The DSM-5 Clinical and Public Health Committee (CPHC): operations, mechanics, controversies and recommendations

For DSM - 5, the American Psychiatric Association Board of Trustees established a robust vetting and review process that included two review committees that did not exist in the development of prior DSMs, the Scientific Review Committee (SRC) and the Clinical and Public Health Committee (CPHC). The...

Full description

Saved in:
Bibliographic Details
Published in:Psychological medicine 2021-10, Vol.51 (14), p.2493-2500
Main Authors: McIntyre, John S., Yager, Joel, Everett, Anita, Galanter, Cathryn A., Lyness, Jeffrey M., Nininger, James, Reus, Victor I., Vergare, Michael
Format: Article
Language:English
Subjects:
Advisory Committees
Autism
Autism Spectrum Disorder - classification
Autism Spectrum Disorder - diagnosis
Catatonia
Child & adolescent psychiatry
Clinical medicine
Committees
Depressive Disorder, Major - classification
Depressive Disorder, Major - diagnosis
Depressive personality disorders
Diagnostic and Statistical Manual of Mental Disorders
Humans
Mental depression
Original Article
Proposals
Public Health
Reviews
Revisions
Substance use disorder
Substance-Related Disorders - classification
Substance-Related Disorders - diagnosis
Task forces
Trustees
Vetting
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:For DSM - 5, the American Psychiatric Association Board of Trustees established a robust vetting and review process that included two review committees that did not exist in the development of prior DSMs, the Scientific Review Committee (SRC) and the Clinical and Public Health Committee (CPHC). The CPHC was created as a body that could independently review the clinical and public health merits of various proposals that would fall outside of the strictly defined scientific process. This article describes the principles and issues which led to the creation of the CPHC, the composition and vetting of the committee, and the processes developed by the committee - including the use of external reviewers. Outcomes of some of the more involved CPHC deliberations, specifically, decisions concerning elements of diagnoses for major depressive disorder, autism spectrum disorder, catatonia, and substance use disorders, are described. The Committee's extensive reviews and its recommendations regarding Personality Disorders are also discussed. On the basis of our experiences, the CPHC membership unanimously believes that external review processes to evaluate and respond to Work Group proposals is essential for future DSM efforts. The Committee also recommends that separate SRC and CPHC committees be appointed to assess proposals for scientific merit and for clinical and public health utility and impact.
ISSN:0033-2917
1469-8978
DOI:10.1017/S0033291720001415