Practical Guidance for Targeting Insomnia in Primary Care Settings

• Insomnia is a prevalent condition in primary care settings.
• There are cognitive and behavioral evidence-based assessments and interventions for insomnia.
• The primary care behavioral health (PCBH) model is an effective way to integrate behavioral health providers into primary care settings.
• Using the PCBH model, cognitive and behavioral interventions for insomnia can be delivered in the primary care setting.

Insomnia is among the most prevalent conditions in primary care. Despite the development of well-established, evidence-based cognitive and behavioral interventions for insomnia, they are not typically applied in primary care environments. One method for improving primary care delivery of these interventions is to integrate behavioral health providers as a service delivery team member in this environment. The population health focus and time-limited appointments of primary care require that these well-established interventions are adapted for effective implementation in primary care. Using a case example, we describe practical methods of delivering these interventions in the primary care setting.