DSM-5 Development Timeline
The current DSM-5 Development Timeline can be found here: http://www.dsm5.org/about/Pages/Timeline.aspx
Archived Timelines below. For further information on schedule for remainder of development process see also:
APA Board Materials Packet – December 10-11, 2011
This document from the December 2011 American Psychiatric Association Board Meeting “Board packet” sets out the DSM-5 Development program from December 2011 until May 2013:
Download Item 11.A – DSM-5 Task Force Report from the second of two links at the foot of this report from APA President, John M Oldham, MD:
http://psychnews.psychiatryonline.org/newsArticle.aspx?articleid=181251
or open here: Item 11.A – DSM Task Force Report
DSM-5 Timelines
This is an extract from the revised Timeline as it stands on February 8, 2012. The third and final public review period is given as “Spring 2012″ and for a period of two months. It has been confirmed by APA that the expected date is “no later than May” (my highlighting):
[Retrieved February 8, 2012, DSM-5 Development website.]
[...]
April 2010 – December 2011: Field Trial Testing in Large, Academic Medical Centers. Proposed revisions will be examined in a variety of populations (e.g., child, older adults) and in diverse settings.
December 2010 – October 2011: Data collection for DSM-5 Field Trials among 11 large, academic-medical centers.
October 2010 – February 2012: Field Trial Testing in Routine Clinical Practices (RCPs). DSM-5 Field Trials also will be conducted in RCPs, such as solo and small group practices.
November 2010 – May 2011: Recruitment of representative sample of psychiatrists, consisting of randomly sampled general psychiatrists, plus a representative stratified sample of additional geriatric, addiction, consultation and liaison, and child psychiatrists, all selected from the AMA Masterfile of Physicians.
November 2010 – October 2011: Recruitment of volunteer sample of clinicians, consisting of psychiatrists, psychologists, licensed clinical social workers, licensed counselors, licensed marriage and family therapists, and nced practice psychiatric-mental health nurses.
July 2011 – February 2012: Data collection for DSM-5 Field Trials in RCPs.
March 2011 – November 2012: Drafting Text for DSM-5. Members of the DSM-5 Task Force and Work Group will begin drafting their initial text for DSM-5, including possible revisions to text descriptions within each diagnostic chapter. During this time, a case book, study guide, and guidebook to assist in transitioning from DSM-IV to DSM-5 will also be developed and published with the DSM-5.
March 2011-October 2012: Text for disorders not included in the DSM-5 Field Trials will be drafted first. Text for disorders under examination in the field trials will be completed after the work groups have received data from each of the field trials. Work groups will submit initial drafts, comments and suggestions will be provided by DSM leadership, and work groups will revise and resubmit as needed. The DSM-5 Task Force will have the opportunity to review all drafts before they are submitted to APA publishing in December 2012.
November 30, 2012: Final draft text of DSM-5 due to APA publishing for preparation for publication. The entire draft manual is due to publishing by December 31, 2012.
October 2011-April 2012: Data analysis of results from both types of field trials will start in October 2011. Data analysis from the large academic field trials will begin first, while data analysis from the RCP field trials will continue until after enrollment ends in February 2012. Work groups will be provided with results from both field trials and will update their draft criteria as needed.
Spring 2012: Revised draft diagnostic criteria will be posted on www.dsm5.org and open to a third public feedback period for 2 months. Feedback will be shared directly with work group members, and further edits to proposals will be made as needed.
March-December 2012: Presentation of penultimate DSM-5 proposals to APA Board of Trustees; Task Force review of feedback from APA Governance bodies; Final Revisions by the APA Task Force; Final Approval by APA Board of Trustees; Submission to American Psychiatric Publishing, Inc.
May 18-22, 2013: The release of DSM-5 will take place during the APA’s 2013 Annual Meeting in San Francisco, CA.
This is an extract from the revised Timeline as it stood on May 4, 2011, at the launch of the second stakeholder review and comment period. Note that APA made no prior announcement that a second review period was being launched in May, rather than August-September, as the Timeline prior to May 4, 2011 had stated. There are no references to harmonization with ICD-10 and ICD-10-CM within this revised Timeline, which schedules a third public review for January-February 2012 (my highlighting):
[Archive content: retrieved May 4, 2011, DSM-5 Development website.]
[...]
June 2011: Pilot testing for DSM-5 Field Trials in RCPs.
July – October 2011: Data collection for DSM-5 Field Trials in RCPs.
March-April 2011: Review data analysis plan and finalize programming for statistical algorithms to be used to analyze data from both types of field trials. The DSM-5 Research Group will review the plan and programming information and will present to DSM-5 Task Force for approval.
March 2011 – November 2012: Drafting Text for DSM-5. Members of the DSM-5 Task Force and Work Group will begin drafting their initial text for DSM-5, including possible revisions to text descriptions within each diagnostic chapter. During this time, case studies will also be developed, which will be published after DSM-5’s release in a series of case books.
March-April 2011: Work groups will make assignments as to who amongst their group will be responsible for drafting text for each of their disorders. Concurrently, DSM staff will create a secure, user-restricted online site for uploading, reviewing, and tracking draft chapter submissions.
March 2011-October 2012: Drafting of text for introductory chapters in DSM-5. Text for disorders not included in the DSM-5 Field Trials will be drafted first. Text for disorders under examination in the field trials will be completed after the work groups have received data from each of the field trials (see September-November 2011, below). Work groups will submit initial drafts, comments and suggestions will be provided by DSM leadership, and work groups will revise and resubmit as needed. The DSM-5 Task Force will have the opportunity to review all drafts before they are submitted to APA publishing (APPI) in December 2012.
November 30, 2012: Final draft text of DSM-5 due to APPI for preparation for publication.
June-October 2011: Data analysis of results from both types of field trials will occur primarily throughout September and October 2011. Data analysis from the large academic field trials will begin only when a site has fulfilled its total patient enrollment required. While some sites may complete data collection in the summer, a majority of data will not be available for analysis until the end of August. Data analysis from the RCP field trials will occur as individual clinicians complete their required study visits.
September-November 2011: Work groups will be provided with results from both field trials and will update their draft criteria as needed. Field trial results and revised proposals will be reviewed at the November Task Force meeting.
January-February 2012: Revised draft diagnostic criteria will be posted on www.dsm5.org and open to a third public feedback period for two months.
Feedback will be shared directly with work group members, and further edits to proposals will be made as needed.
March-December 2012: Presentation of penultimate DSM-5 proposals to APA Board of Trustees; Task Force review of feedback from APA Governance bodies; final revisions by the APA Task Force; final approval by APA Board of Trustees; and submission to American Psychiatric Publishing, Inc.
May 18-22, 2013: The release of DSM-5 will take place during the APA’s 2013 Annual Meeting in San Francisco, CA.
This is an extract from the revised DSM-5 Timeline as it stood in March 2011. Note, there is no longer any mention of a May-June 2011 second public review – instead, it tables a public review in August-September 2011, for one month; there is no explanation for whether the projected August-September 2011 review was intended to replace the May-June review or intended as a third review. On May 4, 2011, a second draft review was launched without prior announcement. Note also the references to harmonization with ICD-11 and ICD-10-CM (my highlighting):
[Archive content: retrieved March 2011, DSM-5 Development website. A revised Timeline was published on the DSM-5 Development site on May 4, 2011, when the second draft was released.]
Extract from revised and expanded DSM-5 Timeline
[Picking up from July 2010]
[...]
July 2010 – July 2011: Invited Consumer Feedback. Throughout the field trials, feedback will be solicited from consumer and professional groups and during specialty meetings, such as NAMI, the Depression and Bipolar Support Alliance, the Science Advisory Board, Children and Adults.
July 2010 – December 2012: Drafting Text for DSM-5. Members of the DSM-5 Task Force and Work Group will begin drafting their initial text for DSM-5, including possible revisions to text descriptions within each diagnostic chapter. Text of the criteria themselves must wait to be drafted until after the completion of field trials. During this time, case studies will also be developed, which will be published after DSM-5’s release in a series of case books.
January 2011: The APA presented to the National Center for Health Statistics an updated crosswalk between ICD-9-CM/DSM-IV codes and DSM-5 codes for discussion in the biannual ICD-CM revision meetings in March and September 2011 (see “March 2011”, below). Any “new” DSM-5 disorders will be subject to addition or deletion based on field trial data and APA BOT approval.
March-October 2011: Revised Chapter and Diagnostic Coding Structure of DSM-5. The American Psychiatric Association and the World Health Organization are working closely to ensure harmonization between DSM-5 and the forthcoming 10th edition of the International Classification of Diseases-Clinical Modification (ICD-10-CM), which will be adopted for use in the U.S. by Medicare and Medicaid on October 1, 2013. In order allow for adequate time for user training and update of computerized coding systems, ICD-10-CM will freeze to further revisions on October 1, 2011. Final decisions on the chapter organization of DSM-5 will be discussed at the September 2011 National Center for Vital and Health Statistics’ annual ICD-10-CM revision conference. The harmonized DSM-5/ICD-10-CM will serve as a prototype for ICD-11, which is scheduled for publication in 2014. However, since the coding structure for ICD-11 is expected to change, DSM-5 will use the closest approximation of ICD-10-CM codes to the disorders defined by DSM-5.
August-September 2011: Revisions to Proposed Criteria. Based on results from the first phase of field trials and from consumer and advocacy feedback, the DSM-5 Task Force and Work Group members will make revisions to the proposed DSM-5 diagnostic criteria and dimensional measures. These revised criteria and measures will be tested in a second phase of field trials.
August – September 2011: Review of Revised Criteria. Revised proposed criteria will be subjected to internal review, including a review by the DSM-5 Task Force and Research Group and by other relevant work groups.
August-September 2011: Online Posting of Revised Criteria. Following the internal review, revised draft diagnostic criteria will be posted online for approximately one month to allow the public to provide feedback. This site will be closed for feedback by midnight on September 30, 2011.
September 2011 – February 2012: DSM-5 Field Trials, Phase II. The second phase of field trials testing will focus on those diagnostic criteria and dimensional measures that required modification based on the results of the Phase I field trials. This time period will include data collection and analysis.
October 1, 2011: Although ICD-10-CM codes will not go into effect in the U.S. until October 1, 2013, most will be approved by October 1, 2011, to allow insurance companies enough time to reprogram computers for claims data and train health professionals. However, the ICD-10-CM coding system will not be locked in as of October 1, 2011: Additional code changes will be permitted between October 2011 and October 2013 to introduce “new” disorders or to correct obvious errors of current disorders. In addition, proposals for code changes in ICD-10-CM will be routinely considered on an annual basis in 2014—after ICD-10-CM has been officially adopted.
February – August 2012: Prepare Final Draft Text (including revisions to criteria based on findings from Phase II of DSM-5 Field Trials). The DSM-5 Task Force and Work Groups will prepare the final draft text and criteria for review.
March 2012: Presentation of final DSM-5 chapter organization to APA Board of Trustees.
August 2012: Final Review. The APA will release the revised draft criteria to the APA Assembly and Board of Trustees for final review.
September – November 2012: Final Revisions to Draft Criteria. Work group members will make their last round of revisions to draft criteria based on feedback from APA’s Assembly and Board of Trustees.
November 2012: APA Assembly Approval of DSM-5.
December 2012: APA Board of Trustees Approval of DSM-5. Following approval from the Board of Trustees, the final completed manuscript will be submitted to the APA’s publishing division, American Psychiatric Publishing, Inc.
May 2013: Publication of DSM-5. The release of DSM-5 will take place during the APA’s 2013 Annual Meeting in San Francisco, CA.
October 1, 2013: Mandatory use of ICD-10-CM code numbers in DSM-5 for insurance claims.
This is how the DSM-5 Timeline stood in February 2010 at the launch of the first stakeholder review and comment period. Note it tables a second online posting of revised criteria for May to June 2011 (my highlighting):
[Archive content: retrieved February 2010, DSM-5 Development website. Timeline was subsequently revised.]
As part of the launch of new DSM-5 Development webpages, the American Psychiatric Association (APA) has issued a more comprehensive Timeline:
http://www.dsm5.org/about/Pages/Timeline.aspx
A brief summary of important activities in the development of DSM-5, from the initial planning stages and leading up to today, are found below:
1999-2007: Development of DSM-5 Research Planning white papers, including “A Research Agenda for the DSM V” (2002, American Psychiatric Association) and “Age and Gender Considerations in Psychiatric Diagnosis: A Research Agenda for the DSM-V” (published in August 2007) and “Religious and Spiritual Issues in Psychiatric Diagnosis: A Research Agenda for DSM-V” (in press)
2004-2007: “The Future of Psychiatric Diagnosis: Refining the Research Agenda” APA/NIH/WHO global research planning conferences. “Phase 2: Refining the Research Agenda for DSM-5: NIH Conference Series”
April 2006: Drs. David Kupfer and Darrel Regier are appointed as chair and vice-chair, respectively, of the DSM-5 Task Force. Other key appointments included Dr. William Narrow, Research Director, and Dr. Maritza Rubio-Stipec, Statistics and Methods Director.
July 2007: DSM-5 Work Group Chairs are appointed. Assembling of DSM-5 Work Groups begins.
May 2008: DSM-5 Work Group members announced. APA Names DSM-5 Work Group Members.
The DSM-5 Task Force and Work Group members have spent much of the last two years formulating their proposed draft criteria. This includes conducting literature reviews, performing secondary data analyses, and soliciting feedback from colleagues and other advisors. Although DSM-5 will not be published until 2013, the revision experts have several important tasks ahead of them in finalizing the development of this volume. Below is a summary of the DSM-5 timeline leading up to the May 2013 deadline.
DSM-5 Development Timeline
January- May 2010: Site Recruitment for Field Trial Testing. Recruitment of sites for conducting the DSM-5 field trials, which will test the use of the proposed revisions in clinical and research settings, has begun. Proposed revisions will be examined in a variety of populations and in diverse settings.
February – May 2010: Pilot Testing for DSM-5 Field Trials. Results from pilot tests will be used to modify the design and implementation of the field trials.
May 2010 – March 2011: DSM-5 Field Trials, Phase 1. The first phase of DSM-5 field trials will begin in May 2010 and is scheduled to run for 10 months.
As the Phase 1 field trials are underway, members of the DSM-5 Task Force and Work Group will begin drafting their initial text for DSM-5. During this time, case studies will also be developed, which will be published after DSM-5′s release in a series of case books.
March – April 2011: Revisions to Proposed Criteria. Based on results from the first phase of field trials, the DSM-5 Task Force and Work Group members will make revisions to the proposed DSM-5 diagnostic criteria and dimensional measures. These revised criteria and measures will be tested in a second phase of field trials.
April – May 2011: Review of Revised Criteria. Revised proposed criteria will be subjected to internal review, including a review by the DSM-5 Task Force and Research Group and by other relevant work groups.
May-July 2011: Online Posting of Revised Criteria. Following the internal review, revised draft diagnostic criteria will be posted online for approximately one month to allow the public to provide feedback. This site will be closed for feedback by midnight on June 30, 2011.
August 2011 – February 2012: DSM-5 Field Trials, Phase II. The second phase of field trials testing will focus on those diagnostic criteria and dimensional measures that required modification based on the results of the Phase I field trials. This time period will include data collection and analysis.
February – August 2012: Prepare Final Draft Text. The DSM-5 Task Force and Work Groups will prepare the final draft text and criteria for review.
March 2012: Presentation of DSM-5 Structure to APA’s Board of Trustees. The overall structure and organization of DSM-5, including diagnostic categories, category names, Axes, and location of major disorders, will be presented to the APA’s Board of Trustees in March 2012, leaving 9 months for any changes, edits, and subsequent reviews. Any revisions must be re-approved by September 2012 in time for the National Center for Vital and Health Statistics’ annual ICD-10-CM revision conference.
August 2012: Final Review. The APA will release the revised draft criteria to the APA Assembly and Board of Trustees for final review.
September 2012: The National Center for Vital and Health Statistics’ Annual ICD-10-CM Revision Conference. The final, approved overall structure of DSM-5 will be complete in time for this conference so that organization of ICD-10-CM can be aligned with DSM-5.
September – November 2012: Final Revisions to Draft Criteria. Work group members will make their last round of revisions to draft criteria based on feedback from APA’s Assembly and Board of Trustees.
November 2012: APA Assembly Approval of DSM-5.
December 2012: APA Board of Trustees Approval of DSM-5. Following approval from the Board of Trustees, the final completed manuscript will be submitted to the APA’s publishing division, American Psychiatric Publishing, Inc.
May 2013: Publication of DSM-5. The release of DSM-5 will take place during the APA’s 2013 Annual Meeting in San Francisco, CA.
Update @ January 2, 2010
Publication date for DSM-5 draft proposals for category revisions
According to a press release published by the APA on December 10, 2009:
• Draft changes to the DSM will be posted on the APA’a DSM-5 website in January 2010.*
• Comments will be accepted for two months and reviewed by the relevant DSM-5 Work Groups in each diagnostic category.
• Field trials for testing proposed changes will be conducted in three phases.
*Later shifted to February, 2010
APA’s 10 December Press Release No. 09-65 here in PDF format
Short link: http://DSM5toMay2013.notlong.com
According to a commentary published on December 11, 2009, by John Gever, Senior Editor, MedPage Today:
DSM-V Publication Pushed Back to 2013
APA President, Alan Schatzberg MD, had disclosed in a telephone interview that:
• The APA planned to post a draft version on the DSM-V Web site on 20 January.
• The Task Force would be accepting comments from the medical community and the general public for two to three months.
Additional confirmation here:
Psychiatric News January 1, 2010
Volume 45 Number 1 Page 2
ASSOCIATION NEWS
by Jun Yan
DSM-5 Postponed Until 2013; Field Trials Scheduled for Summer
and on Page 3
FROM THE PRESIDENT
by Alan F. Schatzberg, MD
Last updated: February 8, 2012
