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A conceptual framework for the revision of the ICD‐10 classification of mental and behavioural disorders
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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 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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“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 ICD ‐11 and DSM ‐5 (2021) · cites this paper as [28]
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“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]
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“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]
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“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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“This reflects the WHO's position that functional impairment should not be included in clinical descriptions of mental disorders unless this is necessary to distinguish disorder from normality 28 .”
From An organization‐ and category‐level comparison of diagnostic requirements for mental disorders in ICD ‐11 and DSM ‐5 (2021) · cites this paper as [28]
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Metadata
- 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
- 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
- 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
- Health Sciences › Medicine › Psychiatry and Mental health › 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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