A conceptual framework for the revision of the ICD‐10 classification of mental and behavioural disorders

International Advisory Group for the Revision of ICD‐10 Mental and Behavioural Disorders

doi:10.1002/j.2051-5545.2011.tb00022.x

Cited by 300Mental Health and PsychiatryMental Health Treatment and AccessMedical Coding and Health Information

A conceptual framework for the revision of the ICD‐10 classification of mental and behavioural disorders

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International Advisory Group for the Revision of ICD‐10 Mental and Behavioural Disorders·2011·World Psychiatry

DOI 10.1002/j.2051-5545.2011.tb00022.xPMC PMC3104876

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Abstract

The World Health Organization (WHO) is revising the ICD-10 classification of mental and behavioural disorders, under the leadership of the Department of Mental Health and Substance Abuse and within the framework of the overall revision framework as directed by the World Health Assembly. This article describes WHO's perspective and priorities for mental and behavioural disorders classification in ICD-11, based on the recommendations of the International Advisory Group for the Revision of ICD-10 Mental and Behavioural Disorders. The WHO considers that the classification should be developed in consultation with stakeholders, which include WHO member countries, multidisciplinary health professionals, and users of mental health services and their families. Attention to the cultural framework must be a key element in defining future classification concepts. Uses of the ICD that must be considered include clinical applications, research, teaching and training, health statistics, and public health. The Advisory Group has determined that the current revision represents a particular opportunity to improve the classification's clinical utility, particularly in global primary care settings where there is the greatest opportunity to identify people who need mental health treatment. Based on WHO's mission and constitution, the usefulness of the classification in helping WHO member countries, particularly low- and middle-income countries, to reduce the disease burden associated with mental disorders is among the highest priorities for the revision. This article describes the foundation provided by the recommendations of the Advisory Group for the current phase of work.

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The 194 member states of the World Health Organization agree to use the ICD as a framework for reporting country-level health statistics.
“The ICD is the most widely used diagnostic health classification worldwide and the 194 member states of the World Health Organization agree to use this classification as a framework for reporting country-level health statistics.”
From The Classification of Anxiety and Fear-Related Disorders in the ICD-11: Review: Anxiety and Fear-Related Disorders in ICD-11 (2016) · cites this paper as [37]
The paper’s “health statistics uses” section says ICD-10 is used for mandatory statistical reporting by WHO member countries, supporting the reporting-framework claim. But its opening discussion says WHO had 193 member countries, not 194. (LLM, conf=0.90)
Experimental — accuracy not yet measured
WHO tended to prioritize public health needs in its decisions: if there was convincing empirical evidence for the existence of a particular condition and that it was a legitimate focus of health care services, it was consistent with the purpose of ICD-11 to include it in the classification.
“The WHO tended to prioritize public health needs in its decisions 28 : if there was convincing empirical evidence for the existence of a particular condition and that it was a legitimate focus of health care services, it was consistent with the purpose of the ICD-11 to include it in the classification.”
From An organization‐ and category‐level comparison of diagnostic requirements for mental disorders in <scp>ICD</scp> ‐11 and <scp>DSM</scp> ‐5 (2021) · cites this paper as [28]
Split into 2 atoms — 1 confirmed, 1 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.
Experimental — accuracy not yet measured
The ICD-11 focused on clinical and public health utility, with an explicit aim of improving primary care in non-specialist settings.
“In its deliberations, the ICD-11 focused on clinical and public health utility, with an explicit aim of improving primary care in non-specialist settings [18].”
From Mental, behavioral and neurodevelopmental disorders in the ICD-11: an international perspective on key changes and controversies (2020) · cites this paper as [18]
The ICD is used for a range of purposes from making individual diagnoses at the encounter level to providing data for setting global health policy priorities.
“As a key public health instrument, the ICD is used for a range of purposes from making individual diagnoses at the encounter level to providing data for setting global health policy priorities.[37]”
From The Classification of Anxiety and Fear-Related Disorders in the ICD-11: Review: Anxiety and Fear-Related Disorders in ICD-11 (2016) · cites this paper as [37]
The ICD is the most widely used diagnostic health classification worldwide.
“The ICD is the most widely used diagnostic health classification worldwide and the 194 member states of the World Health Organization agree to use this classification as a framework for reporting country-level health statistics.”
From The Classification of Anxiety and Fear-Related Disorders in the ICD-11: Review: Anxiety and Fear-Related Disorders in ICD-11 (2016) · cites this paper as [37]

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Authors: International Advisory Group for the Revision of ICD‐10 Mental and Behavioural Disorders
Affiliations: World Health Organization (CH)
Corresponding author: International Advisory Group for the Revision of ICD‐10 Mental and Behavioural Disorders
Venue: World Psychiatry
Publisher: Wiley
Published: 2011-06
Volume: 10
Issue: 2
Pages: 86-92
ISSN: 1723-8617 (ISSN-L)
2051-5545
DOI: 10.1002/j.2051-5545.2011.tb00022.x
PMC: PMC3104876
OpenAlex: W2971559012
Cited by: 300
References: 25
Citations by year: 2026: 5 · 2025: 18 · 2024: 17 · 2023: 22 · 2022: 20 · 2021: 27 · 2020: 27 · 2019: 22 · 2018: 25 · 2017: 19 · 2016: 19 · 2015: 14 · 2014: 21 · 2013: 19 · 2012: 19
FWCI: 171.00
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor, 650 d)
Locations: World Psychiatry (publishedVersion)
Europe PMC (PubMed Central) (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
Health Sciences › Health Professions › Health Information Management › Medical Coding and Health Information
Keywords: ICD-11, ICD-10 revision, mental and behavioral disorders, psychiatric classification, stakeholder consultation, cultural frameworks, clinical utility, primary care, low- and middle-income countries, mental health burden, International Classification of Diseases

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A conceptual framework for the revision of the ICD‐10 classification of mental and behavioural disorders

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