"Is This Really a Human Peer Supporter?": Misalignments Between Peer Supporters and Experts in LLM-Supported Interactions

Mental health is a growing global concern, prompting interest in AI-driven solutions to expand access to psychosocial support. Peer support, grounded in lived experience, offers a valuable complement to professional care. However, variability in training, effectiveness, and definitions raises concerns about quality, consistency, and safety. Large Language Models (LLMs) present new opportunities to enhance peer support interactions, particularly in real-time, text-based interactions. We present and evaluate an AI-supported system with an LLM-simulated distressed client, context-sensitive LLM-generated suggestions, and real-time emotion visualisations. 2 mixed-methods studies with 12 peer supporters and 5 mental health professionals (i.e., experts) examined the system's effectiveness and implications for practice. Both groups recognised its potential to enhance training and improve interaction quality. However, we found a key tension emerged: while peer supporters engaged meaningfully, experts consistently flagged critical issues in peer supporter responses, such as missed distress cues and premature advice-giving. This misalignment highlights potential limitations in current peer support training, especially in emotionally charged contexts where safety and fidelity to best practices are essential. Our findings underscore the need for standardised, psychologically grounded training, especially as peer support scales globally. They also demonstrate how LLM-supported systems can scaffold this development--if designed with care and guided by expert oversight. This work contributes to emerging conversations on responsible AI integration in mental health and the evolving role of LLMs in augmenting peer-delivered care.

"I Said Things I Needed to Hear Myself": Peer Support as an Emotional, Organisational, and Sociotechnical Practice in Singapore

Peer support plays a vital role in expanding access to mental health care by providing empathetic, community-based support outside formal clinical systems. As digital platforms increasingly mediate such support, the design and impact of these technologies remain under-examined, particularly in Asian contexts. This paper presents findings from an interview study with 20 peer supporters in Singapore, who operate across diverse online, offline, and hybrid environments. Through a thematic analysis, we unpack how participants start, conduct, and sustain peer support, highlighting their motivations, emotional labour, and the sociocultural dimensions shaping their practices. Building on this grounded understanding, we surface design directions for culturally responsive digital tools that scaffold rather than supplant relational care. Drawing insights from qualitative accounts, we offer a situated perspective on how AI might responsibly augment peer support. This research contributes to human-centred computing by articulating the lived realities of peer supporters and proposing design implications for trustworthy and context-sensitive AI in mental health.

Sword and Shield: Uses and Strategies of LLMs in Navigating Disinformation

The emergence of Large Language Models (LLMs) presents a dual challenge in the fight against disinformation. These powerful tools, capable of generating human-like text at scale, can be weaponised to produce sophisticated and persuasive disinformation, yet they also hold promise for enhancing detection and mitigation strategies. This paper investigates the complex dynamics between LLMs and disinformation through a communication game that simulates online forums, inspired by the game Werewolf, with 25 participants. We analyse how Disinformers, Moderators, and Users leverage LLMs to advance their goals, revealing both the potential for misuse and combating disinformation. Our findings highlight the varying uses of LLMs depending on the participants' roles and strategies, underscoring the importance of understanding their effectiveness in this context. We conclude by discussing implications for future LLM development and online platform design, advocating for a balanced approach that empowers users and fosters trust while mitigating the risks of LLM-assisted disinformation.

Envisioning an AI-Enhanced Mental Health Ecosystem

The rapid advancement of Large Language Models (LLMs), reasoning models, and agentic AI approaches coincides with a growing global mental health crisis, where increasing demand has not translated into adequate access to professional support, particularly for underserved populations. This presents a unique opportunity for AI to complement human-led interventions, offering scalable and context-aware support while preserving human connection in this sensitive domain. We explore various AI applications in peer support, self-help interventions, proactive monitoring, and data-driven insights, using a human-centred approach that ensures AI supports rather than replaces human interaction. However, AI deployment in mental health fields presents challenges such as ethical concerns, transparency, privacy risks, and risks of over-reliance. We propose a hybrid ecosystem where where AI assists but does not replace human providers, emphasising responsible deployment and evaluation. We also present some of our early work and findings in several of these AI applications. Finally, we outline future research directions for refining AI-enhanced interventions while adhering to ethical and culturally sensitive guidelines.

Towards Understanding Emotions for Engaged Mental Health Conversations

Providing timely support and intervention is crucial in mental health settings. As the need to engage youth comfortable with texting increases, mental health providers are exploring and adopting text-based media such as chatbots, community-based forums, online therapies with licensed professionals, and helplines operated by trained responders. To support these text-based media for mental health--particularly for crisis care--we are developing a system to perform passive emotion-sensing using a combination of keystroke dynamics and sentiment analysis. Our early studies of this system posit that the analysis of short text messages and keyboard typing patterns can provide emotion information that may be used to support both clients and responders. We use our preliminary findings to discuss the way forward for applying AI to support mental health providers in providing better care.