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Classificatory System (classificatory + system)

Distribution by Scientific Domains
Medical Sciences100%

Selected Abstracts

Psychiatric diagnosis, intellectual disabilities and Diagnostic Criteria for Psychiatric Disorders for Use with Adults with Learning Disabilities/Mental Retardation (DC-LD)

JOURNAL OF INTELLECTUAL DISABILITY RESEARCH, Issue 2003
Sally-Ann Cooper
Abstract Background Classification of psychopathology using operationalized diagnostic criteria is one component of psychiatric assessment. Previous literature has demonstrated that there are limitations in the International Classification of Diseases,10 (ICD-10) and the Diagnostic and Statistical Manual,IV (DSM-IV) when used with adults with intellectual disabilities. Methods A literature search using Medline, PsychLIT and hand searching of key journals identified the existing literature, which was reviewed by the Diagnostic Criteria for Psychiatric Disorders for Use with Adults with Learning Disabilities/Mental Retardation (DC-LD) Development Working Group. Key findings are integrated into this paper. This, together with expert consensus led to the development of DC-LD, a new psychiatric classificatory system devised specifically for use with adults with intellectual disabilities. The new diagnostic criteria and classification within DC-LD were piloted with 52 field investigators drawing on 709 clinical cases. Validity of DC-LD classification was measured by comparison between the criteria providing DC-LD diagnosis and the gold standard of learning disabilities psychiatric assessment. Results In 96.3% of cases, the DC-LD diagnosis was fully concordant with that of clinical opinion. The few discrepancies related to level of detail. Conclusion DC-LD accommodates the pathoplastic effect of intellectual disabilities on psychopathology. Its use will hopefully improve clinical practice and facilitate research, but further work to determine its usefulness and limitations is required. [source]

Nurses' views on current and future systems for classification of psychiatric disorders

ASIA-PACIFIC PSYCHIATRY, Issue 2 2010
Rachael Aitchison MSC
Abstract Introduction: This study aimed to document experiences and views of practicing mental health nurses on the official psychiatric diagnostic systems and their current usage. Methods: A questionnaire and research design were established by a nursing reference group and resulted in a survey sent to 600 nurses of whom 150 responded. Respondents represented a wide range of clinical practice situations, age, years of experience and both genders. Results: Only 20% of respondents routinely used the World Health Organization (WHO) system of International Classification of Diseases (ICD) 10. The American Diagnostic and Statistical Manual (DSM)-IV was a more popular diagnostic system. Discussion: This study highlights the importance of the classificatory system to treatment planning and to intra-team communication. However, nurses indicated a number of reservations about its utility and appropriateness for their daily work and specified areas they consider for improvement in the development of next versions of the international classificatory systems. [source]

Risk axis: Implementation of structured clinical guidelines for the assessment and management of risk in psychiatry

ASIA-PACIFIC PSYCHIATRY, Issue 2 2009
Shailesh Kumar FRANZCP MRCPsych
Abstract Introduction: Mental health clinicians routinely assess risk in three domains: suicide, violence and self neglect. While the published work on the assessment of these risks has increased, concerns are often expressed that assessment alone does not lead to management of the identified risk. Not all axes of multiaxial classificatory systems are used by clinicians to the same extent, despite their proven usefulness. It is possible that a dedicated axis for risk management as a part of a multiaxial classificatory system could align risk assessment with management and increase utility of multiaxial classificatory systems. Methods: Based on our earlier work we developed a comprehensive risk management axis (RMA), which was then further refined by conducting a pilot study and then used to collect data retrospectively from the case notes of 100 patients consecutively discharged from a general psychiatric ward. Results: Common association between risk factors and three risk domains were as follows. Violence: active symptoms of major mental illness, employment problems, and major mental illness; Suicide: history of abuse, clinically significant depressive symptoms, and alcohol and drug use; Self neglect: neglect of home, personal safety, noncompliance with treatment, male gender, and low income. We also investigated whether the presence of a particular risk factor acted as a barrier or prompt for clinicians to address management factors in the RMA. Discussion: It is possible to assess risk across the three domains and to derive management plans by using the proposed RMA. Minimal clinical background is necessary for collecting data retrospectively. It should be possible to apply this axis prospectively. [source]

Nurses' views on current and future systems for classification of psychiatric disorders

ASIA-PACIFIC PSYCHIATRY, Issue 2 2010
Rachael Aitchison MSC
Abstract Introduction: This study aimed to document experiences and views of practicing mental health nurses on the official psychiatric diagnostic systems and their current usage. Methods: A questionnaire and research design were established by a nursing reference group and resulted in a survey sent to 600 nurses of whom 150 responded. Respondents represented a wide range of clinical practice situations, age, years of experience and both genders. Results: Only 20% of respondents routinely used the World Health Organization (WHO) system of International Classification of Diseases (ICD) 10. The American Diagnostic and Statistical Manual (DSM)-IV was a more popular diagnostic system. Discussion: This study highlights the importance of the classificatory system to treatment planning and to intra-team communication. However, nurses indicated a number of reservations about its utility and appropriateness for their daily work and specified areas they consider for improvement in the development of next versions of the international classificatory systems. [source]

Risk axis: Implementation of structured clinical guidelines for the assessment and management of risk in psychiatry

ASIA-PACIFIC PSYCHIATRY, Issue 2 2009
Shailesh Kumar FRANZCP MRCPsych
Abstract Introduction: Mental health clinicians routinely assess risk in three domains: suicide, violence and self neglect. While the published work on the assessment of these risks has increased, concerns are often expressed that assessment alone does not lead to management of the identified risk. Not all axes of multiaxial classificatory systems are used by clinicians to the same extent, despite their proven usefulness. It is possible that a dedicated axis for risk management as a part of a multiaxial classificatory system could align risk assessment with management and increase utility of multiaxial classificatory systems. Methods: Based on our earlier work we developed a comprehensive risk management axis (RMA), which was then further refined by conducting a pilot study and then used to collect data retrospectively from the case notes of 100 patients consecutively discharged from a general psychiatric ward. Results: Common association between risk factors and three risk domains were as follows. Violence: active symptoms of major mental illness, employment problems, and major mental illness; Suicide: history of abuse, clinically significant depressive symptoms, and alcohol and drug use; Self neglect: neglect of home, personal safety, noncompliance with treatment, male gender, and low income. We also investigated whether the presence of a particular risk factor acted as a barrier or prompt for clinicians to address management factors in the RMA. Discussion: It is possible to assess risk across the three domains and to derive management plans by using the proposed RMA. Minimal clinical background is necessary for collecting data retrospectively. It should be possible to apply this axis prospectively. [source]