Public Health Aspects of Diagnosis and Classification of Mental and Behavioral Disorders

Refining the Research Agenda for DSM-5 and ICD-11

Edited by Shekhar Saxena, M.D., Patricia Esparza, Ph.D., Darrel A. Regier, M.D., M.P.H., Benedetto Saraceno, M.D., and Norman Sartorius, M.D., Ph.D.

2012
303 Pages
Editorial Reviews

ISBN 978-0-89042-349-3
Item #2349

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Description
Contents
Editorial Reviews
Contributors
About the Authors

Public Health Aspects of Diagnosis and Classification of Mental and Behavioral Disorders: Refining the Research Agenda for DSM-5 and ICD-11 provides a comprehensive summary of the current state of mental health classification in the United States and internationally, fostering a better understanding of primary research and clinical needs and facilitating the efforts of service planners, researchers and trainees to address current use of psychiatric diagnosis in the public health sector. The volume reflects the proceedings of a research planning conference convened by the APA and World Health Organization (WHO) that focused on public health aspects of the diagnosis and classification of mental disorders.

Highly relevant to the ongoing development of DSM-5 and ICD-11, the book includes the background papers prepared and presented by the Conference Expert Groups. The resulting collection:

Discusses the current state of mental illness prevention efforts and the role of public health in supporting them—critical topics, given that development of effective strategies to reduce mental illness around the world depends on the accuracy with which risk and protective factors can be identified, defined, and understood.
Features international perspectives on public health implications of psychiatric diagnosis, classification, and service, providing viewpoints that are broad and more globally relevant.
Views mental health education, and awareness on a macro level, including its impact on social and economic policy, forensics and the legal system, and education. This approach facilitates the continued development of a research base in community health and promotes the establishment of programs for monitoring, treating, and preventing mental illness.
Addresses many fascinating and clinically relevant issues, such as those raised by the concept and the definition of mental disorders and how these impact psychiatric services and practice by individual providers.

This collection should prove useful to the advisory groups, task forces, and working groups for the revision of these two classifications, as well as for researchers in the area of diagnosis and classification, and more generally in public health.

Contributors
Foreword
Introduction: Public Health and the Classification of Mental Disorders
Preface: WHO Perspectives on Stakeholder Involvement in Revision of the Diagnosis and Classification of Mental Disorders
Chapter 1. SERVICE USER AND CARER STAKEHOLDER PERSPECTIVES ON THE PUBLIC HEALTH ASPECTS OF DIAGNOSIS AND CLASSIFICATION OF MENTAL ILLNESSES
Chapter 2. PREVENTION OF MENTAL DISORDERS: IMPLICATIONS FOR REVISION OF PSYCHIATRIC DIAGNOSIS AND CLASSIFICATION
Chapter 3. CAPTURING COMPLEXITY: THE CASE FOR A NEW CLASSIFICATION SYSTEM FOR MENTAL DISORDERS IN PRIMARY CARE
Chapter 4. USE OF DIAGNOSIS IN FORENSIC PSYCHIATRY
Chapter 5. ECONOMIC CONSEQUENCES OF REVISING THE DIAGNOSTIC NOMENCLATURE FOR MENTAL DISORDERS
Chapter 6. EDUCATION AND TRAINING
Chapter 7. STATISTICS AND INFORMATION SYSTEMS
Chapter 8. TRANSLATING PSYCHIATRIC DIAGNOSIS AND CLASSIFICATION INTO PUBLIC HEALTH USAGE
Chapter 9. FORMULATION OF FUNCTIONING, DISABILITY, AND CONTEXTUAL FACTORS IN THE DIAGNOSIS OF MENTAL DISORDERS IN DSM AND ICD
Index

Shekhar Saxena, M.D., is Director of the Department of Mental Health and Substance Abuse at the World Health Organization in Geneva, Switzerland.

Patricia Esparza, Ph.D., is Research Professor and clinical psychologist in the Department of Psychology and Counseling at Webster University in Geneva, Switzerland.

Darrel A. Regier, M.D., M.P.H., is Director of the American Psychiatric Institute for Research and Education and Director of the Division of Research at the American Psychiatric Association in Arlington, Virginia; and Vice-Chair of the DSM-5 Task Force.

Benedetto Saraceno, M.D., FRCPsych, is Professor of Psychiatry and Director of the World Health Organization Collaborating Center on Mental Health of the University of Geneva in Geneva, Switzerland.

Norman Sartorius, M.D., Ph.D., is President of the Association for the Improvement of Mental Health Programs in Geneva, Switzerland.

This book reviews different perspectives on how the public health utility of the diagnosis and classification of mental disorders can be improved, addressing the requirements of cross-cultural relevance, applicability in different contexts and accessibility to various stakeholders. Developed as part of a joint WHO-APIRE venture, it will hopefully contribute to address the limitations of current diagnostic systems, especially when applied outside clinical settings, and promote their harmonization.—Mario Maj, M.D., Professor of Psychiatry and Chairmen, Department of Psychiatry, University of Naples SUN

This book differs from other books on this topic by taking a global macroperspective to classification issues rather than targeting the controversies of a specific psychiatric disorder or focusing exclusively on DSM-5. Thus, this volume will be of interest to a wide-ranging international audience of clinicians, advocates, and policy makers involved in mental health assessment and health promotion.—Heather M. Foran, PsycCRITIQUES January 23, 2013