Insomnia Care Landscape

A Noctem Health article series covering Insomnia Care Landscape.

• The Access Problem in Insomnia Care—and Why It Matters

  CBT-I is recommended as first-line care for chronic insomnia, yet many patients never reach it. Health systems can narrow that gap through better identification, multiple evidence-based delivery options, clinical triage, and measurement that includes equity and safety.

• What Is Provider-Supervised Asynchronous Care in Insomnia Treatment?

  Provider-supervised asynchronous care can extend CBT-I beyond scheduled visits by combining structured digital treatment with defined clinical review, safety screening, and escalation pathways.

• The Evidence for Provider-Supervised Asynchronous CBT-I

  Digital CBT-I improves insomnia outcomes in randomized trials, but the evidence does not support treating every digital format as equivalent. Here is what clinicians should know about efficacy, supervision, safety, and implementation.