arXiv Computation and Language

Trust Stack for Mental Health AI: A Survey of Calibration across Human, Interaction, and AI Layers

The paper surveys 61 studies on mental‑health AI and identifies a misalignment in how trust is evaluated across disciplines. It proposes a three‑layer framework—human‑oriented, interaction‑oriented, and AI‑oriented trust—and maps stakeholder perspectives onto these layers. The authors argue that future research should focus on calibrating human trust to actual interaction and AI trustworthiness rather than merely maximizing perceived trust.

arXiv AI
Aug 18

ETHOS: Towards a Modular Ethics Framework for Clinical Multi-Agent Systems

arXiv:2608. 15424v1 Announce Type: cross Abstract: The rapid adoption of large language models has enabled the development of clinical multi-agent systems (MAS) capable of integrating multimodal patient data and supporting increasingly complex clinical decision-making.

By Rakesh Sharma, Sydney Pugh, Cameron Beeche, Pankhuri Singhal, Rachel Wu, Margaret Eby, Jeffrey Duda, James Gee, Kyra O'Brien, Hersh Sagreiya, Marina Serper, Victoria Gershuni, Angela Bradbury, Anurag Verma, Eric Eaton, Kevin B. Johnson, Walter Witschey
arXiv AI
2d ago

A Safety-Gated Multimodal AI Backend for Mental-Health Support: Hierarchical State Representation, Conservative Risk Fusion, and Controlled Generation in Anian

Anian is a safety‑gated multimodal AI backend designed for perinatal mental‑health support and mindfulness‑intervention routing. It maps user input into a four‑layer hierarchical state representation—emotion, psychosocial constructs, safety risk, and intervention routes—then fuses local and external risk signals to decide whether to generate AI responses or provide fixed safety content. Prototype evaluation on large public corpora showed high classification performance and perfect high‑risk recall in a controlled stress test, though clinical validity remains unestablished.

By Lei Wang, Xiao Wang, Lei Li