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Do All Countries Adopt ICD-11 Autism Criteria? 

Author: Lucia Alvarez, MSc | Reviewed by: Dr. Rebecca Fernandez, MBBS

No, not all countries have fully adopted the ICD-11 autism criteria. While the World Health Organization released ICD-11 to provide updated and consistent autism standards globally, its adoption depends on each country’s health policies, infrastructure, and legal framework. Some nations have already integrated the criteria into their diagnostic systems, while others still rely on older classifications such as ICD-10 or regional guidelines. 

For example, Australia formally transitioned to ICD-11 in 2022 for health statistics but continues to use DSM-5 criteria in many clinical settings. In contrast, the United Kingdom still primarily uses ICD-10 in NHS services, with plans for ICD-11 implementation underway but not yet complete. Research notes that adoption timelines vary significantly, with some low- and middle-income countries facing delays due to limited resources and training requirements. This means that autism diagnosis practices can differ widely across regions, even when ICD-11 is recognised at the policy level.  

Key Factors Influencing ICD-11 Adoption 

Several considerations shape whether and how countries implement the ICD-11 autism criteria. 

Government policy and health legislation 

Some governments require lengthy legislative processes before updating diagnostic frameworks, which delays formal country adoption. 

Healthcare infrastructure 

Nations with robust health systems can integrate ICD-11 faster, while others may face resource and training constraints. 

Training for clinicians 

Effective use of ICD-11 requires specialist training. In countries without established programmes, implementation can be slow. 

Compatibility with existing systems 

Some countries must adapt digital records, insurance systems, and reporting protocols before ICD-11 can be used effectively. 

In summary, while the ICD-11 autism criteria aim to create a global standard, variations in policy, resources, and readiness mean adoption is far from universal at present. For personalised advice and guidance on autism assessments, visit providers like Autism Detect for personal consultations. 

For a deeper dive into the science, diagnosis, and full treatment landscape, read our complete guide to Autism Diagnostic Criteria (DSM-5, ICD-11).

Lucia Alvarez, MSc
Lucia Alvarez, MSc
Author

Lucia Alvarez is a clinical psychologist with a Master’s in Clinical Psychology and extensive experience providing evidence-based therapy and psychological assessment to children, adolescents, and adults. Skilled in CBT, DBT, and other therapeutic interventions, she has worked in hospital, community, and residential care settings. Her expertise includes grief counseling, anxiety management, and resilience-building, with a strong focus on creating safe, supportive environments to improve mental well-being.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the author's privacy. 

Dr. Rebecca Fernandez
Dr. Rebecca Fernandez, MBBS
Reviewer

Dr. Rebecca Fernandez is a UK-trained physician with an MBBS and experience in general surgery, cardiology, internal medicine, gynecology, intensive care, and emergency medicine. She has managed critically ill patients, stabilised acute trauma cases, and provided comprehensive inpatient and outpatient care. In psychiatry, Dr. Fernandez has worked with psychotic, mood, anxiety, and substance use disorders, applying evidence-based approaches such as CBT, ACT, and mindfulness-based therapies. Her skills span patient assessment, treatment planning, and the integration of digital health solutions to support mental well-being.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the reviewer's privacy. 

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