Referrals for Cognitive Behavioural Therapy for Insomnia (CBT-I)

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Insomnia affects one in four Canadians at some point in their lives (Statistics Canada, 2017), leading to a range of health issues, including depression, anxiety, and chronic diseases.

At Quadra Wellness, we take a multifaceted, scientifically-backed approach to sleep wellness. As a Registered Social Worker with over a decade of experience in community mental health, I invite you to discover how your patients can benefit from our comprehensive and personalized care.

Healthcare professionals can refer clients aged 18 or older in British Columbia and Ontario to our comprehensive, personalized care, guided by Tony Ho, a Registered Social Worker specializing in CBT-I and sleep-related therapies.

Who Can Benefit from CBT-I?

  • Patient with chronic insomnia (sleep difficulties for 3+ months).
  • Living in British Columbia or Ontario.
  • Aged 18+.
  • Able to actively engage in CBT-I treatment.
  • Having comorbid concerns like depression, anxiety, or post-traumatic stress symptoms.

Coverage and Benefits

Most patients with extended health benefits have coverage for services provided by a Registered Social Worker. Please ask your patient to check with their insurance provider or contact us for assistance.

Why Choose Us?

  • Personalized Care: We recognize that each person’s sleep pattern is unique. Our comprehensive assessments and personalized plans address the underlying causes of insomnia, ensuring tailored treatment for each individual.
  • Evidence-Based Approaches: Our therapeutic strategies include:
    • CBT-I: Recognized as the gold standard for insomnia treatment, CBT-I has been shown to improve sleep in 70-80% of patients, often without the need for medication (Trauer et al., 2015).
    • Depression & Anxiety: Research shows that CBT-I can reduce symptoms of depression and anxiety, enhancing overall mental well-being (Manber et al., 2008; Belleville et al., 2011).
    • Sleep Apnea: CBT-I has been demonstrated to improve adherence to CPAP therapy in patients with Obstructive Sleep Apnea (OSA), thus enhancing sleep quality and general health (Luyster et al., 2010).
    • ACT-I: Acceptance and Commitment Therapy for Insomnia (ACT-I) helps individuals accept their thoughts and feelings about sleep, proven to reduce sleep effort and performance anxiety (Hayes et al., 2006).
    • Mindfulness: Incorporating mindfulness strategies has been found to improve sleep by reducing stress and promoting relaxation (Ong et al., 2014).
  • Collaborative Approach: Our partnership with referring physicians is vital for a well-rounded care plan. Regular updates and shared decision-making ensure the best outcome for your patients.
  • Ongoing Support: Our long-term follow-up shows sustained benefits of treatment over time, as indicated by research on the enduring effects of cognitive-behavioural strategies (Espie et al., 2012).

How to Refer Your Patient

  1. Fill Out the Referral Form: Include detailed information about your patient’s sleep issues.
  2. Attach Relevant Medical Records: This helps us to understand the patient’s medical history and current treatments.
  3. Submit the Form: Send it to us via fax (1-778-402-1350) or email (

Quick link: [Link to fillable referral form for Healthcare Providers]

What to Expect After a Referral is Made

  • Review and Verification: Referral will be reviewed for completeness.
  • Questionnaires: Sent to the client via email.
  • Assessment by a Therapist: To identify the main mental health concern.
  • Communication with Family Doctor/Primary Care Provider: With consent, updates will be shared.

Let’s Make a Difference Together

Improving sleep quality can have profound effects on overall health and well-being—partner with us to provide effective, evidence-based, compassionate care to those struggling with insomnia.

For any inquiries or more information about our services, please contact us.


Thank you for your referral! Together, we can help individuals sleep better and live healthier, happier lives.


  • Statistics Canada. (2017). Insomnia. Retrieved from []
  • Trauer, J. M., Qian, M. Y., Doyle, J. S., Rajaratnam, S. M., & Cunnington, D. (2015). Cognitive Behavioral Therapy for Chronic Insomnia: A Systematic Review and Meta-analysis. Annals of Internal Medicine, 163(3), 191-204.
  • Manber, R., Edinger, J. D., Gress, J. L., San Pedro-Salcedo, M. G., Kuo, T. F., & Kalista, T. (2008). Cognitive Behavioral Therapy for Insomnia Enhances Depression Outcome in Patients with Comorbid Major Depressive Disorder and Insomnia. Sleep, 31(4), 489-495.
  • Belleville, G., Guay, S., & Morin, C. M. (2011). Meta-analytic review of the impact of cognitive-behavior therapy for insomnia on concomitant anxiety. Clinical Psychology Review, 31(4), 638-652.
  • Luyster, F. S., Buysse, D. J., & Strollo Jr, P. J. (2010). Comorbid Insomnia and Obstructive Sleep Apnea: Challenges for Clinical Practice and Research. Journal of Clinical Sleep Medicine, 6(2), 196-204.
  • Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006). Acceptance and Commitment Therapy: Model, processes and outcomes. Behaviour Research and Therapy, 44(1), 1-25.
  • Ong, J. C., Manber, R., Segal, Z., Xia, Y., Shapiro, S., & Wyatt, J. K. (2014). A Randomized Controlled Trial of Mindfulness Meditation for Chronic Insomnia. Sleep, 37(9), 1553-1563.
  • Espie, C. A., MacMahon, K. M., Kelly, H. L., Broomfield, N. M., Douglas, N. J., Engleman, H. M., … & Wilson, P. (2012). Randomized Clinical Effectiveness Trial of Nurse-Administered Small-Group Cognitive Behavior Therapy for Persistent Insomnia in General Practice. Sleep, 29(5), 574-586.