Tuesday, October 21, 2025

Sleep Interruption(s) and Roommate Matching By Keith Torkelson, MS, BS VHAB

  Sleep Interruption(s) and Roommate Matching By Keith Torkelson, MS, BS VHAB


Requirement

 

Specification

Unit

Sleep Studies

Lesson

Interruption(s)

Audience

Housing Advocates

Author(s)

Keith “Buster” Torkelson MS

Blog(s)

Housing Advisory & HealthMan

In Memory of…

John Baer

Computer(s)

“LIV” the Asus Vivobook

Connectivity

Wi-Fi and Hotspot

Family

Share with Ahnika, MD, PhD, our niece, as is Keith’s Housing Advocate

Filename

Assess_SleepAbility_Interruption_Scale_SIS_18091909_Results V2025

Measures(s)

Use this material to generate 2 measures tools

Measures IDs

SIIS = Sleep Interruption Impact Scale 23 Items

Aspects of Living Arrangements 21 Items

Interruption List

Method

Desktop Publishing

Publish

Tuesday 10/21/25 - Ready for Direct Share

Purpose(s)

Prepare for Housing Interventions Workgroup – Resolve Housing issues in Orange County, California.

AI

Food for training AI systems

Compelling Evidence

Your shared roommate is the most important person in  your life

Title

Sleep Interruption(s) and Roommate Matching By Keith Torkelson, MS, BS

Topic

To Sleep, Interruption, Roommate Matching, Preferences, Harmony, etc.


List of Assessments

  • SIIS = Sleep Interruption Impact Score 23 Items
  • Aspects of Living Arrangements Survey 21 Items
  • Interruption List

 

Interruption List

Includes Retroactively

Assembled: September 2, 2025 (TU)

By Keith Torkelson, MS, BS


Results Up Front

Table – Summary - SleepAbility (MSG) Interruption Scale (MSG 23 Items)

20250609-M-Data Corrected

For Keith “Buster” Torkelson – Deficits Scale

Scored by and for Keith Torkelson, MS, BS



Initially Scored: 20200220-TH: Updated: 20250609-M:

 

LSF = Low Scores are Favorable | RT = Real Time | SW = Share (d) With

Table Part 1 of 2

Table – SleepAbility (MSG) Interruption Scale (MSG 23 Item)

For Keith “Buster” Torkelson – Deficits Scale

Scored by and for Keith Torkelson, MS, BS



LSF = Low Scores are Favorable | RT = Real Time | SW = Share (d) With

 

Initially Scored: 20200220-TH: Reviewed: 20230622-TH: Updated: 20250902-TU:

Table Part 2 of 2

Table - SleepAbility (MSG) Interruption Scale (MSG 23 Item)

For Keith “Buster” Torkelson – Deficits Scale

Scored by and for Keith Torkelson, MS, BS


LSF = Low Scores are Favorable | RT = Real Time | SW = Share (d) With

Initially Scored: 20200220-TH: Reviewed: 20230622-TH: Updated: 20250902-TU:


Sampling of Documentation (Charting)

Includes Sleep Interruption Impact Scores – 23 Items


AgZ = Ted F | JB = John Baer | LSF = Low Scores are Favorable | ON = Overnight | RT = Real Time | SW = Share (d) With


Assessment Associations

>The first use of the assessment above was dated February 20, 2020, which would apply to when we were sharing a room with Mikel R.  We shared with him for about one year.  We had high hopes for Mikel, then, at one point, he took to smoking Spice in the middle of the night (see photo).  Amongst other things, it caused him to be agitated and laugh inappropriately (as if he had Pseudobulbar Affect).  This behavior interrupted our sleep.


Context – Mikel > Metadata >

https://ktork46.blogspot.com/2015/02/triple-xxx-dag-digital-appointment.html

https://ktork46.blogspot.com/2019/06/technologicalneeds-in-human-services.html

 

The Drug Spice

"Spice", also known as K2 or synthetic marijuana, refers to a range of man-made chemicals that are applied to dried plant material and smoked, or sold as liquids for use in vaporizers and e-cigarettes. These products are marketed as "legal" and "safe" alternatives to marijuana, but they are neither.

 

Pseudobulbar Affect

Pseudobulbar affect (PBA) is a neurological condition that causes sudden, uncontrollable, and often disproportionate episodes of laughing, crying, or anger. It stems from an underlying neurological injury or disease, such as ALS, Parkinson's, stroke, or traumatic brain injury. PBA is distinct from depression, as outbursts are typically brief and don't involve other common symptoms of depression. Diagnosis involves a doctor's evaluation, and treatment may include medications like dextromethorphan/quinidine or antidepressants, along with coping techniques to manage the condition.

 

Pseudobulbar Affect and the Drug Spice

While not confirmed as a direct cause, the potent and unpredictable neurological effects of the drug "Spice" could potentially contribute to or mimic symptoms of Pseudobulbar Affect (PBA). Synthetic cannabinoids, like those found in Spice, can induce a wide range of severe psychiatric and neurological side effects, including agitation, psychosis, and emotional disturbances.

 

Laughing and Interrupting



Eating Crunchy Food in the Middle of the Night

Eating crunchy food in the middle of the night is often driven by emotional factors like stress or boredom, lack of sleep, or a craving for sensory stimulation, which the crunchy texture and sound provide. This behavior can be addressed by replacing the habit with a new one, and if the craving is due to emotional eating, alternatives like journaling or drinking tea can help. If it is true hunger, choose a healthy snack with protein and carbs instead of a processed one.


Lesson Learned – Do not use Spice the Drug.

Using Spice (synthetic cannabinoids) is extremely dangerous due to its unpredictable and toxic chemical composition, which can cause severe, lasting physical and psychological harm, and even death. Unlike natural cannabis, synthetic cannabinoids are man-made and bind more powerfully to brain receptors, leading to more intense and hazardous effects. The "Lesson Learned: Do not use Spice, the drug" is a critical message that emphasizes these risks.

 

Below Average Chance of Complete Night Sleep

If you are experiencing a "below average chance of complete night sleep," it indicates that you are consistently having trouble falling asleep, staying asleep, or both, which prevents you from achieving the recommended 7-9 hours of restful sleep per night. This can be a common problem, affecting about one-third of adults in the US who report sleeping less than seven hours each night.

 

Above Average Chance of Complete Night’s Sleep

To know if you have an "above average chance of complete night sleep," you must assess your habits against standard sleep hygiene guidelines. Since a "chance" cannot be objectively known, this phrase is likely used by a sleep tracker or an app as an interpretation of your sleep data. The app's algorithm analyzes factors like sleep duration, regularity, and daytime routines to suggest how likely you are to achieve an uninterrupted, high-quality night of rest.

 

Definition of Rest

To "rest" means to relax, stop working, or cease activity to refresh oneself, either physically or mentally. The term can also refer to a period of quiet, a state of tranquility, or a physical state of being still. The provided example uses "rest" in the sense of relaxing, like lying on a couch when tired.

 

Tips for Renting a Shared Room (Consider)

Scored by Keith Torkelson, MS, BS, for the John B. Association

Aspects of Living Arrangements Survey 21 Items


 HSF = High Scores are Favorable | RT = Real Time | SW = Share (d) With

 

Life is too short to not be working a program of recovery

The quote "Life is too short to not be working a program of recovery" suggests that the potential for a fulfilling life is too valuable to waste on a past or present struggle with addiction. Instead of seeing recovery as a burden, this perspective frames it as an opportunity to change your life for the better.

 

The Compatible Roommate

A compatible roommate is someone whose habits, values, and communication style align with yours, ensuring a comfortable and peaceful living environment. To find one, assess your own boundaries and preferences regarding cleanliness, noise levels, and lifestyle, then have open, honest discussions with potential roommates to see if there's a mutual match in these critical areas.

 

In Memory of John Baer – The Compatible Roommate

John passed (expired) in August of 2025


How is it Mikel R.?

Associated Documents > Metadata > Word Format >

06_DA_Sleep_RASR_STR_20081002_Register

04_Case_Study_Mikel_Roby_19052901_Notes STR

Roommate = Mikel Roby

RASR = Rent a Shared Room

 

Important STR – Charting and Documenting > Metadata

07_Respite_Mikel_Roby_19081304_Records

 

RASR and Associates that have passed

DTY = Died Too Young

 


What is the cutoff age for dying too young (DTY)?

There appears to be no single age for DTY because it is based on variable items such as perspective, personal feeling, and public health metrics.  A better term for Dying Too Young is premature death.  Premature death is used in both medical research and public health.  A common cutoff in the US is before the age of 75.  The Centers for Disease Control and Prevention (CDC) uses this age to calculate "Years of Potential Life Lost" (YPLL), which helps focus on preventable causes of early death.  As of 2023, the average life expectancy in the US was 78.4, yet this varies by location, race, and sex. 


 

Monday, August 25, 2025

Bed Quality Study 20250825 (M) for the Disadvantaged by Keith Torkelson MS, BS (HAB Version)

  Bed Quality Study 20250825 (M) for the Disadvantaged by Keith Torkelson MS, BS (HAB Version)

Feature Image (Photo by Buster)


Requirement

Specification

Title

Bed Quality Study 20250825 (M) for the Disadvantaged by Keith Torkelson MS, BS

Author(s)

Avey C., Lled Buzzard & Keith “Buster” Torkelson

Unit

Housing

Lesson

Beds

Blog

HealthMan & Housing Advisory

# of Images

Approximately 15 (Majority taken or created by Buster)

Filename

02_LA_MM_HSB_Room_Bed_Quality_24022401_Notes V2025

Database

Mentalations Solutions Group (MSG) on Work Flash

Purpose

Facilitate those in need to find and secure a GoodBed or better

Key Words

Ideal Bed, GoodBed, Bed, SleepAbilitySleepAble

Date Published

August 25, 2025 (M)

Purpose

Demonstrate Disparity Captured in Photos


Results up Front

SleepAble (*) - Agent and Environment & SleepAbility (** - Host))
Features about the Room
Using Lived Experience @ Shanks Truck Stop & Harvest as a Models

SleepAble & SleepAbility – Mixed Qualities (HSF) – 13 Items

##

Quality (Requirement)

 

2025

0505

(M-RT)

SW-JB

Note

01

Accidents not waiting to happen (*)

1.00

Risks addressed

02

Expected Turnover (* & **)

1.00

Turnover is a pain because you might get a crumby roommate and as a minimum you get adjust to a new roommate

03

Fan qualities (**)

NA

White noise by head while sleeping

04

Gingerly use of earplugs (**)

0.50

JB makes COPD noises and clicking noises

05

Lighting Control (*)

0.50

You might have to give up bright lighting in the room

06

Maintenance (*)

0.75

At Harvest fixit guy was Bernard

07

Panic lighting (*)

NA

Just a partially mistaken belief that my dad’s spirit is conjured with an electric light

08

Privacy (* & **)

0.25

May have to surrender private time

09

Roommate specific (*)

0.90

Since 20250220-TH = John Baer

Use of Headphones

10

Shelving Failure (*)

NA

Specific to Shanks Truck Stop – The closet shelving failed once and was ready again to fall

11

SleepAble (*)

0.90

Environment and Agent (Parity V 0.71)

12

Temperature (*)

0.75

Little control over ambient temperature

13

Window Control (*)

0.50

It is nice to control the room’s window(s)

 

CALC

=7.05/10

 

 

SleepAble Qualities Score 13 Items (HSF) =

70.5%

 


SleepAbility (Host Factors)
Things In on, about, going into or attached to body
Scored by and for Keith Torkelson, MS, BS

SleepAbility Factors (HSF) – 16 Items

##

Factor

 

2025

0505

(M-RT)

SW-JB

2025

0615

(SU-RT)

SW-JB

01

Ambien efficacy

1.00

1.00

02

Back Brace as needed

1.00

1.00

03

Blanket / Comforter

0.75

0.75

04

Clozapine efficacy

1.00

1.00

05

Favorable reaction to little privacy

0.50

1.00

06

Intimacy Bonus

0.00

1.00

07

Lorazepam efficacy

1.00

1.00

08

Mattress

0.75

0.75

09

Medication 1 daytime

0.25

0.50

10

Medication 2 nighttime

1.00

1.00

11

No Bed Bugs

1.00

1.00

12

No need for Fan white noise

1.00

1.00

13

No Shoes

1.00

1.00

14

No Socks PRN while sleeping

1.00

1.00

15

Pillow

0.75

0.75

16

Prudent earplug usage (See Image)

1.00

1.00

 

CALC

=13.00/16

=14.75/16

 

SleepAbility Factors Score (HSF) =

81.3%

92.2%

 

Epidemiology

Agent – Qualities & Behaviors

SleepAble

Environment – Qualities including the Bed

SleepAble

Host - Factors

SleepAbility

 

Work Centered about “The Bed”



Updated


Epidemiology of a Bed You Sleep In

Your bed, while seemingly a sanctuary, can be a breeding ground for various microorganisms and allergens that can significantly impact your health and well-being. In conclusion, understanding the epidemiology of your bed and the impact of bedding hygiene on your health is crucial. Choosing the right bedding materials, practicing good hygiene habits, and following safe sleep guidelines can help create a healthier sleep environment and promote overall well-being.

 

Epidemiology of bedtime, arising time, and time in bed
National Institutes of Health (NIH) | (.gov)
https://pubmed.ncbi.nlm.nih.gov/23574553/
By SJ Thomas · 2014 · Cited by 29 (2023)

This study investigated the epidemiology of bedtime (BT), arising time (AT), and time in bed (TIB) as a function of age, gender, and ethnicity. Sleep diary data were analyzed for 746 randomly selected community participants.

Quality of a Bed

What are the characteristics of an ideal bed?

The most comfortable beds combine a solid frame with a high-quality, functional mattress that meets all sleep needs. It's important that the mattress provides proper spinal support and contours to the body without creating a sinking effect.

Things to Ponder - Bed Quality

In the face of…

Note

Managed Passing

Direct to Expiring in a Bed with the most freedom

Renting a Shared Room (RASR)

Roommate’s health is very important

Incarceration

Environment is not peaceful & the lights are never completely off

Homelessness

Always at risk

Hospitalization

Avoid as long as possible

Conservatorship

Conservator can influence what Bed you sleep in

Aside - LPS Conservatorship

An LPS Conservatorship (Lanterman-Petris-Short) is a California court order that appoints a conservator to manage the personal and financial affairs of a gravely disabled adult with a severe mental disorder who cannot provide for their basic needs, like food, clothing, or shelter. The process involves a public agency like the Public Guardian investigating the need for conservatorship and filing a petition with the court. If granted, a conservator makes decisions for the conservatee, who has rights to legal representation, notice, and to oppose the conservatorship petition.

Difference between a probate conservatorship and a LPS conservatorship?

Is a probate conservatorship different from a mental health (LPS) conservatorship? An LPS conservatorship is only for people who are seriously mentally ill and need special care (usually placement in a locked facility and/or very powerful drugs to control behavior).

Major Milestone - Outcome (2024-Current)

Material and Means to drive a car

To drive a car, you need the legal means [CDLProof of Insurance, current registration] to operate a vehicle and the physical materials to do so safely on public roads. This includes valid personal documents, proper vehicle registration, and a roadworthy car with essential safety features.

Bed Quality reflected in SleepAbility and SleepAble

Epidemiology Revisited

SleepAble

Environmental Qualities of the Room – Includes Agents such as roommate

SleepAbility

Sleep Abilities of the Host

Agent Factors

Bed Bug infestation or Chemicals and / roommates

Bed Qualities Vary Particularly With the Features Of The Mattress





How much is spent on mattresses per year?

In 2025, the US mattress market is projected to generate $11.17 billion in revenue. This figure reflects the total amount spent annually on mattresses in the United States. Furthermore, the market is expected to grow, with an expected annual growth rate of 6.11% between 2025 and 2030 according to Statista.

Why not take in a used mattress?

Taking in a used mattress can pose several risks related to hygiene and comfort. Used mattresses can harbor allergens, dust mites, and even bed bugs. Additionally, they may have reduced support due to wear and tear, potentially leading to discomfort or exacerbating existing physical ailments.

Lived Experience – Bed Bugs (2012-2024)

>While living at Shanks Truck Stop (STS) we were chronically exposed to Bed Bug infestations.  Buster had never slept with Bed Bugs before – it was terrible.  The landlords had the tendency to take in used mattresses and sofas.  See photo below taken by the author.


Bed Bugs

Bed bugs spread primarily by hitchhiking on infested items, such as luggage, clothing, and furniture. They don't fly or jump, but they are excellent at finding ways to travel long distances by attaching themselves to unsuspecting hosts or objects.

Hint – Itch Control

>Bed Bugs have a tendency to bite your forearms.  The bits can get very itchy.  To stop the itch turn up the faucet on hot and let it warm up.  Place your forearm in the water at the highest temperature you can endure.  After about 30 seconds or so the pull your forearm out of the water – the itching should be gone.

 

Material - Earplugs
AirSoft® Earplugs – Corded S-13519
Promotion - HOWARD LEIGHT®

  • Unique fins provide protection and comfort.
  • Easy to insert, remove and reuse.
  • Cord allows earplugs to hang from neck when not in use.


Earplug Modification

>You cut the cord off when using the earplug for sleep or rest.  We recommend using only one earplug if you sleep on your side.  Place the earplug snugly in the up ear. 


Images @ the End

Bed Slide Show

Centered about Shank’s Truck Stop




Suffering in Bed


Mattress augmented with spongy material


Very Bad Bed
Transitional Aged Youth getting beat up on his bed


Visiting Roommate
Near Death Experience





Sleeping in Upper Bunk
Suffering in Bed




Sleeping on Sofa


Suffering in Bed


Homeless in Santa Ana


Smoked Spice - Suffering in Bed