Integrating Social Determinants of Health Into Clinical Formulations: The Need for a Biaxial System in the <i>DSM</i> and Psychiatry

Although social determinants of health (SDOH) have a significant impact on health outcomes and many are already included among the "Other Conditions That May Be a Focus of Clinical Attention" in the <i>DSM-5</i>, general awareness of these codes and the importance of using them to communicate SDOH has not occurred. This Open Forum proposes that the <i>DSM-5</i> adopt a biaxial system of assessment to enhance their consideration and reporting. A biaxial approach, the authors argue, when combined with financial incentives, will increase the likelihood of SDOH reporting and potentially improve care.

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Publication Details

Journal
Psychiatric Services
Published
2025-08-08
DOI
https://doi.org/10.1176/appi.ps.20240610
Primary Topic
Food Security and Health in Diverse Populations
Type
article
Field-Weighted Citation Impact
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article

Integrating Social Determinants of Health Into Clinical Formulations: The Need for a Biaxial System in the DSM and Psychiatry

Michael B. First, Mary F. Brunette, Matthew L. Edwards, Samuel G. Siris et al.
Psychiatric Services
Food Security and Health in Diverse Populations
article

Integrating Social Determinants of Health Into Clinical Formulations: The Need for a Biaxial System in the DSM and Psychiatry

Michael B. First, Mary F. Brunette, Matthew L. Edwards, Samuel G. Siris, Nicole Kozloff, Jeffrey Berlant, Lisa B. Dixon, Rachel M. Talley, David A. Adler, Marcus A. Moreno, Matthew D. Erlich
article en

Abstract

Although social determinants of health (SDOH) have a significant impact on health outcomes and many are already included among the "Other Conditions That May Be a Focus of Clinical Attention" in the <i>DSM-5</i>, general awareness of these codes and the importance of using them to communicate SDOH has not occurred. This Open Forum proposes that the <i>DSM-5</i> adopt a biaxial system of assessment to enhance their consideration and reporting. A biaxial approach, the authors argue, when combined with financial incentives, will increase the likelihood of SDOH reporting and potentially improve care.

Psychiatric ServicesVol. 76(10)
Dartmouth College (US), Tufts University (US), Tufts Medical Center (US), Albert Einstein College of Medicine (US), Palo Alto University (US), University of Toronto (CA), Yale University (US), New York Psychoanalytic Society and Institute (US), Marin Community Foundation (US), Institute for Work & Health (CA), Columbia College (CA), Royal College of Physicians (GB), New York State Psychiatric Institute, Columbia University (US), University of Pennsylvania (US), Stanford University (US)
Openalex Percentile: Top 68%
Food Security and Health in Diverse Populations
DOISourceOpenAlex
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Integrating Social Determinants of Health Into Clinical Formulations: The Need for a Biaxial System in the <i>DSM</i> and Psychiatry — Michael B. First, Mary F. Brunette, et al. · Psychiatric Services (2025) | TGRS Research Map | TGRS