Overview of ICD-11 Revision of Mental Disorders
Overview of ICD-11 Revision of Mental Disorders
Michael B. First, M.D.
Professor of Clinical Psychiatry, Columbia University Consultant to WHO Secretariat, Revision of the Mental and
Behavioral Disorders Chapter of the International Classification of Diseases
Continuing Medical Education Commercial Disclosure Requirement
I, Michael First, have the following commercial relationship(s) to disclose:
Lundbeck, faculty of Lundbeck International Neuroscience Foundation
Roche, consultant American Psychiatric Association, book
royalties Wiley-Blackwell, book royalties
ICD-11 Revision Principles
Highest goal is to help WHO member countries reduce disease burden of mental disorders
Focus on clinical utility: facilitate identification and treatment by global frontline health workers
Must be undertaken in collaboration with stakeholders: countries, health professionals, service users/consumers and families
Features of ICD-11 Revision
ICD-11 being implemented in a hierarchical data base that reflects the hierarchical structure of the classification
All disorders (not just mental disorders) will have both definitions and content about diagnosis, differential diagnosis, etc.
Information to be entered in database through Content Forms developed by working groups, one for each "node" in the classification
Fundamental ICD/DSM Differences
ICD
Produced by global health agency of UN
Free and open resource for public health benefit
For countries; and front-line service providers
Global, multidisciplinary, multilingual development
Approved by World Health Assembly
DSM
Produced by American Psychiatric Association
Intellectual property of APA
Primarily for psychiatrists and psychologists
Dominated by US, Anglophone perspective
Approved by APA Board of Trustees and APA Assembly
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