Generative AI Purpose-built for Social and Mental Health: A Real-World Pilot
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This scoping review examined 48 studies on generative AI chatbots designed to deliver motivational interviewing (MI). It found that most systems were text‑based and disembodied, with about half incorporating dynamic adaptation, and that safety reporting was inconsistent. While user perceptions were generally positive and many studies reported MI‑consistent interactions, evidence for sustained behavioral or functional change remains limited.
The paper introduces CounselReflect, a tool that converts counseling quality metrics into a framework for users to reflect on their mental‑health AI conversations. Through interviews with 21 users, the study finds that while most participants rarely reflect on their interactions, they identify specific questions they would like such a tool to address. The findings also reveal that users tend to confirm existing beliefs and focus on familiar dimensions, highlighting the need for reflection tools to expose blind spots and encourage a more comprehensive examination of AI interactions, especially when revisiting emotionally charged exchanges.
arXiv:2607. 25057v1 Announce Type: new Abstract: As conversational AI systems become increasingly integrated into daily life, their potential effects on user well-being require ongoing attention.
arXiv:2607. 02245v1 Announce Type: new Abstract: Mental health disorders affect nearly one billion people globally, yet 75% of individuals in low- and middle-income countries receive no treatment due to workforce shortages, cost barriers, and stigma.
arXiv:2604.25415v2 Announce Type: replace-cross Abstract: People increasingly turn to general-purpose AI chatbots for advice about emotional and mental health problems, but the ability of these syste...
The article surveys how large language models (LLMs) are being applied to mental health, outlining a three‑phase evolution: Phase I uses LLMs as passive information tools and pattern recognizers for assessment; Phase II employs them as empathetic conversationalists for stateless, in‑the‑moment interactions; Phase III aims to create longitudinal, personalized companions that act as stateful cognitive agents. It systematically reviews core technologies, agent architectures (Profile, Memory, Reasoning, Planning), and the datasets and benchmarks that support this progression, offering a coherent narrative and roadmap for future research. The survey also provides a curated resource list at https://github.com/Emo-gml/Awesome-Mental-Health-LLMs.