Sleep is important for our body and mind. It helps children feel happy, learn well, and cope with the day.
Every child is different. Some children fall asleep easily. Others may find sleep harder, especially children with SEND. Some may struggle to fall asleep, wake up often, or have unusual sleep patterns. This can affect the whole family.
What can affect sleep?
Health and conditions
- Some conditions (like ADHD or autism) can make it harder to settle
- Children may feel very active or find it hard to switch off
- Illness, pain, eczema, reflux, or toothache can disturb sleep
Daytime habits
- Naps in the day or not enough activity can affect night sleep
- Children need enough movement and play in the day
Worries and feelings
- Anxiety or fear (like the dark or being alone) can keep the brain active
- This can make it harder to relax and fall asleep
Food and drink
- Caffeine (tea, coffee, fizzy or energy drinks) can affect sleep
- Being hungry or uncomfortable after eating can also disturb sleep
Bedroom and environment
- Too much noise, light, or heat can make sleep harder
- Too many toys or distractions can stop children settling
Sensory needs
- Some children are sensitive to sound, light, smell, or touch
- Things like labels, bedding, or noise may be uncomfortable
Routine and transitions
- Changes in routine can affect sleep
- Some children need time and support to move from play to bedtime
What helps good sleep?
Have a simple bedtime routine
- Keep it the same each night (about 20–30 minutes)
- Include calming things like a bath, story, or quiet music
- Use a clear ending, such as saying “Sleep time”
Use visuals if helpful
- Pictures or charts can help children understand bedtime steps
Create a calm bedroom
- Keep the room quiet, dark, and comfortable
- Try to keep toys out of sight at bedtime
Reduce activity before bed
- Avoid screens, games, and busy play
- Choose calm activities instead
Help children learn to sleep in their own bed
- Move slowly (for example, from sitting next to them to standing at the door)
Go to bed when sleepy
- Try not to let children fall asleep on the sofa first
- Help them learn that bed is for sleep
Keep a sleep diary
- Write down sleep times and problems for 2 weeks
- This can help spot patterns and what works
Sleep safety
Sleep should be safe as well as restful.
Some children may get out of bed or move around at night. This can be a safety risk.
Things to think about:
- Make sure the bedroom is safe and clear of hazards
- Keep doors and windows secure if your child may wander
- Use stair gates if needed
- Move furniture away from windows or climbable areas
- Consider low beds or mattresses on the floor if your child climbs or falls out of bed
- Monitor items like cords, blinds, or lamps
If your child often leaves their bed or room at night, speak to a professional. An occupational therapist or health professional can help assess safety and suggest equipment or changes.
Different sleep difficulties
Children may:
- Struggle to fall asleep
- Wake often in the night
- Have unusual behaviours at night
Looking after yourself
If your child is not sleeping, you may be tired too.
Try to be kind to yourself and make small, realistic changes. Even small steps can help over time.
Useful links and resources
If you would like more help, these organisations offer advice and support:
- The Sleep Charity – Support and advice about children’s sleep
- Cerebra – Sleep advice service for families
- Contact – Support for families with disabled children
- National Autistic Society – Information and advice about autism
- KIDS – Family support services, including sleep support in some areas
- Sense – Support for children with complex needs
- Caudwell Children – Services and support for children and families
- ERIC (Bladder and Bowel UK) – Help with continence and bedwetting
- Fledgelings – Equipment and helpful products