Position: Beyond Assistance -- Reimagining LLMs as Ethical and Adaptive Co-Creators in Mental Health Care

• URL: http://arxiv.org/abs/2503.16456v1
• Date: Fri, 21 Feb 2025 21:41:20 GMT
• Title: Position: Beyond Assistance -- Reimagining LLMs as Ethical and Adaptive Co-Creators in Mental Health Care
• Authors: Abeer Badawi, Md Tahmid Rahman Laskar, Jimmy Xiangji Huang, Shaina Raza, Elham Dolatabadi,
• Abstract summary: This position paper argues for a shift in how Large Language Models (LLMs) are integrated into the mental health care domain.<n>We advocate for their role as co-creators rather than mere assistive tools.
• Score: 9.30684296057698
• License: http://creativecommons.org/publicdomain/zero/1.0/
• Abstract: This position paper argues for a fundamental shift in how Large Language Models (LLMs) are integrated into the mental health care domain. We advocate for their role as co-creators rather than mere assistive tools. While LLMs have the potential to enhance accessibility, personalization, and crisis intervention, their adoption remains limited due to concerns about bias, evaluation, over-reliance, dehumanization, and regulatory uncertainties. To address these challenges, we propose two structured pathways: SAFE-i (Supportive, Adaptive, Fair, and Ethical Implementation) Guidelines for ethical and responsible deployment, and HAAS-e (Human-AI Alignment and Safety Evaluation) Framework for multidimensional, human-centered assessment. SAFE-i provides a blueprint for data governance, adaptive model engineering, and real-world integration, ensuring LLMs align with clinical and ethical standards. HAAS-e introduces evaluation metrics that go beyond technical accuracy to measure trustworthiness, empathy, cultural sensitivity, and actionability. We call for the adoption of these structured approaches to establish a responsible and scalable model for LLM-driven mental health support, ensuring that AI complements-rather than replaces-human expertise.

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