Challenges of Testing DSM-5 in Routine Clinical Practice Settings

• Activity Number: 109
• Type: Invited
• Date/Time: Monday, August 1, 2016 : 8:30 AM to 10:20 AM
• Sponsor: Mental Health Statistics Section
• Author(s): Eve K. Moscicki* and Diana E. Clarke and Farifteh F. Duffy and Joyce C. West and William E. Narrow and Darrel A. Regier and S. Janet Kuramoto-Crawford
• Companies: American Psychiatric Association Foundation and American Psychiatric Association and American Psychiatric Association Foundation and American Psychiatric Association Foundation and St. Elizabeth's Hospital and Uniformed Services University of the Health Sciences and American Psychiatric Association Foundation
• Keywords: DSM-5 ; Field trials ; Mental health ; Clinical practice

Abstract

The DSM-5 Field Trials in Routine Clinical Practice Settings (RCP) examined the feasibility and clinical utility of the proposed DSM-5 diagnostic criteria and dimensional assessments in the "real world". Participants included psychiatrists randomly selected from the AMA Physician Masterfile, volunteer mental health clinicians, and patients randomly selected from clinicians' caseloads. Eligible clinicians completed online training and enrolled at least one patient. Data were collected online. Patients completed self-assessments of cross-cutting psychological symptom domains, disability, and an evaluation of the measures. Clinicians conducted diagnostic interviews and completed relevant DSM-5 and related assessments, and a clinical utility questionnaire. Descriptive statistics were generated using SAS statistical software. A total of 621 psychiatrists, clinical psychologists, advanced practice psychiatric-mental health nurses, clinical social workers, licensed counselors, and marriage and family therapists provided data for 1,269 patients. The DSM-5 approach was feasible and clinically useful in a wide range of practice settings, and favorably received by both clinicians and patients