Clinical classification in mental health at the cross-roads: Which direction next?

I B Hickie; Jan Scott; Daniel F Hermens; E M Scott; S L Naismith; A J Guastella; N Glozier; P D McGorry

doi:10.1186/1741-7015-11-125

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Clinical classification in mental health at the cross-roads: Which direction next?

Journal article

Open access

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Clinical classification in mental health at the cross-roads: Which direction next?

I B Hickie, Jan Scott, Daniel F Hermens, E M Scott, S L Naismith, A J Guastella, N Glozier and P D McGorry

BMC Medicine, Vol.11(1), 125

2013

DOI: https://doi.org/10.1186/1741-7015-11-125

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Abstract

classification

clinical staging

mental health

Background: After 30 years of consensus-derived diagnostic categories in mental health, it is time to head in new directions. Those categories placed great emphasis on enhanced reliability and the capacity to identify them via standardized checklists. Although this enhanced epidemiology and health services planning, it failed to link broad diagnostic groupings to underlying pathophysiology or specific treatment response.Discussion: It is time to adopt new goals that prioritize the validation of clinical entities and foster alternative strategies to support those goals. The value of new dimensions (notably clinical staging), that are both clinically relevant and directly related to emerging developmental and neurobiological research, is proposed. A strong emphasis on 'reverse translation' (that is, working back from the clinic to the laboratory) underpins these novel approaches. However, it relies on using diagnostic groupings that already have strong evidence of links to specific risk factors or patterns of treatment response.Summary: The strategies described abandon the historical divides between clinical neurology, psychiatry and psychology and adopt the promotion of pathways to illness models. © 2013 Hickie et al.; licensee BioMed Central Ltd.

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Title: Clinical classification in mental health at the cross-roads: Which direction next?
Authors: I B Hickie (Author) - University of Sydney
Jan Scott (Author) - Newcastle University
Daniel F Hermens (Author) - University of Sydney
E M Scott (Author) - University of Sydney
S L Naismith (Author) - University of Sydney
A J Guastella (Author) - University of Sydney
N Glozier (Author) - University of Sydney
P D McGorry (Author) - University of Melbourne
Publication details: BMC Medicine, Vol.11(1), 125
Publisher: BioMed Central Ltd.
Date published: 2013
DOI: 10.1186/1741-7015-11-125
ISSN: 1741-7015
Copyright note: Copyright © 2013 Hickie et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Organisation Unit: University of the Sunshine Coast, Queensland; Thompson Institute
Language: English
Record Identifier: 99451066502621
Output Type: Journal article

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