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Logo of brjgenpracThe British Journal of General Practice
Br J Gen Pract. 1995 April; 45(393): 211–215.
PMCID: PMC1239204

New classification for mental disorders with management guidelines for use in primary care: ICD-10 PHC chapter five.


A primary care version of the International classification of diseases (10th revision) chapter five for mental and behavioural disorders (ICD-10 PHC chapter five) has been developed. This provisional version focuses on 24 conditions which are frequently seen in primary care and which can be managed effectively by general practitioners. The classification is accompanied by a flipcard for each of the conditions. The cards have diagnostic guidelines on one side and management guidelines on the other. The latter provide information which should be given to the patient, advice on the content of counselling, the available treatment methods, and indications for specialist referral. This classification system is also supported by diagnostic decision making aids, medication cards, and patient leaflets to facilitate the recognition and management of patients with mental disorders in primary care settings. The draft version of ICD-10 PHC chapter five will be finalized after field trials which will test the applicability and usefulness of the system in different primary care settings in various countries.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Regier DA, Narrow WE, Rae DS, Manderscheid RW, Locke BZ, Goodwin FK. The de facto US mental and addictive disorders service system. Epidemiologic catchment area prospective 1-year prevalence rates of disorders and services. Arch Gen Psychiatry. 1993 Feb;50(2):85–94. [PubMed]
  • Sartorius N, Ustün TB, Costa e Silva JA, Goldberg D, Lecrubier Y, Ormel J, Von Korff M, Wittchen HU. An international study of psychological problems in primary care. Preliminary report from the World Health Organization Collaborative Project on 'Psychological Problems in General Health Care'. Arch Gen Psychiatry. 1993 Oct;50(10):819–824. [PubMed]
  • Clare A, Gulbinat W, Sartorius N. A triaxial classification of health problems presenting in primary health care. A World Health Organization multi-centre study. Soc Psychiatry Psychiatr Epidemiol. 1992 May;27(3):108–116. [PubMed]
  • Wood M, Lamberts H, Meijer JS, Hofmans-Okkes IM. The conversion between ICPC and ICD-10. Requirements for a family of classification systems in the next decade. Fam Pract. 1992 Sep;9(3):340–348. [PubMed]
  • Margolis CZ. Uses of clinical algorithms. JAMA. 1983 Feb 4;249(5):627–632. [PubMed]
  • Meursing K, Wankiiri V. Use of flow-charts by nurses dealing with mental patients: an evaluation in Lesotho. Bull World Health Organ. 1988;66(4):507–514. [PubMed]

Articles from The British Journal of General Practice are provided here courtesy of Royal College of General Practitioners