World Psychiatry. 2011 Jun;10(2):86-92. doi: 10.1002/j.2051-5545.2011.tb00022.x.
The World Health Organization (WHO) is revising the ICD-10 classification of mental and behavioural disorders, under the leadership of the Department of Mental Health and Substance Abuse and within the framework of the overall revision framework as directed by the World Health Assembly. This article describes WHO's perspective and priorities for mental and behavioural disorders classification in ICD-11, based on the recommendations of the International Advisory Group for the Revision of ICD-10 Mental and Behavioural Disorders. The WHO considers that the classification should be developed in consultation with stakeholders, which include WHO member countries, multidisciplinary health professionals, and users of mental health services and their families. Attention to the cultural framework must be a key element in defining future classification concepts. Uses of the ICD that must be considered include clinical applications, research, teaching and training, health statistics, and public health. The Advisory Group has determined that the current revision represents a particular opportunity to improve the classification's clinical utility, particularly in global primary care settings where there is the greatest opportunity to identify people who need mental health treatment. Based on WHO's mission and constitution, the usefulness of the classification in helping WHO member countries, particularly low- and middle-income countries, to reduce the disease burden associated with mental disorders is among the highest priorities for the revision. This article describes the foundation provided by the recommendations of the Advisory Group for the current phase of work.
世界卫生组织（WHO）正在修订《国际疾病分类第十次修订本》（ICD-10）精神和行为障碍分类，由精神卫生和物质滥用司领导，并在世界卫生大会指导的全面修订框架内进行。本文基于修订 ICD-10 精神和行为障碍国际顾问组的建议，描述了 WHO 对 ICD-11 精神和行为障碍分类的看法和优先事项。WHO 认为，分类应在与利益攸关方协商的基础上制定，这些利益攸关方包括世卫组织成员国、多学科卫生专业人员以及精神卫生服务使用者及其家属。关注文化框架必须是确定未来分类概念的关键要素。必须考虑 ICD 的以下用途：临床应用、研究、教学和培训、卫生统计和公共卫生。顾问组已确定，目前的修订代表了一个特别的机会，可以提高分类的临床实用性，特别是在全球初级保健环境中，因为在这些环境中最有机会识别需要精神卫生治疗的人。根据世卫组织的使命和章程，该分类在帮助世卫组织成员国，特别是低收入和中等收入国家，减轻与精神障碍相关的疾病负担方面的实用性是修订工作的最高优先事项之一。本文描述了顾问组建议为当前工作阶段提供的基础。
