Description: This is a collection of technical reviews written by international Conference Expert Groups and presented at the World Health Organization-American Psychiatric Institute for Research and Education (WHO-APIRE) conference, "Public Health Aspects of Diagnosis and Classification of Mental Disorders" organized by APIRE and funded by the National Institutes of Health. It reviews the public health topics of defining mental disorders, service user and career perspectives, disease prevention, delivery of mental health treatment in primary care, economics, statistics, forensics, disability, and diagnosis, as well as education and training aspects.
Purpose: The purpose is to review the available evidence and experience on the public health implications of diagnosis and classification of mental disorders for the ongoing development of the fifth edition of Diagnostic and Statistical Manual of Mental Disorders (DSM-5) and the mental and behavioral disorders chapter of the 11th edition of International Classification of Diseases (ICD-11) to facilitate worldwide communication between health professionals, patients, healthcare policy makers, payers of healthcare services, judicial systems, and governments.
Audience: It is written for a broad audience and intended to benefit advisory groups, task forces, working groups revising DSM-5, ICD-11, and future revisions, diagnosis and classification researchers, and public health researchers. It is also appropriate for anyone interested in DSM-5 and ICD-11 development, research, expert involvement, and ongoing improvements in the mental and behavioral disorders and classification.
Features: The book presents the global public health perspective important to the revision of diagnoses and classification systems for mental disorders that are appropriate and usable in many different settings and by many different healthcare personnel. Particularly well done is the chapter on diagnosis in forensic psychiatry, which discusses the propensity of courts to depend on diagnostic labels. The chapter points out that rarely do diagnosis and functional impairments perfectly match. The authors make clear that drafters of diagnostic manuals must be aware how diagnostic descriptions and classifications can be misused. The authors provide thoughtful, in-depth discussions of the development of diagnoses and classifications of mental and behavioral disorders and how this impacts broad policy and public health worldwide. The well-written contributions of the international Conference Expert Groups (CEGs) describe the challenges and concerns involved in each topic and provide extensive references. The only shortcoming is the lack of color art and illustrations.
Assessment: This is a valuable tool to assist in the task of DSM-5 and ICD-11 formulation. It is an invaluable read and a useful book.