Initial draft revision of the DSM-V unveiled Wednesday, February 10, 2010; comments requested until April 20, 2010

2/10/10 - 6:45PM PST: post amended to correct day for the date. Also clarifying note that roman numeral "V" = "5".

Wednesday, February 10, 2010 the American Psychiatric Association (APA) unveiled the proposed initial draft recommendations for the fifth version of the Diagnostic and Statistical Manual of Mental Disorders (DSM), the manual used to diagnose mental disorders. When completed and adopted, the DSM-V would supercede the current version, Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR).

The American Psychiatric Association has set up a website with the proposed initial draft recommendations of the revisions developed by the DSM-5 Work Groups. Viewers will be able to submit comments until April 20, 2010. After the April 20th date, the site will still be available for viewing, but comments will not longer be taken. Further steps before release would be field testing of the proposed revisions and final changes.

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 (NIMH). 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.

While many changes are planned for the DSM-V, two that were given some attention by the press on Tuesday was the replacement of pediatric bipolar disorder with "Temper Dysregulation Disorder",



and removal of Asperger's Syndrome as a separate diagnosis and placement under the Autism Spectrum Disorder category,



The anticipated release of the DSM-V is May 2013; this release date was delayed from initial projections to allow coordination with the scheduled U.S. implementation on October 1, 2013 of the International Classification of Diseases-10-Clinical Modification (ICD-10-CM) (World Health Organization/WHO) codes for all Medicare/Medicaid claims reporting. Chapter V of the ICD-10-CM is Mental and behavioral disorders. A related development is that the ICD is also in revision to ICD-11 - that revised version is expected to be released in 2014 or 2015.

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For further reading

American Psychiatric Association DSM-5 Development

Revising Book on Disorders of the Mind
By BENEDICT CAREY
New York Times
Published: February 10, 2010

[This article discusses the timeline for the DSM-V and steps towards the final version and coordination witht he ICD-10-CM]
Why is DSM-5 Being Delayed?
Alan F. Schatzberg, M.D.
Psychiatric News January 1, 2010
Volume 45 Number 1 Page 3

[This article gives a quick rundown on some proposed revisions]
APA Releases Proposed Draft of the DSM-5
Caroline Cassels
Medscape Medical News
February 10, 2010

[In reference to the folding of Asperger's Syndrome into the Autism Spectrum Disorders]
Opinion: Disorder Out of Chaos
By ROY RICHARD GRINKER
New York Times
Published: February 9, 2010

International Classification of Diseases (ICD)


© 2010 Regina G. Claypool-Frey
Disclaimer: This blog publishes news and announcements only as a service to interested persons, the posts are the responsibility of the individual author, and unless otherwise noted do not constitute nor claim to represent the official position of ABA International, its officers or associated entities. This blog makes no representation as to the accuracy of the report and readers are strongly encouraged to consult and reference the primary sources noted.

U.S. Research Policy: Interagency Autism Coordinating Committee releases the 2010 IACC Strategic Plan for Autism Spectrum Disorder Research

On Wednesday February 3, 2010, the Interagency Autism Coordinating Committee (IACC) - the Federal advisory committee mandated by The Combating Autism Act (CAA) of 2006 (P.L. 109-416 – ) to coordinate research activities within the U.S. Department of Health and Human Services - and the Office of Autism Research Coordination (OARC) released the


2010 IACC Strategic Plan for Autism Spectrum Disorder Research.

This report describes the history of the IACC and Plan, the process by which the IACC develops the Plan, revisions, new areas of research emphasis - for example, increased emphasis on adults and non-verbal persons with ASDs - and then in each section elaborates the itemized questions in the broad categories, discussing what is known, what needs remain, proposed research opportunities to address these questions (short-term and long-term objectives), and a recommended budget. The 2010 Plan adds 32 brand-new objectives and describes a budget of about 965 million dollars distributed over 2 to 5 years.

Preface
Introduction
1. When Should I Be Concerned?
2. How Can I Understand What Is Happening?
3. What Caused This To Happen And Can This Be Prevented?
4. Which Treatments And Interventions Will Help?
5. Where Can I Turn For Services?
6. What Does The Future Hold?
7. What other Infrastructure and Surveillance Needs Must be Met?
Research Resources

This second edition of the Strategic Plan was expanded by the IACC over the past year with extensive input from families, people with ASD, researchers, clinicians, federal and private funders of ASD research and autism advocacy organizations - through participation in meetings held by the IACC (in-person, webcast and phone conference options available), email communication to the IACC, and by responding to the annual Request for Information.

Participation in a meeting automatically adds the attendee to an email list to receive further notices from the IACC on meetings, RFIs, reports and other activities.

There is also an IACC Twitter group where committee meeting schedules and notices are shared.

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For Further Reading and Reference
These references can also be found on the IACC website.

IACC News Update: Release of the 2010 Strategic Plan
Wednesday, February 3, 2010

The 2010 Interagency Autism Coordinating Committee Strategic Plan for Autism Spectrum Disorder Research - January 19, 2010

Soon to be posted 2010 Strategic Plan Budget

Responses to the 2009 IACC Request for Information (RFI)


© 2010 Regina G. Claypool-Frey
Disclaimer: This blog publishes news and announcements only as a service to interested persons, the posts are the responsibility of the individual author, and unless otherwise noted do not constitute nor claim to represent the official position of ABA International, its officers or associated entities. This blog makes no representation as to the accuracy of the report and readers are strongly encouraged to consult and reference the primary sources noted.

Federal Legislation: U.S. House Committee on Education & Labor passes bill to regulate use of restraint and seclusion in U.S. schools

On Thursday February 4, 2010, the U.S. House Committee on Education and Labor by bipartisan vote of 34-10 passed

H.R. 4247: The Preventing Harmful Restraint and Seclusion in Schools Act.
"To prevent and reduce the use of physical restraint and seclusion in schools, and for other purposes".

This bill seeks to define in all U.S. schools minimum standards of appropriate use, reporting and accountability of restraint and seclusion use.

H.R. 4247 was introduced to the U.S. House of Representatives on December 9, 2009 by Representatives George Miller (Dist.7-CA) and Cathy McMorris-Rodgers (Dist.5-WA).

The impetus for the bill's introduction was a May 19, 2009 hearing before the full House Committee on Education and Labor, which received wide national attention. At that hearing, the Governmental Accounting Office (GAO) submitted to the Committee its investigative report,

Seclusions and Restraints: Selected Cases of Death and Abuse at Public and Private Schools and Treatment Centers. GAO-09-719T, May 19, 2009

A similar bill also in the U.S. Congress is the Senate bill, S.2680 (Dodd), "A bill to protect students from inappropriate seclusion and physical restraint, and for other purposes"

The next step for H.R. 4247 is the floor of the U.S. House of Representatives.

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For further reading and reference

H.R. 4247: The Preventing Harmful Restraint and Seclusion in Schools Act.

Seclusions and Restraints: Selected Cases of Death and Abuse at Public and Private Schools and Treatment Centers. GAO-09-719T, May 19, 2009

MYTH VS. FACT: Preventing Harmful Restraint and Seclusion in the Schools Act
By Kittredge, Betsy Miller on February 3, 2010 11:05 AM

Bipartisan Legislation to Prevent Abuse in Schools Clears House Committee
February 4, 2010 12:30 PM

Lawmakers Introduce Bipartisan Legislation to Protect Children from Abuse in Schools
December 9, 2009 12:15 PM

GAO Report Finds Hundreds of Allegations of Abusive and Deadly Uses of Seclusion and Restraint in Schools
May 19, 2009 3:07 PM


© 2010 Regina G. Claypool-Frey
Disclaimer: This blog publishes news and announcements only as a service to interested persons, the posts are the responsibility of the individual author, and unless otherwise noted do not constitute nor claim to represent the official position of ABA International, its officers or associated entities. This blog makes no representation as to the accuracy of the report and readers are strongly encouraged to consult and reference the primary sources noted.