While community care is often used to meet demand, there is growing interest in incorporating nurses into traditional specialist roles so that VA can grow its specialty care workforce. VAMCs already incorporate E-consultation to improve the reach and capacity of VA sleep providers, but gaps in access remain and up to half of patients referred to these specialty care services do not receive them. Further, specialists are concentrated in VA medical centers (VAMCs), which may be an inconvenient distance away from Veterans living in rural settings. However, VA has limited capacity to meet demands for OSA care with just more than 300 sleep providers nationwide. Takeaway: This study is expected to streamline virtual e-consultation and virtual care services for Veterans referred to sleep medicine, thereby enhancing timeliness of care and reducing costs.Īlmost 50% of Veterans are at high risk for obstructive sleep apnea (OSA), and treatment is known to improve patients’ quality of life and wellbeing. In this issue: Advancing VA Telehealth and Virtual Care Preventing Suicide among Veterans (03-2021).Advancing VA Telehealth and Virtual Care (06-2021). Helping Veterans Cope with and Conquer Pain (09-2021).HSR&D Advances Research in Providing Healthcare for Veterans in Rural Settings (12-2021). HSR&D Research on Social Determinants (03-2022).HSR&D Research on Community Care (06-2022).Spring 2022: Addressing Employee Burnout and Well-being.Dimensions for VA: Search for Published Research and Experts.Women Veterans Reproductive Health Conference.In addition, patients are able to take less time away from work and family for a treatment session. “For example, I can see the patient's home environment and can often talk to other family members to gain useful insight into their sleep-related issues. In addition to her clinical work, Schneeberg is an assistant professor at Yale School of Medicine and has a special interest in telemedicine, which she says has some advantages over traditional in-office treatment for treating sleep problems. In addition, patients are able to take less time away from work and family for a treatment session." “Every parent knows that helping your child learn to sleep well means that everyone else in the home sleeps well, too,” she says. “These older children can walk and talk, and this can make the process much more complicated.”Ī parent of three, Schneeberg says she knows both professionally and personally how important it is to help kids become great sleepers. She wrote this book for parents of preschool and elementary school children because “parents can’t use the sleep methods that were designed for babies,” Schneeberg says. She is the author of the book, Become Your Child’s Sleep Coach: The Bedtime Doctor’s 5-Step Guide, Ages 3-10,” which draws upon both her training in sleep medicine and years of experience working with families. This specialized structured therapy program has been proven through hundreds of randomized controlled trials and the components of CBT-I are easy to teach and the effects are long lasting," she says. “I really enjoy treating insomnia because the treatment that is the practice standard, cognitive behavioral therapy for insomnia, is such an effective approach. Lynelle Schneeberg, PsyD, is a pediatric sleep psychologist and one of only about 200 board-certified sleep psychologists in the country.
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