Comorbidity, psychiatric diagnosis and the Person-centered Integrative Diagnostic Model

Authors

  • Ihsan M. Salloum
  • Mohammed T. Abou-Saleh
  • Valery Krasnov

DOI:

https://doi.org/10.5750/ijpcm.v2i2.211

Keywords:

Comorbidity of mental disorders, Person-centered Intergrative Diagnostic Model, person-centered psychiatry, psychiatric diagnosis

Abstract

Clinical comorbidity has increasingly become a defining reality of presenting health needs, the frequency of which is expected to increase in an aging world population affecting developing and developed countries alike. Clinical comorbidities are the rule and not the exception in regular clinical care settings and are associated with increased morbidity, mortality and overall economic and humanitarian burden. Comorbidity within psychiatry presents additional challenges related to the limited nosological validity of psychiatric diagnoses. The challenges of clinical comorbidity require a comprehensive and integrated approach to diagnosis and care. Patient-centered, holistic, community-oriented and comprehensive approaches, as opposed to a narrow, single-disease, acute care model, are critical to addressing the challenges and complexities of clinical comorbidities. The growing challenges of comorbidity underscore the importance of integrating psychiatric, medical and contextual healthcare models within primary care in its various manifestations around the world. Person-centered Integrated Diagnosis (PID) emphasises the totality of the person’s health in an integrative and dynamic approach that is inclusive of both ill and positive health along three fundamental axes promising to provide an optimal model of care to address the challenges of clinical comorbidity.

Author Biography

Ihsan M. Salloum

Ihsan Saloum, MD, MPH, is a Professor of Psychiatry and Chief, Division of Alcohol and Drug Abuse: Treatment and Research, University of Miami Leonard M. Miller School of Medicine. Dr. Salloum graduated from the University of Bologna School of Medicine, in Bologna, Italy and completed the National Institute of Alcohol Abuse and Alcoholism (NIAAA) post graduate fellowship program in alcohol research at the Department of Psychiatry of the University of Pittsburgh Medical Center. Dr. Salloum’s research interest has focused on developing effective interventions for comorbid mood and addictive disorders and on addressing the diagnostic and therapeutic complexity of comorbidity and on Person-centered Medicine. He has published on the treatment of co-occurring disorders and is a frequent speaker at National and International scientific meetings. Dr. Salloum is the recipient of grant awards from the National Institute of Health. He is a member of the National Institute of Health Scientific Review Group and a diplomat of the American Board of Psychiatry and Neurology with added Qualifications in Addiction Psychiatry. Dr. Salloum is Member of the Board of the Executive Committee of the International Network on Person Centered Medicine. He is also the Chair, Section on Classification Diagnostic Assessment and Nomenclature of the World Psychiatric Association, and he is also the Secretary of the International Society on Bipolar Disorders. Dr. Salloum is a Distinguished Fellow of the American Psychiatric Association and Honorary Member of the World Psychiatric Association.

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Published

2012-06-25

Issue

Section

Fourth Geneva Conference on Person-centered Medicine: Person-centered integrative diagnosis (PID)