pubmed.ncbi.nlm.nih.gov

Aligning the ICD-11 classification of disorders due to substance use with global service needs - PubMed

Aligning the ICD-11 classification of disorders due to substance use with global service needs

V Poznyak et al. Epidemiol Psychiatr Sci. 2018 Jun.

Abstract

The use of psychoactive, potentially dependence-producing substances is highly prevalent around the world, and contributes substantially to global disease burden. There is a major gap between the need for treatment for substance use disorders. Changes proposed for the classification of substance use disorders in the Eleventh Revision of the International Classification of Diseases and Related Health Problems, based on a public health approach, have important implications for the conceptualisation, structure and availability of services. These include: (1) an updated and expanded range of substance classes; (2) greater specification of different harmful patterns of substance use, which may be continuous or episodic and recurrent; (3) a new category to denote single episodes of harmful use; (4) a category describing hazardous use of substances; and (5) simplification of diagnostic guidelines for substance dependence. This paper describes these changes and the opportunities they present for improved prevention, treatment, monitoring and health policy.

Keywords: Classification; ICD-11; substance abuse; substance use disorders; treatment.

PubMed Disclaimer

Similar articles

Cited by

References

    1. Anderson P, Chisholm D, Fuhr D (2009). Effectiveness and cost-effectiveness of policies and programmes to reduce the harm caused by alcohol. Lancet 373, 2234–2246. doi: 10.1016/S0140-6736(09)60744-3. - DOI - PubMed
    1. Babor T, Caulkins JP, Edwards G, Fischer B, Foxcroft DR, Humphreys K, Obot IS, Rehm J, Reuter P, Room R, Rossow I, Strang J (2010). Drug Policy and the Public Good. Oxford University Press: Oxford, UK.
    1. Chalk M, Dilonardo J, Rinaldo SG, Oehlmann P (2010). Integrating Appropriate Services for Substance use Conditions in Health Care Settings: An Issue Brief on Lessons Learned and Challenges Ahead. Treatment Research Institute: Philadelphia, PA.
    1. Chisholm D, Saxena S. (2012). Cost effectiveness of strategies to combat neuropsychiatric conditions in sub-Saharan Africa and South East Asia: Mathematical modelling study. BMJ 344, e609. doi: 10.1136/bmj.e609. - DOI - PMC - PubMed
    1. Dawkins L, Turner J, Roberts A, Soar K (2013). ‘Vaping’ profiles and preferences: an online survey of electronic cigarette users. Addiction 108, 1115–1125. doi: 10.1111/add.12150. - DOI - PubMed

Publication types

MeSH terms