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Innovations and Changes in the Icd-11 Classification of Mental, Behavioural and Neurodevelopmental Disorders Publisher



Reed GM1, 2 ; First MB2, 3 ; Kogan CS4 ; Hyman SE5 ; Gureje O6 ; Gaebel W7 ; Maj M8 ; Stein DJ9 ; Maercker A10 ; Tyrer P11 ; Claudino A12 ; Garralda E11 ; Salvadorcarulla L13 ; Ray R14 Show All Authors
Authors
  1. Reed GM1, 2
  2. First MB2, 3
  3. Kogan CS4
  4. Hyman SE5
  5. Gureje O6
  6. Gaebel W7
  7. Maj M8
  8. Stein DJ9
  9. Maercker A10
  10. Tyrer P11
  11. Claudino A12
  12. Garralda E11
  13. Salvadorcarulla L13
  14. Ray R14
  15. Saunders JB15
  16. Dua T1
  17. Poznyak V1
  18. Medinamora ME16
  19. Pike KM2
  20. Ayusomateos JL17
  21. Kanba S20
  22. Keeley JW21
  23. Khoury B22
  24. Krasnov VN23
  25. Kulygina M23
  26. Lovell AM24
  27. De Jesus Mari J12
  28. Maruta T25
  29. Matsumoto C26
  30. Rebello TJ2, 3
  31. Roberts MC27
  32. Robles R16
  33. Sharan P28
  34. Zhao M29
  35. Jablensky A30
  36. Udomratn P31
  37. Rahimimovaghar A32
  38. Rydelius PA33
  39. Bahrerkohler S34
  40. Watts AD35
  41. Saxena S36
Show Affiliations
Authors Affiliations
  1. 1. Department of Mental Health and Substance Abuse, World Health Organization, Geneva, Switzerland
  2. 2. Department of Psychiatry, Columbia University Medical Center, New York, NY, United States
  3. 3. New York State Psychiatric Institute, New York, NY, United States
  4. 4. School of Psychology, University of Ottawa, Ottawa, ON, Canada
  5. 5. Stanley Center for Psychiatric Research, Broad Institute of Harvard and Massachusetts Institute of Technology, Cambridge, MA, United States
  6. 6. Department of Psychiatry, University of Ibadan, Ibadan, Nigeria
  7. 7. Department of Psychiatry and Psychotherapy, Medical Faculty, Heinrich-Heine University, Dusseldorf, Germany
  8. 8. Department of Psychiatry, University of Campania “L. Vanvitelli�, Naples, Italy
  9. 9. Department of Psychiatry, University of Cape Town, and South African Medical Research Council Unit on Risk and Resilience in Mental Disorders, Cape Town, South Africa
  10. 10. Department of Psychology, University of Zurich, Zurich, Switzerland
  11. 11. Centre for Mental Health, Imperial College, London, United Kingdom
  12. 12. Department of Psychiatry, Universidade Federal de Sao Paulo (UNIFESP/EPM), Sao Paulo, Brazil
  13. 13. Research School of Population Health, Australian National University, Canberra, ACT, Australia
  14. 14. National Drug Dependence Treatment Centre, All India Institute of Medical Sciences, New Delhi, India, Australia
  15. 15. Centre for Youth Substance Abuse Research, University of Queensland, Brisbane, QLD, Australia
  16. 16. National Institute of Psychiatry Ramon de la Fuente Muniz, Mexico City, Mexico
  17. 17. Department of Psychiatry, Universidad Autonoma de Madrid
  18. 18. Instituto de Salud Carlos III, Centro de Investigacion Biomedica en Red de Salud Mental (CIBERSAM)
  19. 19. Instituto de Investigacion Sanitaria La Princesa, Madrid, Spain
  20. 20. Department of Neuropsychiatry, Kyushu University, Fukuoka, Japan
  21. 21. Department of Psychology, Virginia Commonwealth University, Richmond, VA, United States
  22. 22. Department of Psychiatry, American University of Beirut Medical Center, Beirut, Lebanon
  23. 23. Moscow Research Institute of Psychiatry, National Medical Research Centre for Psychiatry and Narcology, Moscow, Russian Federation
  24. 24. Institut National de la Sante et de la Recherche Medicale U988, Paris, France
  25. 25. Health Management Center, Seitoku University, Matsudo, Japan
  26. 26. Japanese Society of Psychiatry and Neurology, Tokyo, Japan
  27. 27. Office of Graduate Studies and Clinical Child Psychology Program, University of Kansas, Lawrence, KS, United States
  28. 28. Department of Psychiatry, All India Institute of Medical Sciences, New Delhi, India
  29. 29. Shanghai Mental Health Center and Department of Psychiatry, Shanghai Jiao Tong University School of Medicine, Shanghai, China
  30. 30. Centre for Clinical Research in Neuropsychiatry, University of Western Australia, Perth, WA, Australia
  31. 31. Department of Psychiatry, Prince of Songkla University, Hat Yai, Thailand
  32. 32. Iranian National Center for Addiction Studies, Tehran University of Medical Sciences, Tehran, Iran
  33. 33. Department of Child and Adolescent Psychiatry, Karolinska Institute, Stockholm, Sweden
  34. 34. International Federation of Social Workers, Basel, Switzerland
  35. 35. Entabeni Hospital, Durban, South Africa
  36. 36. Harvard T.H. Chan School of Public Health, Boston, MA, United States

Source: World Psychiatry Published:2019


Abstract

Following approval of the ICD-11 by the World Health Assembly in May 2019, World Health Organization (WHO) member states will transition from the ICD-10 to the ICD-11, with reporting of health statistics based on the new system to begin on January 1, 2022. The WHO Department of Mental Health and Substance Abuse will publish Clinical Descriptions and Diagnostic Guidelines (CDDG) for ICD-11 Mental, Behavioural and Neurodevelopmental Disorders following ICD-11’s approval. The development of the ICD-11 CDDG over the past decade, based on the principles of clinical utility and global applicability, has been the most broadly international, multilingual, multidisciplinary and participative revision process ever implemented for a classification of mental disorders. Innovations in the ICD-11 include the provision of consistent and systematically characterized information, the adoption of a lifespan approach, and culture-related guidance for each disorder. Dimensional approaches have been incorporated into the classification, particularly for personality disorders and primary psychotic disorders, in ways that are consistent with current evidence, are more compatible with recovery-based approaches, eliminate artificial comorbidity, and more effectively capture changes over time. Here we describe major changes to the structure of the ICD-11 classification of mental disorders as compared to the ICD-10, and the development of two new ICD-11 chapters relevant to mental health practice. We illustrate a set of new categories that have been added to the ICD-11 and present the rationale for their inclusion. Finally, we provide a description of the important changes that have been made in each ICD-11 disorder grouping. This information is intended to be useful for both clinicians and researchers in orienting themselves to the ICD-11 and in preparing for implementation in their own professional contexts. © 2019 World Psychiatric Association