Journal
EPIDEMIOLOGY AND PSYCHIATRIC SCIENCES
Volume 27, Issue 3, Pages 212-218Publisher
CAMBRIDGE UNIV PRESS
DOI: 10.1017/S2045796017000622
Keywords
Classification; ICD-11; substance abuse; substance use disorders; treatment
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Funding
- National Institute of Psychiatry Ramon de la Fuente
- National Council on Science and Technology (CONACyT), Mexico
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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.
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