arXiv subjects

Nev Jones

Publications and source records attributed to Nev Jones.

4 recordsLinked to original sources

arXiv2026

Large Language Models in Peer-Run Community Behavioral Health Services: Understanding Peer Specialists and Service Users' Perspectives on Opportunities, Risks, and Mitigation Strategies

Peer-run organizations (PROs) provide critical, recovery-based behavioral health support rooted in lived experience. As large language models (LLMs) enter this domain, their scale, conversationality, and opacity introduce new challenges for situatedness, trust, and autonomy. Partnering with Collaborative Support Programs of New Jersey (CSPNJ), a statewide PRO in the Northeastern United States, we used comicboarding, a co-design method, to conduct workshops with 16 peer specialists and 10 service users exploring perceptions of integrating an LLM-based recommendation system into peer support. Findings show that depending on how LLMs are introduced, constrained, and co-used, they can reconfigure in-room dynamics by sustaining, undermining, or amplifying the relational authority that grounds peer support. We identify opportunities, risks, and mitigation strategies across three tensions: bridging scale and locality, protecting trust and relational dynamics, and preserving peer autonomy amid efficiency gains. We contribute design implications that center lived-experience-in-the-loop, reframe trust as co-constructed, and position LLMs not as clinical tools but as relational collaborators in high-stakes, community-led care.

cs.HC↗

arXiv2025

PeerCoPilot: A Language Model-Powered Assistant for Behavioral Health Organizations

Behavioral health conditions, which include mental health and substance use disorders, are the leading disease burden in the United States. Peer-run behavioral health organizations (PROs) critically assist individuals facing these conditions by combining mental health services with assistance for needs such as income, employment, and housing. However, limited funds and staffing make it difficult for PROs to address all service user needs. To assist peer providers at PROs with their day-to-day tasks, we introduce PeerCoPilot, a large language model (LLM)-powered assistant that helps peer providers create wellness plans, construct step-by-step goals, and locate organizational resources to support these goals. PeerCoPilot ensures information reliability through a retrieval-augmented generation pipeline backed by a large database of over 1,300 vetted resources. We conducted human evaluations with 15 peer providers and 6 service users and found that over 90% of users supported using PeerCoPilot. Moreover, we demonstrated that PeerCoPilot provides more reliable and specific information than a baseline LLM. PeerCoPilot is now used by a group of 5-10 peer providers at CSPNJ, a large behavioral health organization serving over 10,000 service users, and we are actively expanding PeerCoPilot's use.

cs.CL↗

arXiv2024

PATIENT-{\Psi}: Using Large Language Models to Simulate Patients for Training Mental Health Professionals

Mental illness remains one of the most critical public health issues. Despite its importance, many mental health professionals highlight a disconnect between their training and actual real-world patient practice. To help bridge this gap, we propose PATIENT-{\Psi}, a novel patient simulation framework for cognitive behavior therapy (CBT) training. To build PATIENT-{\Psi}, we construct diverse patient cognitive models based on CBT principles and use large language models (LLMs) programmed with these cognitive models to act as a simulated therapy patient. We propose an interactive training scheme, PATIENT-{\Psi}-TRAINER, for mental health trainees to practice a key skill in CBT -- formulating the cognitive model of the patient -- through role-playing a therapy session with PATIENT-{\Psi}. To evaluate PATIENT-{\Psi}, we conducted a comprehensive user study of 13 mental health trainees and 20 experts. The results demonstrate that practice using PATIENT-{\Psi}-TRAINER enhances the perceived skill acquisition and confidence of the trainees beyond existing forms of training such as textbooks, videos, and role-play with non-patients. Based on the experts' perceptions, PATIENT-{\Psi} is perceived to be closer to real patient interactions than GPT-4, and PATIENT-{\Psi}-TRAINER holds strong promise to improve trainee competencies. Our code and data are released at \url{https://github.com/ruiyiw/patient-psi}.

cs.CL↗

arXiv2023

Understanding Frontline Workers' and Unhoused Individuals' Perspectives on AI Used in Homeless Services

Recent years have seen growing adoption of AI-based decision-support systems (ADS) in homeless services, yet we know little about stakeholder desires and concerns surrounding their use. In this work, we aim to understand impacted stakeholders' perspectives on a deployed ADS that prioritizes scarce housing resources. We employed AI lifecycle comicboarding, an adapted version of the comicboarding method, to elicit stakeholder feedback and design ideas across various components of an AI system's design. We elicited feedback from county workers who operate the ADS daily, service providers whose work is directly impacted by the ADS, and unhoused individuals in the region. Our participants shared concerns and design suggestions around the AI system's overall objective, specific model design choices, dataset selection, and use in deployment. Our findings demonstrate that stakeholders, even without AI knowledge, can provide specific and critical feedback on an AI system's design and deployment, if empowered to do so.

cs.HC↗