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{\phpg\posx9460\pvpg\posy10153\absw1426\absh264\f5\fs23 \ldblquote Sleep is Boy\rdblquote \par}

{\phpg\posx9429\pvpg\posy10729\absw1472\absh529\f5\fs23 \fi575 by Wendy Haynes\par}

{\phpg\posx9880\pvpg\posy11305\absw540\absh275\f5\fs24 1975\par}

\sect\sectd\pard\plain

\pgwsxn12240\pghsxn15840

{\shp{\*\shpinst\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpfblwtxt1\shpz1\shpleft5251\shptop11532\shpright5251\shpbottom13555{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 1}}{\sp{\sn lineWidth}{\sv 12192}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineDashing}{\sv 0}}}}

{\shp{\*\shpinst\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpfblwtxt1\shpz1\shpleft5229\shptop5985\shpright5229\shpbottom6864{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 1}}{\sp{\sn lineWidth}{\sv 12192}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineDashing}{\sv 0}}}}

{\shp{\*\shpinst\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpfblwtxt1\shpz1\shpleft7389\shptop5995\shpright7389\shpbottom6864{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 1}}{\sp{\sn lineWidth}{\sv 12192}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineDashing}{\sv 0}}}}

{\shp{\*\shpinst\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpfblwtxt1\shpz1\shpleft9549\shptop5995\shpright9549\shpbottom6873{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 1}}{\sp{\sn lineWidth}{\sv 12192}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineDashing}{\sv 0}}}}

{\shp{\*\shpinst\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpfblwtxt1\shpz1\shpleft5241\shptop5995\shpright11520\shpbottom5995{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 1}}{\sp{\sn lineWidth}{\sv 12192}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineDashing}{\sv 0}}}}

{\shp{\*\shpinst\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpfblwtxt1\shpz1\shpleft5229\shptop7111\shpright5229\shpbottom9112{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 1}}{\sp{\sn lineWidth}{\sv 12192}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineDashing}{\sv 0}}}}

{\shp{\*\shpinst\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpfblwtxt1\shpz1\shpleft7389\shptop7111\shpright7389\shpbottom9112{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 1}}{\sp{\sn lineWidth}{\sv 12192}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineDashing}{\sv 0}}}}

{\shp{\*\shpinst\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpfblwtxt1\shpz1\shpleft9554\shptop7111\shpright9554\shpbottom9415{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 1}}{\sp{\sn lineWidth}{\sv 12192}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineDashing}{\sv 0}}}}

{\shp{\*\shpinst\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpfblwtxt1\shpz1\shpleft1089\shptop3620\shpright1089\shpbottom14817{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 1}}{\sp{\sn lineWidth}{\sv 25907}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineDashing}{\sv 0}}}}

{\shp{\*\shpinst\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpfblwtxt1\shpz1\shpleft1089\shptop3620\shpright11521\shpbottom3620{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 1}}{\sp{\sn lineWidth}{\sv 25907}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineDashing}{\sv 0}}}}

{\shp{\*\shpinst\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpfblwtxt1\shpz1\shpleft11521\shptop3620\shpright11521\shpbottom14817{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 1}}{\sp{\sn lineWidth}{\sv 25907}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineDashing}{\sv 0}}}}

{\shp{\*\shpinst\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpfblwtxt1\shpz1\shpleft1089\shptop14817\shpright11521\shpbottom14817{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 1}}{\sp{\sn lineWidth}{\sv 25907}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineDashing}{\sv 0}}}}

{\shp{\*\shpinst\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpfblwtxt1\shpz1\shpleft9552\shptop9424\shpright11532\shpbottom9424{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 1}}{\sp{\sn lineWidth}{\sv 12192}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineDashing}{\sv 0}}}}

{\shp{\*\shpinst\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpfblwtxt1\shpz1\shpleft1101\shptop6290\shpright11520\shpbottom6290{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 1}}{\sp{\sn lineWidth}{\sv 12192}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineDashing}{\sv 0}}}}

{\shp{\*\shpinst\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpfblwtxt1\shpz1\shpleft1104\shptop7113\shpright11520\shpbottom7113{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 1}}{\sp{\sn lineWidth}{\sv 12192}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineDashing}{\sv 0}}}}

{\shp{\*\shpinst\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpfblwtxt1\shpz1\shpleft1104\shptop7704\shpright11508\shpbottom7704{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 1}}{\sp{\sn lineWidth}{\sv 12192}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineDashing}{\sv 0}}}}

{\shp{\*\shpinst\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpfblwtxt1\shpz1\shpleft1104\shptop7972\shpright11520\shpbottom7972{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 1}}{\sp{\sn lineWidth}{\sv 12192}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineDashing}{\sv 0}}}}

{\shp{\*\shpinst\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpfblwtxt1\shpz1\shpleft1104\shptop8277\shpright11508\shpbottom8277{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 1}}{\sp{\sn lineWidth}{\sv 12192}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineDashing}{\sv 0}}}}

{\shp{\*\shpinst\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpfblwtxt1\shpz1\shpleft1080\shptop8570\shpright11520\shpbottom8570{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 1}}{\sp{\sn lineWidth}{\sv 12192}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineDashing}{\sv 0}}}}

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{\shp{\*\shpinst\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpfblwtxt1\shpz1\shpleft1104\shptop9112\shpright11520\shpbottom9112{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 1}}{\sp{\sn lineWidth}{\sv 12192}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineDashing}{\sv 0}}}}

{\shp{\*\shpinst\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpfblwtxt1\shpz1\shpleft1104\shptop7437\shpright11508\shpbottom7437{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 1}}{\sp{\sn lineWidth}{\sv 12192}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineDashing}{\sv 0}}}}

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{\shp{\*\shpinst\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpfblwtxt1\shpz1\shpleft1104\shptop12112\shpright11520\shpbottom12112{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 1}}{\sp{\sn lineWidth}{\sv 12192}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineDashing}{\sv 0}}}}

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{\shp{\*\shpinst\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpfblwtxt1\shpz1\shpleft1070\shptop12700\shpright11520\shpbottom12700{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 1}}{\sp{\sn lineWidth}{\sv 12192}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineDashing}{\sv 0}}}}

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{\shp{\*\shpinst\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpfblwtxt1\shpz1\shpleft1104\shptop13272\shpright11520\shpbottom13272{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 1}}{\sp{\sn lineWidth}{\sv 12192}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineDashing}{\sv 0}}}}

{\shp{\*\shpinst\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpfblwtxt1\shpz1\shpleft1104\shptop13552\shpright11508\shpbottom13552{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 1}}{\sp{\sn lineWidth}{\sv 12192}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineDashing}{\sv 0}}}}

{\shp{\*\shpinst\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpfblwtxt1\shpz0\shpleft369\shptop4340\shpright868\shpbottom7876{\sp{\sn shapeType}{\sv 1}}{\sp{\sn fLine}{\sv 0}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn fillColor}{\sv 16777215}}}}

{\phpg\posx1080\pvpg\posy748\absw10446\absh505\f3\b\fs22 \li287 \fi-287 Collecting Information \par\sb0\fi0 \b0 In addition to establishing conditions that make sleep more likely, it\rquote s helpful to systematically collect information\par}

{\phpg\posx1080\pvpg\posy1432\absw10275\absh1689\f5\fs21 about a child\rquote s sleep behaviors. Doing this will help indicate tendencies and patterns that might not be seen if memory alone is relied upon. Clearer understanding of a sleep problem\rquote s causes will make successful intervention more likely. Since improvement and change can be slow, documentation also charts progress. In addition, this information will highlight the severity of a child\rquote s sleep problem. A child who is routinely awake at night, and sleeping during significant portions of most school days, is not learning very much. An intervention strategy coordinated between school and home will improve the quality of this student\rquote s education. A \ldblquote Daily Sleep Diary,\rdblquote completed over a period of time, can help provide a picture of current and changing sleep behaviors.\par}

{\phpg\posx5311\pvpg\posy3842\absw2404\absh356\f4\b\fs31 Daily Sleep Diary\par}

{\phpg\posx1367\pvpg\posy4600\absw3020\absh276\f3\b\fs24 Name:___________________\par}

{\phpg\posx8280\pvpg\posy4600\absw2900\absh276\f3\b\fs24 Date:___________________\par}

{\phpg\posx1367\pvpg\posy5176\absw3093\absh275\f3\b\fs24 Planned Bedtime:__________\par}

{\phpg\posx8284\pvpg\posy5176\absw2933\absh275\f3\b\fs24 Actual Bedtime:__________\par}

{\phpg\posx5400\pvpg\posy6040\absw1193\absh275\f3\b\fs24 cooperated\par}

{\phpg\posx7560\pvpg\posy6040\absw847\absh275\f3\b\fs24 resisted\par}

{\phpg\posx9720\pvpg\posy6040\absw1748\absh275\f3\b\fs24 strongly resisted\par}

{\phpg\posx1367\pvpg\posy6328\absw2791\absh529\f3\b\fs23 Cooperation going to bed: Cooperation staying in bed:\par}

{\phpg\posx1367\pvpg\posy7192\absw1614\absh275\f3\b\fs24 Night wakings:\par}

{\phpg\posx5400\pvpg\posy7192\absw620\absh275\f3\b\fs24 begin\par}

{\phpg\posx7560\pvpg\posy7192\absw433\absh275\f3\b\fs24 end\par}

{\phpg\posx9720\pvpg\posy7192\absw1041\absh275\f3\b\fs24 total time\par}

{\phpg\posx1367\pvpg\posy7480\absw300\absh1655\f3\b\fs24 #1 #2 #3 #4 #5 #6\par}

{\phpg\posx6120\pvpg\posy9208\absw3136\absh264\f3\b\fs23 Total time of all night wakings:\par}

{\phpg\posx1367\pvpg\posy9880\absw4547\absh264\f3\b\fs23 End of sleep - Wake-up time:______________\par}

{\phpg\posx1367\pvpg\posy10456\absw6699\absh264\f3\b\fs23 Total amount of night sleep (minus night wakings):______________\par}

{\phpg\posx1367\pvpg\posy11032\absw9650\absh264\f3\b\fs23 Child\rquote s mood upon final awakening:____________________________________________________\par}

{\phpg\posx1367\pvpg\posy11608\absw660\absh275\f3\b\fs24 Naps:\par}

{\phpg\posx5400\pvpg\posy11608\absw620\absh275\f3\b\fs24 begin\par}

{\phpg\posx7560\pvpg\posy11608\absw433\absh275\f3\b\fs24 end\par}

{\phpg\posx9720\pvpg\posy11608\absw1041\absh275\f3\b\fs24 total time\par}

{\phpg\posx1367\pvpg\posy11896\absw300\absh1655\f3\b\fs24 #1 #2 #3 #4 #5 #6\par}

{\phpg\posx5400\pvpg\posy13624\absw3883\absh264\f3\b\fs23 Total time slept (naps and night sleep):\par}

{\phpg\posx1367\pvpg\posy14200\absw9508\absh529\f3\b\fs23 Comments and observations:_________________________________________________________ _________________________________________________________________________________\par}

{\phpg\posx6180\pvpg\posy14946\absw300\absh275\f5\fs24 10\par}

{\shp{\*\shpinst\shpleft523\shptop4726\shpright891\shpbottom7401\shpz0\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt0{\sp{\sn fLine}{\sv 0}}{\sp{\sn shapeType}{\sv 202}}{\sp{\sn dxTextLeft}{\sv 0}}{\sp{\sn dxTextRight}{\sv 0}}{\sp{\sn dyTextTop}{\sv 0}}{\sp{\sn dyTextBottom}{\sv 0}}{\sp{\sn txflTextFlow}{\sv 2}}{\shptxt \f10\b\fs32 PROGRAMMING\par}}}

\sect\sectd\pard\plain

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{\shp{\*\shpinst\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpfblwtxt1\shpz1\shpleft11360\shptop4340\shpright11859\shpbottom4340{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 1}}{\sp{\sn lineWidth}{\sv 25907}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineDashing}{\sv 0}}}}

{\shp{\*\shpinst\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpfblwtxt1\shpz1\shpleft11859\shptop4340\shpright11859\shpbottom7899{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 1}}{\sp{\sn lineWidth}{\sv 25907}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineDashing}{\sv 0}}}}

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{\shp{\*\shpinst\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpfblwtxt1\shpz1\shpleft720\shptop7807\shpright11138\shpbottom7807{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 1}}{\sp{\sn lineWidth}{\sv 12192}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineDashing}{\sv 0}}}}

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{\shp{\*\shpinst\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpfblwtxt1\shpz1\shpleft8560\shptop7795\shpright8560\shpbottom14848{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 1}}{\sp{\sn lineWidth}{\sv 12192}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineDashing}{\sv 0}}}}

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{\shp{\*\shpinst\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpfblwtxt1\shpz1\shpleft11139\shptop6466\shpright11139\shpbottom14840{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 1}}{\sp{\sn lineWidth}{\sv 25907}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineDashing}{\sv 0}}}}

{\shp{\*\shpinst\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpfblwtxt1\shpz1\shpleft740\shptop14840\shpright11139\shpbottom14840{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 1}}{\sp{\sn lineWidth}{\sv 25907}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineDashing}{\sv 0}}}}

{\shp{\*\shpinst\shpleft11520\shptop4710\shpright11888\shpbottom7385\shpz0\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt0{\sp{\sn fLine}{\sv 0}}{\sp{\sn shapeType}{\sv 202}}{\sp{\sn dxTextLeft}{\sv 0}}{\sp{\sn dxTextRight}{\sv 0}}{\sp{\sn dyTextTop}{\sv 0}}{\sp{\sn dyTextBottom}{\sv 0}}{\sp{\sn txflTextFlow}{\sv 3}}{\shptxt \f10\b\fs32 PROGRAMMING\par}}}

{\phpg\posx5827\pvpg\posy14946\absw300\absh275\f5\fs24 11\par}

{\phpg\posx787\pvpg\posy8173\absw2321\absh1059\f5\fs23 Describe what happened \b before{\b0 the behavior} \b0 occurred (what, who, where and when).\par}

{\phpg\posx3391\pvpg\posy8173\absw2261\absh1263\f5\fs22 Describe the {\b behavior} (include how it began, as well as its intensity, how long it lasted and how many times it occurred).\par}

{\phpg\posx5995\pvpg\posy8173\absw2322\absh1323\f5\fs23 Describe what happened \b after{\b0 the behavior} \b0 occurred (any change in the environment or reactions from people).\par}

{\phpg\posx8594\pvpg\posy8173\absw2416\absh758\f3\b\fs22 Why{\b0 did my child behave} \b0 in this way? {\b What} did the behavior accomplish?\par}

{\phpg\posx720\pvpg\posy748\absw10511\absh1010\f5\fs22 \fi287 Children generally sleep less as they become older, but each child\rquote s sleep requirements are unique. Knowing the total amount of time that your child sleeps in a day will have implications for intervention. For example, because naps taken during the day count toward the total number of sleep hours, eliminating daytime naps may help some children sleep better at night. Or, moving naps from 4:00 p.m. to 2:00 p.m. might improve sleep onset at bedtime.\par}

{\phpg\posx720\pvpg\posy2188\absw10458\absh505\f5\fs22 \fi287 The time a child is awakened is one variable that can be externally controlled and followed consistently. A routine weekday wake up time that changes over the weekend may make adjustment to Monday mornings more difficult.\par}

{\phpg\posx1008\pvpg\posy3052\absw10071\absh252\f5\fs22 A child\rquote s mood upon final awakening in the morning will be one measure of the previous night\rquote s quality of sleep.\par}

{\phpg\posx721\pvpg\posy3628\absw10227\absh505\f3\b\fs22 \li287 \fi-287 Interpreting Information \par\sb0\fi0 \b0 Now that sleep information has been collected, the \ldblquote ABC Record of Sleep Problems\rdblquote can help pinpoint possible\par}

{\phpg\posx720\pvpg\posy4312\absw10462\absh1768\f5\fs22 reasons for the problem behavior or behaviors. In some cases, an event occuring prior to a sleep problem could be causing the problem sleep behavior. Changing one or more preceding events may make the behavior less likely to occur. A child who roughhouses with siblings before going to bed (antecedent), then remains awake for several hours (behavior), might fall asleep more easily if activities before bedtime are less energetic. In other situations, reinforcing consequences may motivate a child to repeat a behavior. A child who is given a snack (consequence) after getting out of bed (behavior) might learn to get out of bed more frequently. Behaviors won\rquote t appear as often when their conse- quences are less rewarding, especially if effective, more appropriate alternative behaviors are taught.\par}

{\phpg\posx4012\pvpg\posy6626\absw4231\absh355\f4\b\fs31 ABC Record of Sleep Problems\par}

{\phpg\posx1007\pvpg\posy7288\absw4220\absh275\f3\b\fs24 Name:_____________________________\par}

{\phpg\posx7920\pvpg\posy7288\absw2900\absh275\f3\b\fs24 Date:___________________\par}

{\phpg\posx1416\pvpg\posy7864\absw1313\absh275\f3\b\fs24 Antecedents\par}

{\phpg\posx4119\pvpg\posy7864\absw992\absh275\f3\b\fs24 Behavior\par}

{\phpg\posx6537\pvpg\posy7864\absw1500\absh275\f3\b\fs24 Consequences\par}

{\phpg\posx9495\pvpg\posy7864\absw807\absh275\f3\b\fs24 Reason\par}

\sect\sectd\pard\plain

\pgwsxn12240\pghsxn15840

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{\phpg\posx1080\pvpg\posy748\absw3457\absh264\f3\b\fs23 INTERVENTION TECHNIQUES\par}

{\phpg\posx1080\pvpg\posy1156\absw10525\absh505\f5\fs22 \fi287 Sleep problems have traditionally been addressed differently by the medical and behavioral communities. Recently though, these approaches have become more consolidated.\par}

{\phpg\posx1080\pvpg\posy2020\absw10503\absh505\f3\b\fs22 \li287 \fi-287 Behavioral Intervention \par\sb0\fi0 \b0 Information collected in the \ldblquote Daily Sleep Diary\rdblquote and \ldblquote ABC Record of Sleep Problems,\rdblquote will help the team identify\par}

{\phpg\posx1080\pvpg\posy2704\absw10293\absh1263\f5\fs22 patterns of problems and possible interventions. Any program that\rquote s implemented must be individualized for each child\rquote s needs and circumstances. Several intervention plans are described below. Each has a different goal and procedure for addressing a particular sleep problem. A mix and match approach might be helpful. When teaching a child new behaviors, the positive attitude of parents, teachers and other team members is crucial for success. An intervention plan should be implemented at a pace that\rquote s comfortable for all participants.\par}

{\phpg\posx1080\pvpg\posy4432\absw2974\absh505\f9\i\fs22 \li333 \fi-333 1. Positive Bedtime Routine \i0 Problem: Bedtime resistance\par}

{\phpg\posx1413\pvpg\posy5260\absw3924\absh252\f5\fs22 Goal: To teach a child bedtime cooperation\par}

{\phpg\posx1413\pvpg\posy5692\absw1100\absh275\f5\fs24 Procedure:\par}

{\phpg\posx1413\pvpg\posy6124\absw3344\absh252\f5\fs22 1. Determine child\rquote s natural bedtime\par}

{\phpg\posx1413\pvpg\posy6556\absw9672\absh252\f5\fs22 2. Develop a 20 minute fixed sequence of enjoyable, calming pre-bed activities (warm bath, lotion rub, story\par}

{\phpg\posx1706\pvpg\posy6844\absw2543\absh252\f5\fs22 time in a rocking chair, etc.)\par}

{\phpg\posx1413\pvpg\posy7276\absw5770\absh252\f5\fs22 3. Begin the sequence 20 minutes before child\rquote s natural bedtime\par}

{\phpg\posx1413\pvpg\posy7708\absw8217\absh252\f5\fs22 4. Follow the sequence and praise child for completing each activity, including going to bed\par}



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