| 1. |
Screen all children with ASD for insomnia with sleep questionnaire annually. |
| 2. |
Identify any parent or child sleep concerns and discuss. |
| 3. |
Screen for medical conditions that may be contributing to insomnia and refer to appropriate sub-specialist (Tables 2 and 3). |
| 4. |
Treat any medical conditions significantly affecting sleep before continuing with the practice pathway. |
| 5. |
Determine the willingness and capacity of the family to implement a sleep intervention. |
| 6. |
The first-line approach is parent education about environmental modification, positive bedtime routines, and behavioral strategies. |
| 7. |
Introduce the ATN Sleep Tool Kit and educational materials with visual schedule. |
| 8. |
If the family is unable or unwilling to follow environmental and behavioral strategies consider consultation to a sleep specialist. |
| 9. |
Pharmacological interventions may be considered, start with melatonin. |
| 10. |
Timely follow-up in 2–4 weeks for all interventions Annual reassessment for all children with ASD |
