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Seminar Detail

Advanced CBT-I 2020

Where:
PHILADELPHIA, PA
When:
Thursday, April 23, 2020 - Saturday, April 25, 2020

This event is no longer available for purchase.

For more information: Call (800) 844-8260
Program Overview

The purpose of this educational activity is to provide advanced training to clinical psychologists, social workers, PhD/NP level nurses and physicians in the practice of CBT-I. This 3-day seminar is only for those that have basic training thru Penn or the VA CBT-I Program (or have permission to attend the course). The workshop is split 2:1 in favor of active learning exercises to lectures. The learning exercises (Day 2 & 3) include e.g., case presentations and role plays. The lectures (Day 1 only) cover several advanced topics including Advanced Models of Insomnia, Actigraphy, Interpreting PSG reports, alternative treatment strategies (e.g., sleep compression, bright light treatment, etc.), med titration, etc. For a prospective itinerary please click here .

The program should position clinicians to more effectively deal with complex issues and cases. This training, along with other CE workshops, supervised practice, a past case load of 10 or more cases, and a reasonable program of self-study (readings and videos) should adequately prepare individuals for the certification exams (e.g. ABPP Specialty in “Sleep Psychology”).
Course Details:
  • Only 50 people will be allowed to enroll
  • Course will be on campus at Penn (Houston Hall)
  • Course will start at 8 am and end at 6 pm (end times may be earlier, but not later)
  • American Breakfast is available each morning along with all day coffee
  • The course will be taught/led by Drs. Perlis, Posner and Ellis


FOR MORE INFORMATION ON THIS SEMINAR, Go to the CBT-I Conference Site OR for the Promotional Flyer
We would like to ask for attendees to consider submitting a case study report for this course.

Why should you do such a crazy thing? Well, if you elect to submit a case (and do so on or before the deadline), we will rebate you $50 following your attendance at the Advanced Course. But wait, there’s more! If you elect not only to submit but also to present the case (and field questions and comments at the course) and submit a Power Point presentation outlining the case on or before the deadline, we will rebate you an additional $50 (total $100) following your attendance at the Advanced Course. Please know that these presentations are meant to be instructive for you and the other attendees. There will be no harsh judgments, tomatoes thrown, etc. These presentations form the core of what the Advanced Course is about and we greatly appreciate the effort expended by attendees who join us as presenters. Finally, as a testament to the value of this component of the course, the majority of last year’s attendees agreed that the case presentations were the highlight of the Advanced Course. So please don’t be bashful. This is not required, but we’d like to have up to 8 attendees submit cases.

The case submission should be:
  • Tendered through the Case Studies Archive Worksheet (8 weeks prior to the course: click here) , and
  • Formatted based on a Power Point template we will provide upon submission/request (email mperlis@upenn.edu). This is due 4 weeks before the course.

It’s that simple! If more than 10 cases are submitted, presentations will be selected based upon the date of submission and how that case fits into the teaching mission.

So sign up now!

Educational Objectives:

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

DAY 1
  1. Articulate the advanced models of insomnia as it relates to clinical practice.
  2. Integrate the advanced models into clinical practice as a way of tailoring CBT-I intervention.
  3. Integrate an understanding of the advanced models into clinical practice as a way to address patient resistance.
  4. Explore the relative merits of various modes of CBT-I treatment delivery (e.g. in person, group treatment, and tele-health technologies).
  5. Analyze the efficacy of Group CBT-I.
  6. Communicate the relative advantages and disadvantages of individual vs. group delivery of CBT-I.
  7. Analyze the possible security risks involved in telehealth delivery of CBT-I in order to protect patient privacy.
  8. Describe how actigraphy can be integrated into clinical practice to improve assessment and outcomes.
  9. Analyze the relative merits of various actigraphy features and how they can be utilized in practical applications.
  10. Specify when to utilize actigraphy in the practice of CBT-I and why the data serves as an adjunct to but not substitute for sleep diary data.
DAY 2
  1. Explore the use of adjuvant and alternative treatment strategies that can be used to modify or substitute for CBT-I.
  2. Integrate phototherapy with CBT-I in order to address circadian rhythm issues that complicate the treatment of insomnia.
  3. Recognize the indications for alternative treatment strategies in CBT-I such as sleep compression and counter control.
  4. Articulate how mindfulness mediation can be integrated into the practice of CBT-I.
  5. Explore how to synthesize data from a PSG report and integrate into clinical treatment choices.
  6. Articulate the differences between AHI, AI, and PLMI, and understand how to integrate these measures into the assessment of intrinsic sleep comorbidities.
  7. Integrate validated sleep instruments into the assessment of insomnia to inform clinical treatment interventions.
  8. Articulate the behavioral treatments for SDB & PLMs and integrate into CBT-I.
  9. Evaluate 3 options for hypnotic medication tapering for the purpose of treatment planning.
  10. Assist clients in overcoming barriers that impede willingness to taper from hypnotic medication.
  11. Analyze the relative merits of utilizing hypnotics concurrently with CBT-I, and its clinical implications.
  12. Analyze the relative merits of utilizing stimulant medication such as modafinil concurrently with CBT-I, and its clinical implications.
DAY 3
  1. Articulate the components of a clinical assessment algorithm and its clinical implications in the treatment of insomnia.
  2. Apply the clinical algorithm for case presentation and clinical decision making for insomnia patients.
  3. Evaluate patients for appropriateness for CBT-I, and specify comorbidities that are contraindicated.
  4. Present clinical case information, to formulate and evaluate treatment options and outcomes.
  5. Write a data driven clinical insomnia case assessment and outcome report to be shared with other health care professionals.
  6. Address common patient resistance and non-adherence in the context of CBT-I.
  7. Utilize cognitive strategies to overcome insomnia patient anxiety and resistance to change.
  8. Practice/role play alternative strategies or delivery of CBT-I prescriptions.
Eligible individuals must have 1) taken the VA, Penn, or Ryerson University Basic CBT-I workshops and 2) treated 5 to 10 patients. Others may be eligible but this requires a clear demonstration of formal training (e.g., a rotation during internship that focused on the assessment and treatment of insomnia) and once again the treatment of 5 to 10 patients with CBT-I. Those who wish to establish eligibility should write to Michael Perlis at mperlis@upenn.edu.

MICHAEL PERLIS, PHD

Michael L. Perlis, PhD is internationally known for his work in the area of Behavioral Sleep Medicine (BSM). He is a coauthor of the first text book in this field and he is the senior author of a published CBT-I treatment manual and a larger text summarizing all BSM treatments. His research includes neurocognitive phenomena in insomnia, the cognitive and/or behavior effects of sedative hypnotics and placebos, the development of alternative treatment approaches for insomnia, and sleep in depression. His work has been, and continues to be, funded by the National Institutes of Health and he has published more than 100 articles and chapters on the sleep research related topics.

In addition to his academic endeavors, he has served on the editorial boards of Sleep, the Journal of Sleep Research, the journal of Sleep Medicine Research and the journal of Behavioral Sleep Medicine. Dr. Perlis has also served as a member, or chair, of several committees and task forces of the Sleep Research Society and the American Academy of Sleep Medicine and he was a founding member of the Society of Behavioral Sleep Medicine and served as the society's first president (2010-2011).



Speaker Disclosures:

Financial: Michael Perlis is the Director of the Behavioral Sleep Medicine Program and associate professor for the Perelman School of Medicine at the University of Pennsylvania. He receives a speaking honorarium from PESI, Inc.

Non-financial: Michael Perlis is a member of the Sleep Research Society; and the American Academy of Sleep Medicine.

DONN POSNER, PHD, CBSM

Donn Posner, Ph.D., a Diplomate of Behavioral Sleep Medicine (DBSM), is working as a clinical/research psychologist for the Palo Alto VA.

Prior to his role at the VA, he spent 25 years as a clinical associate professor at Brown Medical School. He served as the director of clinical behavioral medicine for Rhode Island and Miriam hospitals and was also the director of behavioral sleep medicine for the Sleep Disorders Center of Lifespan Hospitals. For 20 of those years, Dr. Posner served as the primary supervisor for a rotation of the behavioral medicine track of the clinical psychology internship at Brown. He also mentored post-doctoral fellows and lectured on behavioral sleep medicine and anxiety disorders to interns, fellows, and residents in internal medicine and psychiatry. In addition, he was a consultant for the Veteran’s Administration roll out of CBT-I and trained VA clinicians across the country in the implementation of this treatment.

Dr. Posner is one of the authors of Cognitive Behavioral Treatment of Insomnia: A Session-by-Session Guide (New York: Springer/Verlag). The book is intended for clinical trainees and non-insomnia sleep specialists, as well as more experienced clinicians from outside the sleep medicine field who wish to learn how to provide empirically validated cognitive behavioral treatment for insomnia (CBT-I).

Dr. Posner is a member of the American Academy of Sleep Medicine and became one of the first certified behavioral sleep medicine specialists recognized by that group. He is also a founding member of the Society of Behavioral Sleep Medicine and has achieved the status of Diplomate with the SBSM, the highest level of qualification and competency that the organization bestows.



Speaker Disclosures:

Financial: Donn Posner is adjunct clinical associate professor at Stanford University of Medicine. He is a clinical researcher for Palo Alto Veterans Institute for Research. Dr. Posner receives a speaking honorarium from PESI, Inc.

Non-financial: Donn Posner is a member of the American Psychological Association; Association for Behavioral and Cognitive Therapies; and the American Academy of Sleep Medicine.

JASON ELLIS, PHD

Jason Ellis, PhD, is a Professor of Sleep Science and Director of the Northumbria Sleep Laboratory and Clinic in the United Kingdom. He is a qualified Somnologist – Expert in Behavioural Sleep Medicine from European Sleep Research Society and a Practicing Health Psychologist under the HCPC. He splits his time between his basic research interests: the pathophysiology of sleep disorders (Insomnia, Restless Legs Syndrome, and Circadian Rhythm Disorders), the natural history of Insomnia, and his applied work on Cognitive Behavioral Therapy for Insomnia (CBT-I). Within the latter framework he examines the impact of novel adjunct therapies, the influence of social factors on adherence, and the effective delivery of CBT-I in complex cases and environments. He has worked within the National Health Service in the United Kingdom, delivering CBT-I to individuals with a range of physical and psychological conditions and serves on the editorial boards of Behavioral Sleep Medicine and Sleep Health. He has consulted for various industries and third-sector organizations and provided national guidelines to the British and Scottish governments on the identification and management of sleep problems. He is a serious advocate of public engagement and professional education with regard to behavioral sleep medicine and regularly trains CBT-I to clinicians and primary care physicians in the United Kingdom.



Speaker Disclosures:

Financial: Jason Ellis is a professor at Northumbria University and director of the Northumbria Centre for Sleep Research. He receives a speaking honorarium from PESI, Inc.

Non-financial: Jason Ellis has no relevant non-financial relationship to disclose.
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