ICD-11 as a Paradigm Shift Phase in the Classification of Mental Disorders

Valery N Krasnov

doi:10.17816/cp70

Abstract

Classifications of mental disorders change regularly. This fact requires analysis, taking into account changes in the epidemiological situation and changes in the organizational structure of mental health service, and development of its technical and human resources. The preliminary analysis of these changes presented in the article using the example of ICD-11 gives us reason to believe that they are almost unrelated to the diagnostic process improvement. On the contrary, each new classification is characterized by an increasing formalization and simplification of the criteria for separate clinical forms. The inevitable losses of clinical accuracy in psychopathological assessment of disorder are compensated for increasing opportunities to deliver care to a significantly greater number of patients.

Highlights

Professor Valery Krasnov was one of the international leaders in ICD-11 development from the very beginning of this process
There has been a shift towards delegation of authority to diagnose and provide treatment for non-psychotic, uncomplicated forms of mental disorders to primary care physicians whose patients can access an appropriate care on an outpatient basis
These specialists are a common medical category in healthcare provision in most countries. They have basic training in psychiatry, including knowledge of psychopharmacotherapy and the fundamentals of psychotherapy. They perform an important function as the “first filter” for identifying mental disorders and their differentiation, with referral of all patients with psychotic disorders to psychiatric institutions.*

Summary

Introduction

Professor Valery Krasnov was one of the international leaders in ICD-11 development from the very beginning of this process. 4. Development of a multi-professional model of mental health care has facilitated the participation of clinical psychologists and specialists in occupational therapy and social work etc.

Results

Conclusion