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View Diary: American Psychiatric Association approves vast numbers of changes to the new DSM-5 (52 comments)

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  •  A lot of this stuff (17+ / 0-)

    relates to billing now.  The diagnoses in the DSM will translate into diagnoses in the ICD-9 (soon to be ICD-10) billing codes, and those changes will translate into changes in what insurers cover and won't cover (e.g., they will pay for treatment for one code, but not another code).

    The last 15 years has seen an expansion of required coverage for mental health, which will continue with health care reform.  So I'm hopeful that more people who need help will be able to get it.  If that's the end effect of these changes in the DSM-V, I'm in favor of them.  If insurers try to use these changes to somehow reduce eligibility for coverage, well then I'm against them.

    •  Excellent points Tailfish, I agree. Thanks for (7+ / 0-)


      The means is the ends in the process of becoming. - Mahatma Gandhi

      by HoundDog on Sun Dec 02, 2012 at 07:45:59 AM PST

      [ Parent ]

    •  Also accommodation. I wonder if all of us (8+ / 0-)

      Aspies will have to get reclassified, or if the old IEPs could be used for educational accommodation.

      •  IEP's don't rely on medical DX (8+ / 0-)

        they are based on classifications made up by the fed, those classifications are often based on medical conditions, but not always. Learning disabilities, emotional disturbance, social maladjustment, communication impaired, are a few that do not require a medical workup. These can be determined by speech therpists, social workers, and school psychologists. Often, though, parents will have had a medical workup already finished by the time they get to the school's team; sometimes a school can override a doctor's recommendation, because it doesn't meet the state's criteria. For example, a doctor can say the kid has learning disabilities, but the school's tests, usually a Woodcock-Johnson and an IQ test ( the best is the WISC but some use the Kaufman or the DAS; they should alll be around the same score but sometimes show differences ) will not show it. That's where we get into difficulty; kids can be 'slow" but not LD; also they can be "bright" but have an LD. Thing s is, so called "slow" kids benefit from the same interventions as LD kids, which puts the whole thing into question....i know a professor at a college in Nj who is getting higher functioning Down's students into college classes and they are actually "getting" it. Fascinating stuff.

      •  Special Ed classification is (1+ / 0-)
        Recommended by:

        based on different diagnostic classifications (based on IDIEA).  New DSM will likely not change this though new conditions will now be covered under Other Health Impairment.  

    •  yes, and who knows how insurance companies (2+ / 0-)
      Recommended by:
      HoundDog, mapamp

      will handle this. But with Obamacare in place, there should be some supervision of insurance companies, something we've never had before.

      We're not perfect, but they're nuts! -- Barney Frank

      by Tamar on Sun Dec 02, 2012 at 11:38:58 AM PST

      [ Parent ]

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