APA announces revised timeline for publication of DSM-5

American Psychiatric Association (APA) announces revised timeline for publication of DSM-5

Post #3 Shortlink: http://wp.me/pKrrB-aS

Update@ 10 February

The APA released draft revisions and proposals for DSM-5 criteria on new webpages on 10 February, here:  DSM-5 Development

In a news release issued on 10 December, the APA has announced that the timeline for the publication of DSM-5 (DSM-V) is being extended from May 2012 to May 2013.

APA President Alan Schatzberg, MD, said:

Extending the timeline will allow more time for public review, field trials and revisions

The extension will also permit the DSM-5 to better link with the U.S. implementation of the ICD-10-CM codes for all Medicare/Medicaid claims reporting, scheduled for October 1, 2013.

David Kupfer, MD, chair of the DSM-5 Task Force, said:

Draft changes to the DSM will be posted on the DSM-5 Web site in January 2010. Comments will be accepted for two months and reviewed by the relevant DSM-5 Work Groups in each diagnostic category. Field trials for testing proposed changes will be conducted in three phases.

The APA news release does not confirm a date for the publication of draft category proposals but this MedPage Today write-up quotes 20 January* and also suggests a consultation period of “two to three months”:

*Since rescheduled for 10 February 2010

MedPage Today
DSM-V Publication Pushed Back to 2013
By John Gever, Senior Editor, MedPage Today
11 December 2009

On 1 January, the APA confirmed the draft publication date in this Psychiatric News article:

Psychiatric News  
Association News DSM-5 Postponed Until 2013; Field Trials Scheduled for Summer
by Jun Yan
Volume 45 Number 1 Page 2
01 January 2010

Proposed changes to the current diagnostic criteria will be posted on APA’s DSM-5 Web site at for public comments starting on January 20. After an open period of two to three months, feedback will be reviewed and incorporated by the appropriate work groups under the direction of the DSM-5 Task Force. The resulting draft criteria will then be tested in the first phase of field trials, which are set to begin this summer…

…Data collected in field trials will be analyzed to inform further revisions to the proposed criteria. The public will then have another window of opportunity to comment on the updated draft of DSM-5 criteria.

At the time of publishing, there is no information on the APA’s DSM-5 webpages around the draft consultation process. No progress reports have been issued by the DSM-5 Work Groups since April 2009.

 

The WHO is scheduled to publish its ICD-11 Alpha Draft in May, this year, but has yet to issue an ETA for the launch of iCAT, the wiki-like collaborative authoring platform though which the revision of ICD-10 and development of ICD-11 is being undertaken. ICD-11 Revision Steering Group has issued no comment on the APA’s decision to postpone publication of DSM-5 until 2013.

The PDF of the APA’s 10 December News Release is here 

Short link: http://DSM5toMay2013.notlong.com

and here is the full text of the APA News Release:

News Release  American Psychiatric Association

100 Wilson Boulevard, Suite 1825, Arlington, VA, 22209

For Information Contact:
Beth Casteel 703-907-8640
press@psych.org  Release No. 09-65
Jaime Valora 703-907-8562
jvalora@psych.org

For Immediate Release:
December 10, 2009
Release No. 09-65

DSM-5 Publication Date Moved to May 2013

ARLINGTON, Va. (Dec. 10, 2009) – The American Psychiatric Association revised the timeline for publishing the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders, moving the anticipated release date to May 2013.

“Extending the timeline will allow more time for public review, field trials and revisions,” said APA President Alan Schatzberg, M.D.” The APA is committed to developing a manual that is based on the best science available and useful to clinicians and researchers.”

The extension will also permit the DSM-5 to better link with the U.S. implementation of the ICD-10-CM codes for all Medicare/Medicaid claims reporting, scheduled for October 1, 2013.

Although ICD-10 was published by the WHO in 1990, the “Clinical Modification” version (ICD-10-CM) authorized by the U.S. Centers for Medicare and Medicaid Services (CMS) and the Centers for Disease Control (CDC) is not being implemented in the U.S. until 23 years later.

The ICD-10-CM includes disorder names, logical groupings of disorders and code numbers but not explicit diagnostic criteria. The APA has already worked with CMS and CDC to develop a common structure for the currently in-use DSM-IV and the mental disorders section of the ICD-10-CM.

The International Classification of Diseases (ICD) is published by the WHO for all member countries to classify diseases and medical conditions for international health care, public health, and statistical use. The WHO plans to release its next version of the ICD, the ICD-11, in 2014.

APA will continue to work with the WHO to harmonize the DSM-5 with the mental and behavioral disorders section of the ICD-11. Given the timing of the release of both DSM-5 and ICD-11 in relation to the ICD-10-CM, the APA will also work with the CDC and CMS to propose a structure for the U.S. ICD-10 CM that is reflective of the DSM-5 and ICD-11 harmonization efforts. This will be done prior to the time when the ICD-10-CM revisions are “frozen” for CMS and insurance companies to prepare for the October 1, 2013, adoption.

The Timeline

David Kupfer, M.D., chair of the DSM-5 Task Force, which is in charge of the DSM revision process, noted that draft changes to the DSM will be posted on the DSM-5 Web site in January 2010. Comments will be accepted for two months and reviewed by the relevant DSM-5 Work Groups in each diagnostic category. Field trials for testing proposed changes will be conducted in three phases.

The process for developing the DSM-5 began a decade ago, with an initial research planning conference under the joint sponsorship of the APA and the National Institute of Mental Health.

Additional global research planning conferences, under the auspices of the American Psychiatric Institute for Research and Education (APIRE), the World Health Organization, and three institutes of the National Institutes of Health produced a series of monographs, which helped lay the groundwork for the revisions. The APA’s DSM-5 Task Force and Work Group members were identified in 2007; they are tasked with reviewing scientific advances and research to develop draft diagnostic criteria in diagnostic categories of psychiatric disorders. Information about the revision process is available online at http://www.DSM5.org .

The American Psychiatric Association is a national medical specialty society whose physician members specialize in the diagnosis, treatment, prevention and research of mental illnesses, including substance use disorders. Visit the APA at http://www.psych.org and http://www.healthyminds.org .

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