During the development of the ICD‐10, the WHO Department of Mental Health and Substance Abuse considered that different versions of the classification had to be produced in order to meet the needs of its various users. The mental disorders chapter of the ICD‐10, the current version of the ICD, is by far the most widely used classification of mental disorders around the world 3. The WHO Department of Mental Health and Substance Abuse has been responsible for coordinating the development of four ICD‐11 chapters: mental, behavioural and neurodevelopmental disorders sleep‐wake disorders diseases of the nervous system and conditions related to sexual health (jointly with the WHO Department of Reproductive Health and Research). Following approval, member states will begin a process of transitioning from the ICD‐10 to the ICD‐11, with reporting of health statistics to the WHO using the ICD‐11 to begin on Janu2. The World Health Assembly, comprising the ministers of health of all member states, is expected to approve the ICD‐11 at its next meeting, in May 2019. In June 2018, the World Health Organization (WHO) released a pre‐final version of the 11th revision of the International Classification of Diseases and Related Health Problems (ICD‐11) for mortality and morbidity statistics to its 194 member states, for review and preparation for implementation 1.
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This information is intended to be useful for both clinicians and researchers in orienting themselves to the ICD‐11 and in preparing for implementation in their own professional contexts. Finally, we provide a description of the important changes that have been made in each ICD‐11 disorder grouping. We illustrate a set of new categories that have been added to the ICD‐11 and present the rationale for their inclusion. Here we describe major changes to the structure of the ICD‐11 classification of mental disorders as compared to the ICD‐10, and the development of two new ICD‐11 chapters relevant to mental health practice. Dimensional approaches have been incorporated into the classification, particularly for personality disorders and primary psychotic disorders, in ways that are consistent with current evidence, are more compatible with recovery‐based approaches, eliminate artificial comorbidity, and more effectively capture changes over time. Innovations in the ICD‐11 include the provision of consistent and systematically characterized information, the adoption of a lifespan approach, and culture‐related guidance for each disorder.
The development of the ICD‐11 CDDG over the past decade, based on the principles of clinical utility and global applicability, has been the most broadly international, multilingual, multidisciplinary and participative revision process ever implemented for a classification of mental disorders.
The WHO Department of Mental Health and Substance Abuse will publish Clinical Descriptions and Diagnostic Guidelines (CDDG) for ICD‐11 Mental, Behavioural and Neurodevelopmental Disorders following ICD‐11’s approval. Following approval of the ICD‐11 by the World Health Assembly in May 2019, World Health Organization (WHO) member states will transition from the ICD‐10 to the ICD‐11, with reporting of health statistics based on the new system to begin on January 1, 2022.
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