# 09 - Problems in relationship between child and ca

# Problems in relationship between child and caregiver and current or past child maltreatment

Clinical Descriptions and Diagnostic Requirements for ICD-11 Mental, Behavioural or Neurodevelopmental Disorders
Boundary with normality (threshold)
• Small lapses in caregiving to partners who are incapable of self-care are common, and 
a diagnosis of history of spouse or partner violence, neglect, should not be assigned on 
this basis. In contrast, egregious acts or omissions that cause significant physical injury or 
reasonable potential for such injury much less common and, if all diagnostic requirements 
are met, warrant the diagnosis.
Problems in relationship between child and current or 
former caregiver and current or past child maltreatment
This section provides CDDR for the following categories:
• to document the cause of an injury being treated or the cause of death:
PJ20 Physical maltreatment of a child
PJ21 Sexual maltreatment of a child
PJ22 Psychological maltreatment of a child
PF1B Assault by neglect
• to document a pattern of either a clinically significant relationship conflict in the relationship 
of a child with a current or former caregiver, or a history of child maltreatment – including 
ongoing or past episodes – as factors that are relevant to the individual’s health status and 
encounters with health services rather than in relationship to a specific injury or death:
QE52.0 Caregiver–child relationship problem
QE82.0 Personal history of physical abuse as a child
QE82.1 Personal history of sexual abuse as a child
QE82.2 Personal history of psychological abuse as a child
QE82.3 Personal history of neglect as a child.
Caregiver–child relationship problem and different forms of child maltreatment may co-occur. 
As many of the categories in this section may be assigned together as necessary to describe the 
relevant clinical phenomena.
Problems in relationship between child and current former caregiver and current or past child maltreatment