Presented by:  J. Paul Rutledge, MD, Dr. Julie Hereford, PT, DPT and Mark Murray, LPC, BCB
 
SATURDAY, OCTOBER 8TH AND SATURDAY, NOVEMBER 5TH
 
LOCATION:  Mother of Good Counsel Home, 6825 Natural Bridge Road, St. Louis, MO 63121
 
COURSE DESCRIPTION:
 
This session will review sleep architecture and sleep hygiene.  The causes and potential harmful effects of disorderd sleep on physiological, psychological and cognitive function will be discussed with a particular perspective for the mental health professional.
 
Some of the types of disordered sleep discussed will include obstructive sleep apnea, central sleep apnea, circadian rhythm disorders and insomnia.  The function of both REM and non-REM sleep to normal physiological, cognitive and psychological function will be identified.  The particular importance of non-REM sleep stages on cognitive and memory processing, memory consolidation and learning will be discussed.  More detailed discussion of neuro-hormonal events particular to specific sleep stages will be discussed.  An overview of polysomnography (sleep study readings) will be included to allow the clinician to have a basic understanding of these reports and how they play a role in treatment planning. 
 
Pharmaceutical management and the use of mechanical devices including CPAP and dental appliances to improve sleep will be described as well as strategies for improving sleep compliance.  Other interventions, including behavioral and positional techniques will be described.  Methods of screening for sleep dysfunction in the clinical setting and guidelines for when to recommend additional evaluatoin will be covered.  Recommendations for inter-disciplinary collaboration (including pulmonary, behavioral medicine, dentistry and rehabilitation) with the individual with disordered sleep will be discussed.

COURSE OBJECTIVES
Participants will learn:
• How to identify and screen clients for sleep disorders
• Basic physiology of sleep and sleep disorders and its connection to mental health
• How sleep disorders may be affecting your clients
• Basic tools and clinical interventions to help your clients improve sleep.
• Basics of understanding sleep study results as they relate to mental health
• Some basics about medical interventions including: CPAP, pharmacology, dental appliances, etc.

COURSE AGENDA
8:00AM - 4:00PM

8:00  -  Introductions
8:10  -  Basic Science of Sleep   
           -    What Is Sleep?
               o     Phylogeny of Sleep
               o     Developmental Course of Sleep
               o     Non-REM and REM Sleep
           -     Control of Sleep
               o     Brain Mechanisms of Sleep/Wakefulness
               o     Chemical and Neuronal Mechanisms of Sleep
               o     Temporal Regulation of Sleep and Wakefulness
           -     Function of Sleep
               o     Dreams
10:45  –  Disordered Sleep
           -     Consequences of Disordered Sleep
           -     Daytime Sleepiness and Alertness
           -     Sleep-Related Breathing Disorders
           -     Parasomnias and Abnormal Sleep-Related Movements
11:30  –  Psychological/Psychiatric Considerations
12:15  –   Lunch (on your own)
1:00  –  Polysomnography
           -     Test Interpretation
1:30  –  Interventions
           -     Pharmacological Options
           -     CPAP, BiPAP, VPAP
           -     Dental Appliances
           -     Sleep Hygiene
           -     Mental Health Options
3:00  –  Neurofeedback / Biofeedback for Sleep Disorders

 
WHO SHOULD ATTEND
Psychiatrists, Psychologists, Social Workers, Counselors, School Counselors, Teachers, Psychiatric Nurses, Other Mental Health Professionals
 
TUITION: $175 (4 or more weeks prior to course)  $190 (less than 4 weeks prior to course)
Discounts for multiple class registration.
 
Registration includes course outline, 100+ page course manual and continental breakfast.
CONTINUING EDUCATION UNITS:  8 contact hours
 
CANCELLATION POLICY:  Written request for full refund must be made 21 days prior to the course.  After this, a refund less a $50 administration fee will be refunded only if your seat is filled.
 
COURSE LOCATION: Mother of Good Counsel Home 6825 Natural Bridge Rd Saint Louis MO 63121.  
 
CLASS SIZE:  40 participants
 
For more information call (314) 647-4880 or email info@coreservices.org
Course registration Form