organization, Currier Grocery.

Document: 

Business Organizations

Review various organizations and select one that interests you. You will compare and contrast Currier Grocery (the organization you currently work for) and the one organization you select.

Webpage: 

Shapiro Library Guide Company Research

Use the resources and tips in this guide to research the organization you chose.

Webpage: 

Shapiro Library APA Citation Style Guide

For help with your project submission, review the Writing & Presentation Help and the APA Citation Style guides.

Project One Rubric

Criteria

Exemplary

Proficient

Needs Improvement

Not Evident

Value

Characteristics of Organizational Forms

N/A

Compares and contrasts characteristics of various organizational forms (100%)

Shows progress toward proficiency, but with errors or omissions (55%)

Does not attempt criterion (0%)

31.5

Roles of Key Functional Areas

N/A

Describes the roles of key functional areas that are common within various forms of organizations (100%)

Shows progress toward proficiency, but with errors or omissions (55%)

Does not attempt criterion (0%)

31.5

Relationships Among Organizations

N/A

Discusses the relationship between various organizational forms and their functions (100%)

Shows progress toward proficiency, but with errors or omissions (55%)

Does not attempt criterion (0%)

31.5

Articulation of Response

N/A

Clearly conveys meaning with correct grammar, sentence structure, and spelling, demonstrating an understanding of audience and purpose (100%)

Shows progress toward proficiency, but with errors in grammar, sentence structure, and spelling, negatively impacting readability (55%)

Submission has critical errors in grammar, sentence structure, and spelling, preventing understanding of ideas (0%)

5.5

Total:

100%

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Harriet is a 51-year-old married woman with a past history of alcohol and cocaine abuse. She has been attending AA and NA meetings regularly and does not report urges to drink or use drugs during the 4 years you have been her psychiatric mental health nurse practitioner. She needs carpal tunnel surgery and the typical regimen during recovery is oxycodone 15 mg per day. What information would be most critical for the group leader to collect in the first visit? What is the primary goal for the treatment of this patient’s family problem, based on the US clinical guidelines?

 
Harriet is a 51-year-old married woman with a past history of alcohol and cocaine abuse. She has been attending AA and NA meetings regularly and does not report urges to drink or use drugs during the 4 years you have been her psychiatric mental health nurse practitioner. She needs carpal tunnel surgery and the typical regimen during recovery is oxycodone 15 mg per day. What information would be most critical for the group leader to collect in the first visit?
What is the primary goal for the treatment of this patient’s family problem, based on the US clinical guidelines?
Discuss one curative factor the group would observe during the initial, middle and termination phases in group therapy? 
Identify your city. Then refer this patient to three agencies near you that would support positive health outcomes for this patient. (These agencies must not have been used in past discussion posts). What was your rationale for choosing these three agencies?  

Explain consequences that a health care agency might encounter without internal and external assessment.

APA format, in-text citations, references include
Part 1: half page
A brief description of the types of internal and external assessments used by the agency ElderFirst Care for marketing new health programs. Then, explain consequences that a health care agency might encounter without internal and external assessment, and why ( See attachment).
Describe two examples of formative evaluation for health programs that you might use in your marketing plan.
Describe how you will include formative evaluation methods in designing your health care services marketing plan and explain why. See attachment

Do you find yourself thinking about medication use in your current employment differently? Why or why not?

No citations are required, and no specific formatting is needed. Utilize appropriate grammar and mechanics of writing.

Refer to the journal submission you completed in Unit 1 and reflect on the following:
Topic: The use of pharmacology in advanced practice.
1. How has your knowledge of pharmacology changed?
2. Do you find yourself thinking about medication use in your current employment differently? Why or why not?
3. Explain how your appreciation of the advanced practice role changed or did not change?
How do you envision using the knowledge from this course in your future advanced practice role?
Y

How do demographic factors such as gender, socioeconomic status, ethnicity and race affect intellectual development? 

Instructions
Genetics and Intelligence

https://www.apa.org/monitor/feb03/intelligence
Given the videos you’ve just watched and the readings, please respond to both the following discussion questions thoughtfully:  

How do demographic factors such as gender, socioeconomic status, ethnicity and race affect intellectual development? 
With a variety of competing intelligence theories, how, if at all, can practitioners meaningfully make use of these theories? 
Provide at least three ways you can apply practices supported by intelligence theories into the early childhood classroom. I would like you to address at least two different theories.  

This assignment must be submitted in your own words and include references of your sources. If you must use a direct quote, APA format is required. Turnitin will be used for this assignment; plagiarism of any kind is not tolerated. 

Create a sales promotion you think will attract a lot of students to your favorite fast food restaurant. Why do you think this sales promotion will be effective for this target market?

Create a sales promotion you think will attract a lot of students to your favorite fast food restaurant. Why do you think this sales promotion will be effective for this target market?
 1) Be sure to name the restaurant and provide a thorough description including all the details of the sales promotion, including the media you will use to communicate your message. 
2) Why do you think this sales promotion will be effective for this target market?
 Please type your response, using course concepts and terminology as appropriate , Also, attach any images or other supporting documentation.

Nearly every student in the course was able to think of a time when they had personally been impacted by or had observed incivility in the workplace. In what ways does this impact your view of the nursing profession?

 
Guiding questions are provided or you may write about what you felt was most significant to you for the week.
You will need to post your reflection here before you are able to see other students’ posts.

Nearly every student in the course was able to think of a time when they had personally been impacted by or had observed incivility in the workplace. In what ways does this impact your view of the nursing profession?
If those outside of healthcare were aware, how might it impact their view?
As you move towards your role as an NP, what will you do to support healthful work environments for yourself and your colleagues?
Think about your personal use of social media. Are there changes you would like to make in how you use social media?
What self-care practices do you engage in to promote personal holistic health?

Describe the pharmacological actions of non-z sleep medications?

1. What screening tools can be used to affirm your initial diagnosis that a patient may meet the diagnostic criteria for a sleep disorder?
2. Describe the pharmacological actions of non-z sleep medications?
3. What problems can occur when benzodiazepines are used to help with sleep?
Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.
Please be sure to validate your opinions and ideas with in-text citations and corresponding references in APA format.
Please review the rubric to ensure that your response meets the criteria.
https://www.apa.org/monitor/2022/07/ce-sleep-disorders
CONTINUING EDUCATION
Diagnosing and treating sleep disorders
Psychologists have a leading role to play in treating insomnia and other common sleep disturbances
By 

Kirsten Weir
Date created: July 1, 202214 min read

Vol. 53 No. 5
Print version: page 40

·
Sleep

9

CE credits: 1

Learning objectives: After reading this article, CE candidates will be able to:

1. Describe symptoms of common sleep disorders.
2. Understand and access tools available for screening clients for sleep disorders.
3. Describe evidence-based behavioral treatments for insomnia and other sleep disorders.
4. Know when to refer clients to sleep specialists.
For more information on earning CE credit for this article, go to 

CE Corner
.

Psychologists have a leading role to play in treating insomnia and other common sleep disturbances.
Sleep is a biological necessity. But for all its importance, it can be surprisingly hard to get enough. As many as 50 to 70 million U.S. adults have a sleep disorder, according to the American Sleep Association. Those disorders frequently go hand in hand with problems such as depression, anxiety, and posttraumatic stress disorder (PTSD). “Sleep disorders are very common and are often comorbid with mental health conditions. But psychologists get very little training in sleep,” said Jennifer Mundt, PhD, director of the Northwestern University Behavioral Sleep Medicine Training Program, who presented the continuing-education session “Sleep and Its Disorders: A Primer for Mental Health Professionals” for APA in 2021.
In a recent survey of clinical psychologists in the United States and Canada, practitioners reported a median of just 10 hours of sleep training across their education and career, and 95% reported no clinical sleep training during graduate school, internship, or fellowship (Zhou, E. S., et al., 

Behavioral Sleep Medicine

, Vol. 19, No. 6, 2021
). “In medicine, psychology, and society as a whole, we’ve paid so little attention to sleep for so long,” Mundt said.

It is time to start paying attention, Mundt and other sleep experts say. “Sleep is critical to physical and emotional health, and when it’s disrupted, it cuts across both,” said Susan Rubman, PhD, a behavioral sleep medicine specialist and assistant professor of psychiatry at the Yale School of Medicine. “As a basic part of psychological assessment, it’s important to know what normal sleep is and what disordered sleep is so you can treat all aspects of an individual’s concerns appropriately.”
ADVERTISEMENT
Sleep facts and fictions
Sleep disorders come in all shapes and sizes. The most common is insomnia, which is characterized by difficulty falling or staying asleep. About 30% of adults in the United States have symptoms of insomnia, and about 10% have insomnia that is severe enough to cause daytime consequences, according to the American Academy of Sleep Medicine (AASM). And insomnia comes with a host of complications, including increased risk of accidents, poor performance at work or school, and elevated risk of conditions including high blood pressure, heart disease, depression, and substance use disorders. It is also associated with an increased risk of suicide as well as death from other causes.
Insomnia and other sleep disorders often coexist with other psychological complaints. Up to 90% of people with depression have sleep complaints, and two thirds of people undergoing a major depressive episode experience insomnia, according to a review by University of Pittsburgh researchers Peter Franzen, PhD, and Daniel Buysse, MD. Sleep disturbances often precede depressive symptoms, they found, and are associated with worse clinical and treatment outcomes among people with depression (

Dialogues in Clinical Neuroscience

, Vol. 10, No. 4, 2008
).

All that is to say that clinical psychologists are certain to treat patients who have trouble sleeping whether they know it or not. And there are three good reasons to address sleep in practice, said Michael Grandner, PhD, MTR, director of the Sleep and Health Research Program at the University of Arizona. “First, we know that sleep affects health and functioning. Second, sleep is often a way into mental health issues. Asking how someone is sleeping is a great way to start talking about mental health,” he said. “And the third reason is that sleep problems are highly fixable, without medications. And psychologists are in a prime position to fix them.”
Yet there are some common misconceptions about sleep—among the public as well as health care professionals—that prevent people from getting the treatment they need for insomnia and other sleep disorders. One is the belief that good sleep hygiene can cure disordered sleep, Grandner said. Sleep hygiene includes practices like going to bed and waking up at a consistent time, removing electronic devices from the bedroom, and avoiding caffeine, alcohol, and heavy meals near bedtime. While these efforts can improve sleep, they are not a treatment for disordered sleep. “A lot of people confuse sleep hygiene with behavioral sleep therapies. This is a huge misconception,” Grandner said. Hygiene, by nature, is preventive. “Washing your hands can prevent you from getting sick, but it won’t cure an infection. And sleep hygiene can remove some barriers to good sleep, but it’s mostly useless for fixing insomnia,” he added.
Another fallacy is that insomnia is a symptom of mental health disorders. While the two often coexist, they are best thought of as comorbid conditions, said Michael Perlis, PhD, director of the Behavioral Sleep Medicine Program at the University of Pennsylvania Perelman School of Medicine. “When sleep disorders are viewed as a symptom of an illness, people believe there’s no need for targeted action. They believe that by treating the PTSD, anxiety, or depression, insomnia will abate. The past 10 years of research shows us that doesn’t happen,” he said.
While treating mental health conditions does not guarantee improvement of comorbid insomnia, the reverse is more likely: Treating insomnia can make mental health disorders more manageable. A meta-analysis of randomized controlled trials showed that poor sleep is causally related to mental health difficulties and that greater improvements in sleep quality lead to greater improvements in mental health (Scott, A. J., et al., 

Sleep Medicine Reviews

, Vol. 60, 2021
). For that reason, some sleep experts argue that insomnia should be treated even before other mental health problems, if the patient is not in crisis. “When insomnia is left alive, it complicates the treatment of everything else,” said Donn Posner, PhD, adjunct clinical associate professor at Stanford University School of Medicine and founder of Sleepwell Consultants, which offers sleep interventions for patients and workshops for providers. “Every time you see chronic insomnia, you need to treat it.”

CBT-I: Front-line insomnia treatment
Almost anything can trigger a night of tossing and turning, from stress to pain to stormy weather. “There are a million causes of short-term insomnia. But there is one main culprit behind chronic insomnia—conditioned arousal,” said Grandner. “When sleep becomes problematic, the bed becomes the war zone. And then the expectation that sleep will be stressful creates the very activation that makes sleep difficult.”
The best treatment to address that conditioned arousal is cognitive behavioral therapy for insomnia (CBT-I), a targeted intervention that typically lasts four to eight sessions. In fact, CBT-I is one of psychology’s best success stories. The treatment is so effective that it is recommended as a front-line treatment for insomnia by a variety of professional groups, including the Department of Veterans Affairs/Department of Defense Health Affairs, the American College of Physicians, and the AASM.
Even in cases of short-term insomnia, CBT-I is about as effective as sleeping pills. In a meta-analysis that included 21 studies, researchers concluded that behavioral therapy produces similar outcomes as pharmacotherapy for the acute treatment of primary insomnia (Smith, M. T., et al., 

The American Journal of Psychiatry

, Vol. 159, No. 1, 2002
). But for chronic insomnia, CBT-I is at a distinct advantage. A meta-analysis concluded that the intervention is an effective treatment for adults with chronic insomnia, with clinically meaningful effect sizes (Trauer, J. M., et al., 

Annals of Internal Medicine

, Vol. 163, No. 3, 2015
). “In the long term, there’s an advantage for CBT-I because it actually addresses the underlying behavioral and thought patterns that perpetuate the insomnia,” Mundt said. “And it has a high rate of success.”

CBT-I is also a successful option for patients with insomnia and depression. In a study of internet-delivered CBT-I, Kerstin Blom, PhD, at the Karolinska Institutet in Sweden, and colleagues found that in patients with both diagnoses, CBT-I was more effective than CBT for depression when treating insomnia. More surprising, the two were equally effective for reducing depression severity. At a 3-year follow-up, both the CBT-I and CBT for depression groups continued to experience similar reductions in depression severity, but the insomnia treatment continued to have superior effects on sleep (

Sleep

, Vol. 38, No. 2, 2015
; 

Sleep

, Vol. 40, No. 8, 2017
).

Other research also supports the idea that CBT-I can improve depression. A systematic review of 18 studies concluded that CBT-I is a promising treatment for depression in people who also have insomnia and produces effects of roughly the same magnitude as antidepressant medications. In-person therapy had the most evidence supporting its efficacy, while evidence for telehealth CBT-I was mixed. However, the authors concluded there is promise for a stepped-care approach in which telehealth progresses to in-person therapy for patients as needed (Cunningham, J. E. A., & Shapiro, C. M., 

Journal of Psychosomatic Research

, Vol. 106, 2018
).

There’s further evidence that treating insomnia might even prevent depression from developing in the first place. In a study by researchers at Henry Ford Health and the University of Oxford, participants with insomnia were randomized to receive either digital CBT-I or sleep education. In those with minimal to no depression at baseline, the incidence of moderate-to-severe depression one year later was reduced by half in the CBT-I group compared with the sleep education control condition (Cheng, P., et al., 

Sleep

, Vol. 42, No. 10, 2019
).

Research also supports the use of CBT-I in patients with insomnia and other mental health conditions. One randomized trial by Lisa Talbot, PhD, at the San Francisco VA Medical Center, and colleagues found that an eight-session CBT-I intervention improved sleep and overall psychosocial functioning in people with PTSD compared with participants in a waiting list control group. There was also some evidence that CBT-I may reduce the frequency of nightmares in people with PTSD (

Sleep

, Vol. 37, No. 2, 2014
).

Meanwhile, Grandner and colleagues explored the connection between COVID-19 pandemic-related stress and anxiety, suicidal ideation, and sleep. They found that COVID anxiety was correlated with suicidal ideation—but that association was fully accounted for by insomnia severity. Treating the insomnia, in other words, may help to reduce suicide risk in people with high stress or anxiety (

Psychiatry Research

, Vol. 290, No. 113124, 2020
).

Recognizing other sleep disorders
Insomnia, while common, is hardly the only sleep disorder that psychologists are likely to encounter in their practice. About 25 million adults in the United States—more than a quarter of adults ages 30 to 70—have obstructive sleep apnea, according to the AASM. This disorder occurs when muscles in the throat relax, blocking the airway. People with obstructive sleep apnea repeatedly stop breathing for short periods during sleep, disrupting sleep continuity and causing daytime fatigue. Untreated, sleep apnea can increase the risk of serious conditions, including diabetes, heart disease, and mood and psychiatric disorders.
The front-line treatment for obstructive sleep apnea is positive airway pressure (PAP), a face mask device that pushes air into the airway to keep it open during sleep. While PAP treatment is effective, adherence can be an issue. Psychologists can help patients learn to tolerate the device. “People who specialize in behavioral sleep medicine can help with adherence and anxiety for PAP. When patients are struggling to wear the mask or have anxiety or claustrophobia, we can use exposure treatments to help them get comfortable using the device,” Mundt said.
Nightmares are another common complaint, especially in people who have been exposed to trauma. Counter to popular belief, nightmares are treatable. Imagery rehearsal therapy (IRT) is one of the most used and well-supported interventions for nightmares in people with PTSD, and several protocols are available. A meta-analysis of these cognitive behavioral interventions found IRT had large effects on the frequency of nightmares, sleep quality, and PTSD symptoms. Further, the combination of IRT and CBT-I resulted in even greater improvements in sleep quality (Casement, M. D., & Swanson, L. M., 

Clinical Psychology Review

, Vol. 32, No. 6, 2012
). “It’s helpful to ask patients about nightmares because they are so common, especially with trauma,” Mundt said. “And patients aren’t necessarily going to bring them up, because they don’t even know that treatments are out there.”

Another challenging condition is hypersomnia, which causes excessive sleepiness even after a full night’s sleep. Examples of central disorders with hypersomnolence include conditions such as narcolepsy and Kleine-Levin syndrome, a rare disorder that causes excessive sleep, hunger, and behavioral changes. Hypersomnia can also be idiopathic, meaning it has no known cause. Secondary hypersomnia can be associated with certain medical disorders (such as epilepsy, hypothyroidism, or nervous system disorders), mood disorders such as depression and bipolar disorder, or other causes, such as side effects from medications. “These disorders are less common, but they frequently go undiagnosed or misdiagnosed for years,” Mundt said.
She and her colleagues are developing a cognitive behavioral therapy for hypersomnia (CBT-H). An initial pilot study suggested the treatment may reduce depressive symptoms and improve self-efficacy in people with hypersomnia and coexisting depression (Ong, J. C., et al., 

Journal of Clinical Sleep Medicine, Vol. 16, No. 12, 2020

). “The main treatment for hypersomnia is medication to help with alertness. This is an adjunctive treatment to address the psychosocial impacts of hypersomnia,” Mundt said.

“There’s often comorbid depression and anxiety and issues with stigma and navigating work and relationships. CBT-H is designed to help people deal with those challenges.”
Sleep training for psychologists
Given the frequency of sleep disruption in the general population—and among people with mental health disorders in particular—it is important for clinicians to recognize the signs. Clinical psychologists should make a point to inquire about their patients’ sleep habits, Grandner said. “Sleep problems are part of practically every diagnosis in the DSM,” he said.
Yet it is also important to recognize that treating insomnia and other sleep disorders requires specialized training. For psychologists who are trained in CBT, learning CBT-I is not especially difficult, Grandner said. “The treatment is highly manualized, and you don’t need to be board certified in behavioral sleep medicine to become competent in CBT-I.” However, being competent in CBT-I does require training in principles of sleep medicine that go beyond the traditional behavioral and cognitive tools, and various training options are available online and in person at institutions such as the University of Pennsylvania, University of Oxford, University of Arizona, and others. (See 

Screening tools and other resources
.)

Perlis and Posner, who lead training courses in CBT-I and are coauthors of a treatment manual on the intervention, argue that many more psychologists would benefit from these trainings—and so would their patients. Currently, most of the participants in Perlis’s training courses come from allied fields such as social work and occupational therapy, he said. “We clinical psychologists designed CBT-I. We produced the evidence base. Why are we not the ones delivering it?” he asked. “We need more people in clinical psychology to come aboard and start seeking training.”
Addressing sleep hygiene is something all clinicians can do with their patients. But sleep hygiene alone is not sufficient for treating clinically significant insomnia, Rubman said. If sleep problems persist for more than a few weeks, it is important to refer patients to a physician or psychologist who is certified in behavioral sleep medicine or has training in CBT-I. Too often, patients receive sleep education but do not improve, and then they mistakenly conclude that behavioral interventions didn’t work for them and may turn to sleeping pills instead. That is a missed opportunity, since their insomnia is likely to improve or resolve if they are treated with CBT-I. “Clinicians need a good understanding of variations in normal sleep and the limits of sleep hygiene, and they need to recognize when to refer someone to a specialist,” she said. “The goal is to intervene to prevent an acute problem from becoming a chronic problem.”
Screening tools and other resources

Epworth sleepiness scale

(Johns, M. W., 
Sleep, Vol. 14, No. 6, 1991)

Insomnia Severity Index

(Morin, C. M., et al., 
Sleep, Vol. 34, No. 5, 2011)

Sleep Disorders Symptom Checklist-25

(Klingman, K. J., et al., 
Sleep Medicine Research, Vol. 8, No. 1, 2017)

STOP-Bang questionnaire for sleep apnea

(Tan, A., et al., 
Sleep Medicine, Vol. 27–28, 2016)

Society of Behavioral Sleep Medicine
 (resources, education, and provider directory)

International Directory of CBT-I Providers

Web-based course in CBT-I

Further reading

Cognitive behavioral treatment of insomnia

Perlis, M. L., et al., Springer, 2005

Principles and practice of sleep medicine, 7th edition

Kryger, M. H., et al., Elsevier, 2022

Behavioral treatments for sleep disorders

Perlis, M., et al. (Eds.), Elsevier, 2011

Treatment plans and interventions for insomnia: A case formulation approach

Manber, R., & Carney, C. E., Guilford Press, 2015

Emily Grace and the what-ifs: A story for children about nighttime fears

Gehring, L. B., Magination Press, 2016

1. What screening tools can be used to affirm your initial diagnosis that a patient may meet
the diagnostic criteria for a sleep disorder?
Having a sleep disorder can be crippling to a person’s life and relationships. Research has
expressed that it can exacerbated, or quality of life can be decreased, and fatigue and sleepiness
can have very bad consequences. The screening tool that I would use for distinguishing insomnia
would be the Athens Insomnia Screening (AIS). The consistency and reliability of the AIS
determines for me to be invaluable tool in the clinical practice. this tool helps determine the
factors that affect the inability to sleep. The AIS has 8 items that are used for screening insomnia.
The first 5 items pertain to sleep induction, awakening during the night, final awakening, total
sleep duration, and sleep quality. The last three refer to wellbeing, functioning capacity, and
sleepiness during the day
2. Describe the pharmacological actions of non-z sleep medications?
Zolpidem, Zaleplon, and Eszopiclone are examples of non-z sleep medications. Nonbenzodiazepines work by enhancing a very important neurotransmitter called GABA at the
GABA A receptor. The nonbenzodiazepine hypnotics facilitate GABA A transmission by
preferential binding to the 1a receptor subunits.
3. What problems can occur when benzodiazepines are used to help with sleep?
Benzodiazepines can be used for a short term for insomnia, however there are side effects from
the use of benzodiazepines such as addiction. There are additional medications to explore for
long term use for insomnia they are associated with residual daytime sedation, rebound
insomnia, and anterograde amnesia that can be controlled by their pharmacokinetic properties.
There is a low abuse potential for these classes of drugs when taken for an extended period,
withdrawal and tolerance to the hypnotic effects can become prevalent, and long-term use has
not been studied systematically.
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