Technical Instructions for Physical or Mental Disorders with Associated Harmful Behaviors and Substance-related Disorders for Civil Surgeons
CDC has updated the 2010 Technical Instructions for Physical or Mental Disorders with Associated Harmful Behaviors and Substance-related Disorders [PDF - 38 pages]
for Civil Surgeons. This is also known as Mental Health Technical Instructions (MH TIs).
The diagnosis of mental disorders and substance-related disorders is made using the current American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM) criteria. Therefore, the 2010 MH TIs have been modified to reflect the current fifth edition, DSM-5, which was released in the spring of 2013.
Important changes in the DSM-5 that affect the 2010 MH TIs
- Deletion of the terms "substance abuse," "substance dependence," and "substance addiction."
- Division of substance-related disorders into the following two groups:
- 1. Substance use disorders
- 2. Substance-induced disorders
For additional information about the changes please refer to page 5, 6, and 11 of the updated MH TIs PDF.
All civil surgeons should be using the updated MH TIs no later than January 1, 2014.