The revised ICD10-PHC classification
1
ZOOs 842. WHO lCD-tO: Evaluation and evolution Chairmen: JE Cooper, D Goldberg Obsessive action wiII be useful to clinicians. administrators. researchers and others interested in this field. The ICD·IO Casebook and Lexica will be presented. using ex- amples taken from the texts. and their aims in clinical practice and research will be discussed. TUE REVISED ICDIO·PUC CLASSIFICATION David Goldberg. Institute of Psychiatry. LondonSE5 SAP, UK The ICDID-PHC is simple. user-friendly and orientated towards management. It has been subjected to field trials in a numberof countriesand revised with feedback fromGPs themselves. The Clas- sification will be described with examples. and some results given from the British field trial. Twostudies designed to evaluate the new system will be described. The need is for training materials to assist GPs in familiarising themselves with the cards. These need to be prepared in local lan- guages. taking into accountthe typicalconditions of primarycare in a particular country. ICD·IO MULTIAXIAL PRESENTATION A. Janca. M. Kastrup, H. Katschnig, J.J. Lopez-IborJr. J.E. Mezzich, N. Sartorius. Division of Mental Health & Prevention of SubstanceAbuse. WorldHealthOrganiuuion; 1211 Geneva27. Switzerland The multiaxial presentation of ICD-IO for use in adult psychiatry uses the following three axes: Axis I Clinical diagnosis of both mental and physical disorders; Axis Il-Disabilities; and Axis ill- Contextual factors. The lCD-I 0 multiaxial presentation is intended for use in clinical. educational and research activities and aims to ensurethat disabilities and factors relevant to the management of the patients clinical condition are systematically recorded. The ICD-IO multiaxial system was tested in two international field trials involving 21 countries. 63 centres and 274 clinicians. About90%of participants found thelCD-I0 multiaxial systems easy to use and useful in routine clinical work. in the training of mental healthprofessionals andin researchon mentaldisorders. The lCD-I0 rnultiaxial systemhas nowbeen released for generaluse. WHOplans to collectreportson experience with the proposed lCD-I0 multiaxial systemand will take them into accountin producing its next edition. ICD·IO CASEBOOK AND LEXICA C.B. Pull. Servicede Psychiatrie, CentreHospitalier de Luyxembourg, 4 rue Barbie, L-1210Luxembourg The ICD-IOClassification of Mentaland Behavioural Disorders rep- resents a major step towardsthe attainment of a common language among mental health professionals worldwide. The Classification is published indifferentversions for differentusersand is accompanied by a series of publications developed from ChapterV (F) of ICD-IO. The ICD-IOCasebookcontainsa collection of cases provided by clinicians fromdifferentbackgrounds andcultures. Foreachcase.the Casebookpresentsa description of the patient'sproblemand history. and the clinician's findings, followed by a comprehensive discussion concerning the diagnosis and differential diagnosis according to ICD-IOdiagnostic guidelinesandlordiagnostic criteriafor research. The second edition of the Lexicon of Psychiatric and Mental Health Terms contains some 700 terms that appear in the text of the ICD-IOand that. in thejudgmentof experts.requiredefinitions. The Lexicon of Alcohol and Drug Terms provides a set of defi- nitions of terms concerningalcohol. tobaccoand other drugs. which WHO ICD·IO EVALUATION AND EVOLUTION: ICD-IO TRAINING COURSES 1.1. van Drimmelen-Krabbe. Divisionof Mental Health and Prevention of Substance Abuse, WorldHealthOrganization. 1211 Geneva27, Switzerland The appearance of the ICD-IO Classification of Mental and Be- havioural Disorders in its various versions and many languages has been an eventof great importance for psychiatry. The new classifica- tion is an essential partto the effortto develop a language whichwill allownational and international communication in the fieldof mental health and facilitate joint work across cultures and countries. The next challenge is to familiarize psychiatrists and other mentalhealth workers - as well as others involved in mental health and general healthcare - with the principles on which the ICD classification of mental disorders is basedand to helpthem to use it well. Since the publication of the lCD-Classification of Mental and Behavioural Disorders. lectures and training seminars have been organised all over the world. through ICD-IO Reference and Train- ing Centres for Assessment and Classification and directly through WHO, for instance in most of the new countries in Eastern Europe. To date Chapter V of ICD-IO has already been translated in more than 30 languages. Tofurtherstimulate training in the useof this classification WHO and the World Psychiatric Association have jointly undertaken the production of an educational programme for the familiarization with ICD-IO. Ch. V and its relatedassessment instruments. The package includes guidelines for training seminars of different lengths. a great numberof transparencies and written case summaries for case exercises. The key to effective treatment of patients with a mental disorder is recognition of the disorder. Education and trainingis an important tool in improving the fate of mentally ill. 843. Obsessive action Chairmen: S Montgomery, L Ravizza BEHAVIOURAL TREATMENTS IN OBSESSIVE COMPULSIVE DISORDER L.M. Drummond. Departmentof General Psychiatry. SI. George's HospitalMedical School. Cranmer Terrace, Tooting. London SW17 ORE The behavioural treatment of exposure and self imposed response prevention has been used sincethe 1970sfor patients withobsessive compulsive disorder. Successratesare highwithover70%of patients responding to this therapy. This paper partially examinesthose who fail treatment. Thestudyisa naturalistic studyexamining49 patients withobses- sive compulsive disorderwho were treated in a specialistin-patient setting. Treatment consistedof exposurewhich was combined with other treatments if necessary. Overall. 63% of these severely disabled
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Transcript of The revised ICD10-PHC classification
ZOOs
842. WHO lCD-tO: Evaluation andevolution
Chairmen: JE Cooper,D Goldberg
Obsessive action
wiII be useful to clinicians. administrators. researchers and othersinterested in this field.
The ICD·IO Casebook and Lexica will be presented. using examples taken from the texts. and their aims in clinical practice andresearch will be discussed.
TUE REVISED ICDIO·PUC CLASSIFICATION
DavidGoldberg. InstituteofPsychiatry. LondonSE5 SAP, UK
The ICDID-PHC is simple. user-friendly and orientated towardsmanagement. It has been subjected to field trials in a number ofcountriesand revised withfeedback fromGPs themselves. TheClassification will be described with examples. and some results givenfrom the Britishfield trial. Twostudiesdesigned to evaluate the newsystemwill be described.
The need is for training materials to assist GPs in familiarisingthemselves with the cards. These need to be prepared in local languages. taking into accountthe typicalconditions of primarycare ina particular country.
ICD·IO MULTIAXIAL PRESENTATION
A. Janca.M. Kastrup, H. Katschnig, J.J. Lopez-IborJr.J.E. Mezzich, N. Sartorius. Divisionof MentalHealth & Preventionof SubstanceAbuse. WorldHealthOrganiuuion; 1211 Geneva27.Switzerland
The multiaxial presentation of ICD-IO for use in adult psychiatryuses the following three axes: Axis I Clinical diagnosis of bothmental and physical disorders; Axis Il-Disabilities; and Axis illContextual factors. The lCD-I0 multiaxial presentation is intendedfor use in clinical. educational and research activities and aims toensurethat disabilities and factors relevant to the management of thepatients clinical condition are systematically recorded.
The ICD-IO multiaxial system was tested in two internationalfield trials involving 21 countries. 63 centres and 274 clinicians.About90%of participants found the lCD-I0 multiaxial systems easyto use and useful in routine clinical work. in the trainingof mentalhealthprofessionals andin researchon mentaldisorders. The lCD-I0rnultiaxial systemhas nowbeenreleased forgeneraluse.WHOplansto collect reportson experience with the proposed lCD-I0 multiaxialsystemand will take them into accountin producing its nextedition.
ICD·IO CASEBOOK AND LEXICA
C.B. Pull. Servicede Psychiatrie, CentreHospitalier deLuyxembourg, 4 rue Barbie, L-1210Luxembourg
The ICD-IOClassification of Mentaland Behavioural Disorders represents a major step towards the attainment of a common languageamong mental health professionals worldwide. The Classification ispublished indifferentversions for differentusersand is accompaniedby a seriesof publications developed from ChapterV (F) of ICD-IO.
The ICD-IOCasebookcontainsa collection of cases provided byclinicians fromdifferentbackgrounds andcultures. Foreachcase. theCasebookpresentsa description of the patient's problemand history.and theclinician's findings, followed by a comprehensive discussionconcerning the diagnosis and differential diagnosis according toICD-IOdiagnostic guidelinesandlordiagnostic criteriafor research.
The second edition of the Lexicon of Psychiatric and MentalHealthTermscontains some 700 terms that appear in the text of theICD-IOand that. in the judgmentof experts.requiredefinitions.
The Lexiconof Alcohol and Drug Termsprovides a set of definitionsof termsconcerningalcohol. tobaccoand other drugs. which
WHO ICD·IO EVALUATION ANDEVOLUTION: ICD-IOTRAINING COURSES
1.1. vanDrimmelen-Krabbe. Divisionof MentalHealthandPrevention of Substance Abuse,WorldHealthOrganization. 1211Geneva27, Switzerland
The appearance of the ICD-IO Classification of Mental and Behavioural Disorders in its various versions and many languages hasbeenan eventof greatimportance for psychiatry. The newclassification is an essential part to theeffort to develop a language whichwillallownational and international communication in the fieldof mentalhealth and facilitate joint work across cultures and countries. Thenext challenge is to familiarize psychiatrists and other mentalhealthworkers - as well as others involved in mental health and generalhealthcare- with the principles on whichthe ICD classification ofmental disorders is basedand to helpthem to use it well.
Since the publication of the lCD-Classification of Mental andBehavioural Disorders. lectures and training seminars have beenorganised all over the world. through ICD-IO Reference and Training Centres for Assessment and Classification and directly throughWHO,for instance in most of the new countries in Eastern Europe.To date Chapter V of ICD-IOhas already been translated in morethan 30 languages.
Tofurtherstimulate training in the useof thisclassification WHOand the World Psychiatric Association have jointly undertaken theproduction of an educational programme for the familiarization withICD-IO. Ch. V and its relatedassessment instruments. The packageincludes guidelines for training seminars of different lengths. agreat numberof transparencies and written case summaries for caseexercises.
The key to effective treatment of patients with a mentaldisorderis recognition of the disorder. Education and trainingis an importanttool in improving the fate of mentally ill.
843. Obsessive action
Chairmen: S Montgomery, L Ravizza
BEHAVIOURAL TREATMENTS IN OBSESSIVECOMPULSIVE DISORDER
L.M. Drummond. Departmentof GeneralPsychiatry. SI.George'sHospitalMedicalSchool. CranmerTerrace, Tooting. LondonSW17ORE
The behavioural treatment of exposure and self imposed responseprevention has been usedsincethe 1970sfor patientswithobsessivecompulsive disorder. Successratesare highwithover70%of patientsresponding to this therapy. This paper partially examines those whofail treatment.
Thestudyis a naturalistic studyexamining49 patients withobsessive compulsive disorder who were treated in a specialist in-patientsetting. Treatment consistedof exposurewhich was combined withother treatments if necessary. Overall. 63%of theseseverely disabled
