In the mental health domain, Large Language Models (LLMs) offer promising new opportunities, though their inherent complexity and low controllability have raised questions about their suitability in clinical settings. We present MindfulDiary, a mobile journaling app incorporating an LLM to help psychiatric patients document daily experiences through conversation. Designed in collaboration with mental health professionals (MHPs), MindfulDiary takes a state-based approach to safely comply with the experts' guidelines while carrying on free-form conversations. Through a four-week field study involving 28 patients with major depressive disorder and five psychiatrists, we found that MindfulDiary supported patients in consistently enriching their daily records and helped psychiatrists better empathize with their patients through an understanding of their thoughts and daily contexts. Drawing on these findings, we discuss the implications of leveraging LLMs in the mental health domain, bridging the technical feasibility and their integration into clinical settings.
Automated essay scoring (AES) provides a useful tool for students and instructors in writing classes by generating essay scores in real-time. However, previous AES models do not provide more specific rubric-based scores nor feedback on how to improve the essays, which can be even more important than the overall scores for learning. We present FABRIC, a pipeline to help students and instructors in English writing classes by automatically generating 1) the overall scores, 2) specific rubric-based scores, and 3) detailed feedback on how to improve the essays. Under the guidance of English education experts, we chose the rubrics for the specific scores as content, organization, and language. The first component of the FABRIC pipeline is DREsS, a real-world Dataset for Rubric-based Essay Scoring (DREsS). The second component is CASE, a Corruption-based Augmentation Strategy for Essays, with which we can improve the accuracy of the baseline model by 45.44%. The third component is EssayCoT, the Essay Chain-of-Thought prompting strategy which uses scores predicted from the AES model to generate better feedback. We evaluate the effectiveness of the new dataset DREsS and the augmentation strategy CASE quantitatively and show significant improvements over the models trained with existing datasets. We evaluate the feedback generated by EssayCoT with English education experts to show significant improvements in the helpfulness of the feedback across all rubrics. Lastly, we evaluate the FABRIC pipeline with students in a college English writing class who rated the generated scores and feedback with an average of 6 on the Likert scale from 1 to 7.
Social support in online mental health communities (OMHCs) is an effective and accessible way of managing mental wellbeing. In this process, sharing emotional supports is considered crucial to the thriving social supports in OMHCs, yet often difficult for both seekers and providers. To support empathetic interactions, we design an AI-infused workflow that allows users to write emotional supporting messages to other users' posts based on the elicitation of the seeker's emotion and contextual keywords from writing. Based on a preliminary user study (N = 10), we identified that the system helped seekers to clarify emotion and describe text concretely while writing a post. Providers could also learn how to react empathetically to the post. Based on these results, we suggest design implications for our proposed system.