Abstract
Empirically based treatments for young children with bedtime refusal and frequent night-waking have been often and fully described. The goal of this article was to move beyond the empirically based treatments to discuss additive and complementary interventions, and provide suggestions for treatment selection, sequencing, and delivery. Clinicians can build on the evidence-based approaches by identifying past treatment failures, creating a sleep-compatible bedroom environment, managing the sleep-wake schedule, optimizing parent-child interactions, adding reinforcement-based strategies, and addressing daytime behaviors or skill deficits that translate to improved child sleep.
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