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Jan 2017

Management of Chronic Insomnia Tool


About one in every seven Canadians have difficulty going to sleep or staying asleep. Assess and manage insomnia in the general adult population through non-pharmacological and pharmacological options using the Management of Chronic Insomnia Tool.


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Management Of Chronic Insomnia Tool

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About the Tool

Chronic insomnia can impact both daily functioning and quality of life. The Management of Chronic Insomnia Tool addresses what providers should do when a patient is concerned about their lack of sleep.

The tool also discusses appropriate management options, such as cognitive behaviour therapy for insomnia (CBT-I) and pharmacotherapy regimens to support primary care providers in their practice.

Divided into six sections, the tool highlights the following:

  1. Addressing and optimizing the management of any underlying medical, psychiatric or environmental causes.
  2. Considering pharmacological causes of insomnia.
  3. Non pharmacological options.
  4. Pharmacotherapy.
  5. Benzodiazepine or Z-drug Tapering.
  6. Special populations.

Clinical Lead

  • Dr. Jose Silveira

    MD, FRCPC, Dip, ABAM

    Dr. Jose Silveira is an Assistant Professor in the Department of Psychiatry at the University of Toronto; Psychiatrist-in-Chief at St. Joseph’s Health Centre in Toronto as well as Medical Director of Mental Health and Addiction Programs. He works closely with primary care physicians and has been on the steering committee of Ontario College of Family Physicians Collaborative Mental Health Network since 2000. He has been providing indirect consultation and support to them across the province of Ontario throughout this time as well. In addition, Dr. Silveira has served as a psychiatrist providing shared care with numerous Community Health Centres and Family Health Teams throughout his career.

  • Dr. Deanna Telner


    Deanna Telner is a family physician at the community-based, academic teaching site, South East Toronto Family Health Team. She is involved in teaching medical students, residents and colleagues. She is an Assistant Professor and part-time researcher in the Department of Family and Community Medicine, University of Toronto. Her area of research interest is in postgraduate and continuing education. Dr. Telner has been extensively involved in the development of online clinical modules for primary care providers.

Clinical Working Group

A clinical working group comprised of a nurse practitioner and a family physician participated in the development of this tool. Members include:

  • Dana Newman, family physician
  • Claudia Mariano, nurse practitioner

Thank you to all providers involved for their time and expertise.

Target End User Feedback and Expert Opinion

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