Changes in the DSM-5 —

The DSM-5 (the Fifth Edition of the Diagnostic and Statistical Manual of Mental Disorders) was released in May 2013.  There were sweeping changes that will have unknown impact on criminal, delinquency, and CHINS/TPR cases, as courts consider new information when determining sentences and dispositions.  Some changes of note include: ADHD, Autism Spectrum Disorder, Conduct Disorder, Disruptive Mood Dysregulation Disorder, Substance Use Disorder, and many others (see right side of page).

Perhaps one of the biggest changes will be in the diagnostic impressions, where the DSM-5 removes the five axis model, and combines the diagnosis sections Axis I, Axis II, and Axis III into a single diagnosis with notations for Axis IV (psychosocial and contextual factors) and Axis V (disability) factors.  The GAF (global assessment of functioning scale) has been completely eliminated.  APA Approval — See Attachment A

Highlights to changes from the DSM-IV-TR to DSM-5 is available here.

Practitioners will also be directed to begin using the WHODAS 2.0 (World Health Organization Disability Assessment Schedule 2.0).

For a critique of the worst changes, see DSM-5 Is a Guide, Not a Bible: Simply Ignore Its 10 Worst Changes, printed in various media outlets, including the Psychiatric Times.

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