Alcohol, Drugs and Addictive Behaviours
The Unit works globally to improve health and well-being of populations by articulating, promoting, supporting and monitoring evidence-informed policies, strategies and interventions to reduce the burden associated with alcohol, drugs and addictive behaviours.

Psychoactive substances

Psychoactive substances are substances that, when taken in or administered into one's system, affect mental processes, e.g. cognition or affect. This term and its equivalent, psychotropic drug, are the most neutral and descriptive term for the whole class of substances, licit and illicit, of interest to drug policy. ‘Psychoactive’ does not necessarily imply dependence-producing, and in common parlance, the term is often left unstated, as in ‘drug use’ or ‘substance abuse’.

ICD-10 classification of mental and behavioural disorders

The Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10) includes in Chapter V a detailed classification of over 300 mental and behavioural disorders. Its publication follows extensive field-testing by more than 100 clinical and research centres in 40 countries.

There are two main versions available: Clinical Descriptions and Diagnostic Guidelines and Diagnostic Criteria for Research. The former provides clinical descriptions detailing the principal signs and symptoms of each disorder, together with other important but less specific associated features, as well as comprehensive guidelines for their diagnosis. The latter version is intended to help those researching specific disorders to maximize the homogeneity of study groups. To this end, it sets out criteria that allow the selection of individuals with clearly similar symptoms and other characteristics.

 

ICD-11 classification of mental and behavioural disorders

Changes in the classification of  substance use disorders in the  Eleventh Revision of the International Classification of Diseases and Related Health Problems , based on a public health approach, have important implications for the conceptualization, structure and availability of services. These include: (1) an updated and expanded range of substance classes; (2) greater specification of different harmful patterns of substance use, which may be continuous or episodic and recurrent; (3) a new category to denote single episodes of harmful use; (4) a category describing hazardous use of substances; and (5) simplification of diagnostic guidelines for substance dependence.

Diagnostic categories and terms in ICD 11

Disorders due to substance use 

6C40 Disorders due to use of alcohol  
6C41 Disorders due to use of cannabis  
6C42 Disorders due to use of synthetic cannabinoids  
6C43 Disorders due to use of opioids  
6C44 Disorders due to use of sedatives, hypnotics or anxiolytics  
6C45 Disorders due to use of cocaine  
6C46 Disorders due to use of stimulants including amphetamines, methamphetamine or methcathinone  
6C47 Disorders due to use of synthetic cathinones  
6C48 Disorders due to use of caffeine  
6C49 Disorders due to use of hallucinogens  
6C4A Disorders due to use of nicotine  
6C4B Disorders due to use of volatile inhalants  
6C4C Disorders due to use of MDMA or related drugs, including MDA  
6C4D Disorders due to use of dissociative drugs including ketamine and phencyclidine [PCP]  
6C4E Disorders due to use of other specified psychoactive substances, including medications  
6C4F Disorders due to use of multiple specified psychoactive substances, including medications  
6C4G Disorders due to use of unknown or unspecified psychoactive substances  
6C4H Disorders due to use of non-psychoactive substances  
6A41 Catatonia induced by substances or medications  
6C4Y Other specified disorders due to substance use  
6C4Z Disorders due to substance use, unspecified  

 

 

Disorders due to addictive behaviours 

6C50 Gambling disorder  
6C51 Gaming disorder  
6C5Y Other specified disorders due to addictive behaviours  
6C5Z Disorders due to addictive behaviours, unspecified