Restorative Early Sleep Treatment After the Emergency Department
The goal of this randomized controlled trial is to pilot the virtual delivery of cognitive behavioral therapy for insomnia (CBT-I) and nightmares (CBT-I\&N) via telehealth as an early intervention for treating posttraumatic sleep disturbance in acute trauma patients exposed to interpersonal violence. The main aims are to: 1. Test the acceptability, feasibility, and satisfaction of sleep-focused CBT delivered early after trauma 2. Evaluate the impact of sleep-focused CBT delivered early after trauma on sleep disturbance 3. Evaluate the impact of sleep-focused CBT delivered early after trauma on PTSD symptoms The investigators will compare CBT-I and CBT-I\&N to sleep education control. Participants will meet with a provider for 6 weekly sessions via telehealth and complete surveys on the participants' symptoms.
• Michigan residents treated at Henry Ford Hospital
• Fluent in English
• Age 18 years or older
• Presenting to ED following exposure to Criterion A trauma (exposure to actual or threatened death, serious injury, or sexual violence) characterized by interpersonal violence (defined as any victimization experience that involved being intentionally and directly harmed by another individual
• i.e., assault with a weapon, physical assault, or sexual assault
• Qualifying trauma occurred within the past \
⁃ 72hr
• Hospital Mental Health Risk Screen score ≥ 10 (indicating at-risk for developing mental health problems)
• Patient is not in any other cognitive behavioral treatment with a master's level clinician or above
• Patient is appropriate for outpatient treatment and level of acuity does not require inpatient treatment