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Developing Independent Sleep Initiation Skills and Decreasing Night Wakings: A Case Study

Developing Independent Sleep Initiation Skills and Decreasing Night Wakings: A Case Study. Holly J. Zumpfe Munroe-Meyer Institute 12-19-03. Pediatric Sleep Clinic . Brett Kuhn, Ph.D. Director Treat common sleep problems Bedtime Resistance Bedwetting Nightmares Night-time fears

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Developing Independent Sleep Initiation Skills and Decreasing Night Wakings: A Case Study

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  1. Developing Independent Sleep Initiation Skills and Decreasing Night Wakings: A Case Study Holly J. Zumpfe Munroe-Meyer Institute 12-19-03

  2. Pediatric Sleep Clinic • Brett Kuhn, Ph.D. Director • Treat common sleep problems • Bedtime Resistance • Bedwetting • Nightmares • Night-time fears • Night-time waking • Sleep Terrors/Sleep Walking • Sleep-Wake Schedule problems • Compliance for medical procedures

  3. The 2-Second A to ZZZZ’s • 20 to 30% of Children experience sleep disturbances

  4. The Client • 11 year old female • Mild Mental Retardation • Medications • Methylphenidate • Clonidine • Referral Concern: • Requires parental presence to initiate and reinitiate sleep • Experiences night time awakenings

  5. 4 Major Areas Assessment of Sleep Problems

  6. Client assessment • Measures for pre-treatment packet • Background Information Form • Sleep Disturbances Scale for Children (Bruni et al., 1996) • Parenting Stress Index-Short Form (Psychological Assessment Resources, 1995) • Pre-Treatment Sleep Diary • Sutter-Eyberg Child Behavior Inventory • Child Behavior Checklist

  7. Results of Pre-Treatment Data

  8. 3 Phases of Data Collection • Baseline (TST=7.77 hours/night) • Behavior Intervention (TST= 9.06 hours/night) • Elimination of Clonidine (TST= 7.57 hours/night)

  9. Results

  10. Sample Data sheets

  11. Why collected

  12. Any Problems with data

  13. How were used to make clinical decision?

  14. Previous Research • Empirical basis for treatment • Research studies to support our treatment

  15. Treatment • Steps involved • Tx integrity • If changes made, how used to make changes • Problems encountered in implementation

  16. Evaluation • How were outcomes empirically verify? • Question/problems colleagues should consider

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