Physician Information


Evidence-Based Treatment for Insomnia

We provide telehealth services to Indiana residents using Cognitive Behavioral Therapy for Insomnia (CBT-I), an evidence-based behavioral treatment and the recommended first-line therapy for chronic insomnia according to guidelines from the American Academy of Sleep Medicine and the American College of Physicians. CBT-I is a structured, short-term intervention that targets the behavioral and cognitive factors that perpetuate insomnia. Treatment focuses on restoring normal sleep regulation through established behavioral sleep medicine techniques, including stimulus control, sleep restriction therapy, cognitive restructuring, and circadian rhythm stabilization. CBT-I has demonstrated durable improvements in sleep onset latency, wake after sleep onset, and overall sleep efficiency, and may be used as a primary treatment or adjunct to medical management.

Indications for Referral

Referral may be appropriate for patients experiencing:

  • Chronic insomnia symptoms (>3 months)

  • Difficulty initiating sleep (sleep onset insomnia)

  • Difficulty maintaining sleep (sleep maintenance insomnia)

  • Early morning awakening

  • Persistent insomnia despite pharmacologic therapy

  • Long-term reliance on hypnotic medications

  • Insomnia associated with anxiety, stress, or behavioral sleep dysregulation

Patients with stable medical or psychiatric conditions can typically participate successfully in CBT-I.

Referral Process

Patients may be referred through the following methods:

  • Physician referral form

  • Faxed referral documentation

  • Direct patient scheduling with physician recommendation

Referral information typically includes:

  • Patient demographics and contact information

  • Relevant medical and psychiatric history

  • Current medications (if applicable)

  • Clinical reason for referral

Treatment Approach

Referred patients receive a structured CBT-I program that includes:

  • Comprehensive sleep and behavioral assessment

  • Sleep diary monitoring

  • Sleep restriction therapy and stimulus control interventions

  • Cognitive restructuring related to maladaptive sleep beliefs

  • Behavioral and circadian rhythm stabilization strategies

  • Sleep education and relapse prevention strategies

The goal of treatment is to improve sleep efficiency, consolidate sleep, and reduce insomnia-related distress while promoting long-term self-management skills.

Communication With Referring Providers

Collaborative care is prioritized. When requested, referring providers may receive:

  • Confirmation of patient intake

  • Treatment summary upon completion

  • Recommendations for ongoing sleep management if indicated

Lunch and Learn: Improving Patient Sleep Outcomes with CBT-I

We offer a concise, clinically focused Lunch and Learn session designed for physicians and office staff to better understand the role of Cognitive Behavioral Therapy for Insomnia (CBT-I) in patient care.

This session provides practical, immediately applicable insights on identifying, managing, and referring patients with insomnia—while supporting your team in delivering more comprehensive, evidence-based care.

Format:

  • 20–30 minute presentation + brief Q&A

  • Delivered in-person or via telehealth

  • Scheduled at your convenience

What Your Team Will Learn

1. Identifying Insomnia in Clinical Practice

  • How to distinguish chronic insomnia from transient sleep disturbance

  • Common patient presentations in primary care and specialty settings

  • Red flags for when behavioral sleep intervention is appropriate

2. Why CBT-I is First-Line Treatment

  • Overview of CBT-I as the gold-standard, evidence-based approach

  • Comparison to pharmacologic treatments (efficacy, durability, safety)

  • Expected outcomes and timeline for improvement

3. When and How to Refer

  • Ideal patient profiles for CBT-I

  • Contraindications or when additional evaluation is needed (e.g., sleep apnea considerations)

  • Simple, streamlined referral process for your office

4. Improving Patient Adherence and Outcomes

  • How to position CBT-I to patients for better engagement

  • Setting expectations for behavior-based sleep treatment

  • Addressing common patient hesitations

5. Supporting Underserved Patients

  • Overview of the The Restore Sleep Access Program

  • How to refer patients for complimentary care

  • Expanding access to non-pharmacologic treatment options

What Your Office Receives

  • Printed referral forms and quick-reference materials

  • Patient education brochures

  • Direct referral pathway for CBT-I services

  • Optional follow-up support for staff questions

Schedule a Lunch and Learn for Your Office

Bring practical sleep medicine education to your team—without disrupting your workflow.

✔ Efficient, clinically relevant training
✔ Supports better patient outcomes
✔ No cost to your practice

Contact us to schedule a session at your convenience.

The Restore Sleep Access Program

The Restore Sleep Access Program is a physician-referred initiative designed to expand access to evidence-based insomnia treatment for patients who may not otherwise be able to participate in care.

Through this program, limited number of patients are selected to receive a complimentary 6-week Cognitive Behavioral Therapy for Insomnia (CBT-I) protocol, delivered via telehealth to residents of Indiana.

This initiative reflects our commitment to improving sleep health outcomes and reducing barriers to high-quality behavioral sleep medicine services.

Program Overview

  • Treatment Provided: Full 6-week CBT-I protocol

  • Delivery Method: Telehealth to Indiana residents only

  • Cost to Patient: $0 - No cost (fully sponsored)

  • Patient Selection: Two patients selected every 6 weeks (16 patients per year)

  • Eligibility Focus: Patients with financial barriers or limited access to behavioral sleep care

Referral Process for Physicians

Physicians and healthcare providers are invited to refer patients they believe would benefit from structured CBT-I care but may face financial or access-related barriers.

To refer a patient:

  1. Download and complete the Restore Sleep Access referral form

  2. Include the following required information:

    • Patient name

    • Patient phone number

    • Brief clinical summary and reason for referral

  3. Fax the completed form to:

    317-206-7188

Recommended Referral Considerations

When identifying appropriate candidates, providers may consider patients who:

  • Have chronic insomnia symptoms (difficulty falling or staying asleep)

  • Are motivated to engage in a structured behavioral program

  • Have limited financial resources or lack coverage for CBT-I

  • May benefit from a non-pharmacologic, evidence-based approach

  • Are able to participate in telehealth sessions

Selection and Enrollment

  • Referrals are reviewed on a rolling basis

  • Selected patients will be contacted directly for intake and onboarding

  • Referring providers may receive confirmation of enrollment (with patient consent)

Program Goals

  • Increase access to gold-standard insomnia treatment

  • Reduce reliance on long-term pharmacologic sleep aids

  • Improve patient functioning, mental health, and overall quality of life

  • Support physicians with a trusted behavioral sleep referral pathway

Clinical Safeguards

  • Patients will be screened for appropriateness (e.g., untreated sleep apnea, severe psychiatric instability, or substance use concerns may require alternate care first)

Equity Statement

We are committed to equitable access to care and encourage referrals for patients from underserved, rural, or resource-limited communities.

Provider Communication

  • Summary of treatment completion can be sent to referring providers upon request (with consent)

Patient Commitment Expectations

  • Attendance at scheduled sessions

  • Completion of sleep logs and behavioral recommendations

  • Engagement in the full 6-week protocol

Legal / Operational Notes

  • Not an emergency service

  • Limited capacity program (2 patients per cycle)

  • Participation subject to clinical appropriateness and availability

  • "Several of my patients have successfully reduced or discontinued sleep medications following treatment. The regular progress summaries make this an easy and reliable referral."

    — MD

  • "Patients referred for CBT-I show meaningful improvements in overall sleep functioning. The outcome reporting provides clear evidence of progress."

    — MD

  • "I receive clinically relevant updates on my patients’ progress, including objective sleep metrics and adherence. The communication is efficient and allows me to stay informed without additional burden."

    — DO


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