Innovations and changes in the ICD-11 classification of mental, behavioural and neurodevelopmental disorders: Implications for psychological practice
Following approval of the ICD-11 by the World Health Assembly, 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 in 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.
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. All ICD-11 Working Groups have included psychologists and WHO’s systematic program of ICD-11 field studies has emphasized psychological methods.
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, more compatible with recovery-based approaches, eliminate artificial comorbidity, and more effectively capture changes over time. Important conceptual changes have been made to the structure of the chapter and its component groupings. New categories have been added, including bipolar type II disorder, complex post-traumatic stress disorder, prolonged grief disorder, body dysmorphic disorder, olfactory reference disorder, hoarding disorder, binge eating disorder, gaming disorder, and compulsive sexual behaviour disorder. Two new chapters have been added to the ICD-11 classification, one on Sleep-Wake Disorders and one on Conditions Related to Sexual Health, that contain categories previously classified as mental disorders.
This presentation will describe these changes and consider their implications for psychological practice, psychological research, and health systems.
About Professor Reed
Geoffrey M. Reed has served as Senior Project Officer for the Development of ICD-11 Mental and Behavioural Disorders, Department of Mental Health and Substance Abuse, World Health Organization since 2008.
He is also Professor of Medical Psychology and Co-Director, WHO Collaborating Centre for Capacity Building and Training in Global Mental Health, Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons. He founded the WHO Global Clinical Practice Network (http://gcp.network), comprising 15,000 mental health and primary care professionals from 156 countries contributing directly to ICD-11 through participation in field studies.
He is a founder of the Center for Global Mental Health Research, a collaboration of the National Institute of Psychiatry Ramón de la Fuente Muñiz, Mexico, the Faculty of Psychology, National Autonomous University of Mexico, and the World Health Organization.
He has received numerous awards, including the Robert L. Spitzer Memorial Award for Outstanding Contributions to Nosology and Diagnosis from the Columbia University Department of Psychiatry and the Outstanding International Psychologist Award from the Division of International Psychology, American Psychological Association.
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