心理健康社区的大型语言模型:翻译代码到护理的框架
Matteo Malgaroli1, Katharina Schultebraucks1, Keris Jan Myrick2
1Department of Psychiatry, New York University School of Medicine, New York, NY, USA.
The Lancet. Digital health
|January 8, 2025
概括
大型语言模型 (LLM) 在心理健康护理中显示出潜力,但面临着诸如偏见和成本等挑战. 提出了一个社会文化技术框架,以确保公平和安全的临床部署.
科学领域:
- 数字健康数字健康
- 人工智能在医学中的应用
- 心理健康保健技术 技术
背景情况:
- 大型语言模型 (LLM) 为加强心理健康诊断,监测,预防和治疗提供了重大机会.
- 当前的挑战包括高技术成本,数字素养差距,人工智能固有的偏见和数据表示不平等,阻碍了公平的应用.
- 现有的研究和临床实践需要适应,以有效地整合LLMs.
研究的目的:
- 提出一个社会文化技术框架,以负责任地开发和部署在心理健康护理LLMs.
- 确定需要推进的关键领域,包括数据基础设施,道德准则,诊断改进,文化融合和数字包容性.
- 概述降低风险的策略,并确保公平获得LLM驱动的心理健康解决方案.
主要方法:
- 一个观点分析,综合当前的挑战,并提出一种新的社会文化技术方法.
- 确定五个关键发展领域:全球临床存储库,伦理使用设置,精细的诊断类别,文化融合和数字包容性.
- 重点是开发具有代表性的数据集,可解释的AI系统和新的医疗保健角色,如数字导航员.
主要成果:
- 拟议的框架解决了将LLM应用于心理健康的技术,伦理和社会挑战.
- 关键发展领域的重点是创建强大的基础设施,道德准则,文化敏感的应用程序和包容性访问.
- 对于临床决策支持,需要具有代表性的数据集和可解释的AI.
结论:
- 由社会文化技术框架指导的合作,利益相关者驱动的方法对于临床LLM在心理健康领域的部署至关重要.
- 公平获取和降低风险对于成功将LLM整合到精神卫生保健中至关重要.
- 未来的努力必须优先考虑代表性数据,道德考虑和数字包容性,以实现LLMs的全部潜力.
相关概念视频
Improving Translational Accuracy
8.7K
Base complementarity between the three base pairs of mRNA codon and the tRNA anticodon is not a failsafe mechanism. Inaccuracies can range from a single mismatch to no correct base pairing at all. The free energy difference between the correct and nearly correct base pairs can be as small as 3 kcal/ mol. With complementarity being the only proofreading step, the estimated error frequency would be one wrong amino acid in every 100 amino acids incorporated. However, error frequencies observed in...
8.7K
Community Based Intervention
33
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
33
Modeling in Therapy
44
Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
44
Methods of Documentation VI: Case Management Model
559
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
559
Higher Mental Functions of the Brain: Language
729
Language is a system of communication that allows the expression of thoughts, ideas, and feelings. The brain processes language in both hemispheres.
Language formation and comprehension take place in the dominant hemisphere. The dominant hemisphere is responsible for understanding the meaning of spoken, written, or sign language, as well as the ability to communicate. For most people, the left hemisphere is the dominant one. The right hemisphere, then, gives tone and emotional context to the...
Language formation and comprehension take place in the dominant hemisphere. The dominant hemisphere is responsible for understanding the meaning of spoken, written, or sign language, as well as the ability to communicate. For most people, the left hemisphere is the dominant one. The right hemisphere, then, gives tone and emotional context to the...
729
Treatment Strategies for Psychological Disorders
85
Treatment approaches for psychological disorders fall into three main categories: psychological, biological, and sociocultural. Each approach targets different aspects of mental health, requiring varying levels of education and training.
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
85


