SUMMARY — The Okay to Say™ campaign was launched in 2016 by the Meadows Institute under the leadership of Tom Luce, our founding president and CEO, to encourage those living with mental illness to foster a personal support network and provide guidance for loved ones offering support.
Artificial intelligence (AI) is one of the most transformative technological advancements of our time. It has become a part of our daily lives, from voice assistants on our smartphones to email classification to recommended ads. AI is also increasingly being used in health care, and understanding it is essential to the future of quality, effective treatment. If we are able to implement the technology effectively and responsibly, we can improve the quality of care, lower treatment costs, improve outcomes, and accelerate accountability for mental health care providers and consumers.
As widespread as AI has become, confusion and uncertainty exist around how AI technologies work. Developing an understanding of these technologies will enable informed decision-making on regulatory and legislative actions, support decisions pertaining to their adoption and application, foster responsible development and usage, and empower individuals to engage in discussions about ethical considerations, fairness, and bias to ensure that AI benefits society as a whole.
To help facilitate AI literacy in policy and practice discussions, the Meadows Institute developed an introductory primer on AI in mental healthcare, as part of an Augmented Intelligence and Mental Health Primer Series.
AI is supporting and expanding new opportunities in mental health to ensure better access and outcomes for patients. One promising area is measurement-informed care (MIC), which informs clinical care by improving treatment decisions and monitoring a patient’s progress over time. Starting with the initial screening of patients, MIC involves the repeated, systematic use of validated measures during clinical encounters to inform decision-making about treatment, thereby supporting – not replacing – clinical judgment. How data are measured, assessed, and used in mental health contexts is constantly evolving. AI represents the next step in the evolution of measuring and monitoring mental health care. The Meadows Institute completed research to assess the opportunities for AI to transform MIC in mental health.
While AI holds immense potential to improve mental health care, it also presents ethical and safety challenges that require careful consideration of specific evaluations. The Readiness Evaluation for AI Deployment and Implementation for Mental Health (READI) framework, recently developed by Stanford University’s Human-Centered Artificial Intelligence Center, provides a starting point for evaluating whether AI mental health applications are ready for clinical deployment. The READI framework emphasizes the following:
One of the most pressing ethical and fairness issues in AI today is bias. Bias can manifest itself in various ways, including dataset bias, where training data are flawed due to faulty underlying assumptions or the underrepresentation of certain groups, leading to skewed AI outcomes.
To address bias in AI, it is crucial to start with diverse and representative training data that accurately reflect the real-world populations and scenarios the AI system will encounter. This is especially important in the mental health space, as biased AI systems may lead to misdiagnosis, lack of treatment, and poor care experiences. Continuous monitoring, auditing, and transparency throughout the AI development lifecycle, combined with diverse teams and ethical guidelines, are essential to preventing and mitigating the risk of bias in AI and promoting fairness in its application. To understand opportunities to mitigate bias in AI when applied to mental health care, the Meadows Institute is completing research on the topic and will share it as a resource soon.
