Integrating Social Determinants of Health Into Clinical Formulations: The Need for a Biaxial System in the DSM and Psychiatry.
Erlich MD, First MB, Talley RM, Dixon LB, Berlant J, Edwards ML, Moreno MA, Kozloff N, Brunette MF, Siris S, Adler DA
2025 Aug 8;:appips20240610doi: 10.1176/appi.ps.20240610
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 , general awareness of these codes and the importance of using them to communicate SDOH has not occurred. This Open Forum proposes that the 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.
Psychiatr Serv|2025 Aug 8