2021 32(4): 291-292
DOI: 10.5080/u26898
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Dear Editor,
The 11th revision of the International Classification of
Diseases and Related Health Problems (ICD-11), including
the chapter on mental, behavioural and neurodevelopmental
disorders, has been adopted unanimously by the 72nd World
Health Assembly in Geneva on May 25, 2019. The endorsement
of the new classification will not come into effect until
January 1, 2022. Until that date, the Member States of the
World Health Organization (WHO) will keep on using the
ICD-10 for reporting data.
The most significant innovations in the ICD-11 chapter, and
the most important differences from the DSM-5, have been
detailed elsewhere (Reed et al. 2019). Several issues debated
in the process of development of the chapter – including the
role of a dimensional component within a system that remains
mainly based on categories, and the need for a further clinical
characterization of the individual patient, in addition to
the diagnosis, in order to guide the formulation of the prognosis
and the management plan, have been also covered in the
recent literature (Clark et al. 2017, Rebello et al. 2019, Fuss
et al. 2019, Gureje et al. 2019, van Os et al. 2019, Fusar-Poli
et al. 2019, Forbes et al. 2019, Gaebel et al. 2019, Patel 2019,
Kotov et al. 2020, Maj et al. 2020, Sanislow et al. 2020).
The training of professionals in the use of the ICD-11 chapter
is now ongoing worldwide, under the coordination of
a WHO International Advisory Group led by G.M. Reed.
Educational courses have been conducted at the 18th and
19th World Congresses of Psychiatry (Mexico City, Mexico,
September 27-30, 2018; and Lisbon, Portugal, August 21-24,
2019) (Giallonardo 2019, Pocai 2019, Perris 2020).
A more comprehensive online 20-hr training course has been
organized by the Naples WHO Collaborating Centre on
Research and Training in Mental Health and the European
Psychiatric Association from 9 to 30 April, 2021. The course
has been coordinated by G.M. Reed and M. Maj, and has
covered all the main sections of the ICD-11 chapter on mental
disorders. W. Gaebel, M. Cloitre, M. Maj, C.S. Kogan,
P. Monteleone, M. Swales, J.B. Saunders and N.A. Fineberg
composed the Faculty. The live course has been attended by
120 psychiatrists, selected from almost 500 applicants, representing
78 different countries. A further group of 250 psychiatrists
have had access to the course on demand.
Two ICD-11 training sessions have been organized by the
Psychiatric Association of Turkey within its 24th Clinical
Education Symposium, held from 2 to 6 June 2021. One covered
psychotic disorders and mood disorders, with the participation
of W. Gaebel and M. Maj and the chairmanship of S.
Vahip and C. Atbasoglu. The other dealt with trauma-related,
fear-related and obsessive-compulsive disorders, with the participation
of M. Cloitre and D.J. Stein and the chairmanship
of R. Tukel and C. Kilic. Each session had more than 150 participants.
An ICD-11 training event has been also organized
by the UK Royal College of Psychiatrists from 25 to 26 May
2021. One further educational event is now going to be held
by the World Psychiatric Association from 8 to 29 November
2021 (www.wpanet.org).
A training course with exclusive access to the members of the
WHO Global Clinical Practice Network (https://gcp.network)
has been recently set up by the WHO Collaborating
Centre on Mental Health at the Columbia University, in
collaboration with the WHO Department of Mental Health
and Substance Use. The course consists of 15 online training
units, each focusing on a different disorder grouping and
Received: 13.09.2021, Accepted: 15.09.2021, Available Online Date: 30.11.2021
MD., University of Campania L. Vanvitelli, WHO Collaborating Centre for Research and Training in Mental Health, Naples, Italy.
Dr. Vincenzo Giallonardo, e-mail: enzogiallo86@gmail.com
taking from one to one and a half hours. Each unit provides a description of the relevant diagnostic grouping and the main innovations with respect to the ICD-10. Knowledge check questions are included to test the outcome of training. Participants have the opportunity to practice by applying diagnostic guidelines to clinical case examples. This training course is going to be available also in Spanish, and additional translations are planned.
The WHO Global Clinical Practice Network now includes more than 16.000 clinicians from 159 countries (51% psychiatrists, 30% psychologists; 40% from Europe, 25% from Western Pacific, 24% from the Americas, 5% from Southeast Asia, 3% from Eastern Mediterranean, and 3% from Africa; 63% from high-income countries, 37% from middle- and low-income countries). The Network contributed significantly to the development of the ICD-11 chapter on mental disorders, in particular through its participation in the Internet field trials of the diagnostic system. It is now further serving as a catalyst for scientific and clinical research collaborations. All health professionals working in mental health or primary care are welcome to join the Network.
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Forbes MK, Wright AGC, Markon KE et al (2019) The network approach to psychopathology: promise versus reality. World Psychiatry 18:272-3.
Fusar-Poli P, Solmi M, Brondino N et al (2019) Transdiagnostic psychiatry: a systematic review. World Psychiatry 8:192-207.
Fuss J, Lemay K, Stein DJ et al (2019) Public stakeholders’ comments on ICD-11 chapters related to mental and sexual health. World Psychiatry 18:233-5.
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Gaebel W, Reed GM, Jakob R (2019) Neurocognitive disorders in ICD-11: a new proposal and its outcome. World Psychiatry 18:232-3.
Gureje O, Lewis-Fernandez R, Hall BJ et al (2019) Systematic inclusion of culture-related information in ICD-11. World Psychiatry 18:357-8.
Kotov R, Jonas KG, Carpenter WT et al (2020) Validity and utility of Hierarchical Taxonomy of Psychopathology (HiTOP): I. Psychosis superspectrum. World Psychiatry 19:151-72.
Maj M, Stein DJ, Parker G et al (2020) The clinical characterization of the adult patient with depression aimed at personalization of management. World Psychiatry 19:269-93.
Patel V (2019) Reimagining outcomes requires reimagining mental health conditions. World Psychiatry 18:286-7.
Perris F (2020) ICD-11 sessions at the 19th World Congress of Psychiatry. World Psychiatry 19:263-4.
Pocai B (2019) The ICD-11 has been adopted by the World Health Assembly. World Psychiatry 18:371-2.
Rebello TJ, Keeley JW, Kogan CS et al (2019) Anxiety and fear-related disorders in the ICD-11: results from a global case-controlled field study. Arch Med Res 50:490-501.
Reed GM, First MB, Kogan CS et al (2019) Innovations and changes in the ICD-11 classification of mental, behavioural and neurodevelopmental disorders. World Psychiatry 18:3-19.
Sanislow CA (2020) RDoC at 10: changing the discourse for psychopathology. World Psychiatry 19:311-2.
van Os J, Guloksuz S, Vijn TW et al (2019) The evidence-based group-level symptom-reduction model as the organizing principle for mental health care: time for change? World Psychiatry 18:88-96.