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Sleep Assessment and Treatment Tool Developed by Gregory P. Hanley Ph.D. BCBA-D (2005) Step 1: Basic Information Date of interview/workshop: Child s name: Child s birth date: Check one: Male Female.

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How to fill out the Sleep Assessment And Treatment Tool - WordPresscom online

This guide provides comprehensive instructions for effectively completing the Sleep Assessment And Treatment Tool online. By following these steps, users can ensure that they provide all necessary information regarding sleep issues and goals related to their child.

Follow the steps to fill out the Sleep Assessment And Treatment Tool online.

  1. Press the ‘Get Form’ button to access the Sleep Assessment And Treatment Tool and open it in the appropriate format for completion.
  2. Begin by filling out the Basic Information section. Input the date of the interview or workshop, the child's name, birth date, and caregiver details such as names, phone number, address, and email. Also, include any relevant medical or educational diagnoses and specify whether the child engages in severe problem behavior.
  3. Proceed to the Sleep Goals section. Clearly outline the objectives for your child's sleep, such as falling asleep independently or maintaining sleep throughout the night.
  4. Identify Specific Problems by answering questions about the child's nighttime routine compliance, sleep-interfering behavior, delayed sleep onset, night awakenings, and early awakenings. Provide details for each yes/no question and describe associated strategies.
  5. In the Sleep Schedule section, detail the child's current bedtime, wake time, and average sleep duration. Also, note any nap times and calculate total sleep.
  6. Fill out Pre-Sleep Routines by describing current and planned activities in the half hour before bedtime, ensuring to note their consistency or variations.
  7. Complete the Ambient Sleep Environment section by assessing and detailing the lighting, temperature, sound, bed type, and any other factors influencing sleep quality.
  8. For Nighttime Compliance with Routine-Related Instructions, indicate strategies to improve compliance and interactions related to bedtime routines.
  9. Discuss Sleep Dependencies and document any behaviors associated with sleep onset, while providing information on how these dependencies will be addressed.
  10. Detail any behaviors that interfere with sleep, potential reinforcers for these behaviors, and how they will be managed moving forward.
  11. Address Nighttime and Early Awakenings by examining potential triggers and documenting steps to mitigate such issues.
  12. Finally, review the entire form for completeness and accuracy. Once satisfied, save any changes made, and download or print the form as needed for your records or to share.

Start filling out the Sleep Assessment And Treatment Tool online today to better understand and address your child's sleep challenges.

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The BEARS pediatric sleep screening tool assesses sleep disorders in children aged 2–18 years. It has parent-directed and child-directed questions that evaluate five domains including bedtime problems, excessive daytime, awakenings during the night, regularity and duration of sleep, and snoring.

Professionals can evaluate sleep quality through sleep studies and instruments such as the Pittsburgh Quality Sleep Index (PSQI). The PSQI is a series of questions about sleep-related behaviors and is used in both clinical and research settings.

Many diverse methods are available to measure and assess sleep in hospitalised acutely ill patients. The most reported methods are polysomnography, actigraphy, self-report, observation, sleep charts and interviews (Closs 1988, Redeker 2000).

1) What time do you start getting ready for bed? 2) What time do you usually go to bed? 3) What time do you usually go to sleep? 4) What time do you usually wake up?

The ISI is a self-report instrument designed to evaluate the severity and impact of insomnia symptoms over the past 2 weeks21. The ISI consists of 7 items assessing the degree of difficulty in falling asleep, staying sleep, and waking up too early using a 5-point Likert scale.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232