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How To Integrate Chatbots Into Geriatric Psychiatry.

Allen Frances¹, Lucianna Ramos²

¹Duke University (AF), Durham, NC.

The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry

|October 5, 2025

Summary

This summary is machine-generated.

Chatbots offer seniors benefits like companionship and health management but pose risks such as misinformation and scams. Future geriatric care may integrate these AI tools, requiring enhanced safety features and clinician involvement.

Keywords:

Chatbots artificial intelligence geriatric medicine geriatric psychiatry

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Area of Science:

Gerontology
Artificial Intelligence
Human-Computer Interaction

Background:

Chatbots present a dual potential for older adults, offering significant benefits while also introducing considerable risks.
Current technological development by tech companies has lacked adequate safety measures and oversight for this demographic.

Purpose of the Study:

To evaluate the potential benefits and harms of chatbot technology for the senior population.
To explore the implications of chatbot integration into future geriatric care models.

Main Methods:

Qualitative analysis of existing literature on chatbot applications in elder care.
Review of reported adverse events and ethical considerations associated with AI in geriatrics.

Main Results:

Chatbots can provide companionship, cognitive stimulation, organizational assistance, and health management support for seniors.
Potential harms include the spread of misinformation, susceptibility to scams, privacy violations, and intrusive advertising.
Tech companies have demonstrated irresponsibility in implementing safety guardrails and privacy protections.

Conclusions:

A hybrid model of care, combining human clinicians with AI, is likely optimal for future geriatric care.
Both clinicians and chatbot developers must enhance their approaches to ensure safe and effective integration of AI tools for geriatric patients.