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Language models have the potential to assess mental health using social media data. By analyzing online posts and conversations, these models can detect patterns indicating mental health conditions like depression, anxiety, or suicidal thoughts. They examine keywords, language markers, and sentiment to gain insights into an individual’s mental well-being. This information is crucial for early detection, intervention, and support, improving mental health care and prevention strategies. However, using language models for mental health assessments from social media has two limitations: (1) They do not compare posts against clinicians’ diagnostic processes, and (2) It’s challenging to explain language model outputs using concepts that the clinician can understand, i.e., clinician-friendly explanations. In this study, we introduce Process Knowledge-infused Learning (PK-iL), a new learning paradigm that layers clinical process knowledge structures on language model outputs, enabling clinician-friendly explanations of the underlying language model predictions. We rigorously test our methods on existing benchmark datasets, augmented with such clinical process knowledge, and release a new dataset for assessing suicidality. PKiL performs competitively, achieving a 70% agreement with users, while other XAI methods only achieve 47% agreement (average inter-rater agreement of 0.72). Our evaluations demonstrate that PK-iL effectively explains model predictions to clinicians.

 

After the pandemic, artificial intelligence (AI) powered support for mental health care has become increasingly important. The breadth and complexity of significant challenges required to provide adequate care involve:(a) Personalized patient understanding, (b) Safety-constrained and medically validated chatbot patient interactions, and (c) Support for continued feedback-based refinements in design using chatbot-patient interactions. We propose Alleviate, a chatbot designed to assist patients suffering from mental health challenges with personalized care and assist clinicians with understanding their patients better. Alleviate draws from an array of publicly available clinically valid mental-health texts and databases, allowing Alleviate to make medically sound and informed decisions. In addition, Alleviate's modular design and explainable decision-making lends itself to robust and continued feedback-based refinements to its design. In this paper, we explain the different modules of Alleviate and submit a short video demonstrating Alleviate's capabilities to help patients and clinicians understand each other better to facilitate optimal care strategies. 

Improving the performance and explanations of ML algorithms is a priority for adoption by humans in the real world. In critical domains such as healthcare, such technology has significant potential to reduce the burden on humans and considerably reduce manual assessments by providing quality assistance at scale. In today’s data-driven world, artificial intelligence (AI) systems are still experiencing issues with bias, explainability, and human-like reasoning and interpretability. Causal AI is the technique that can reason and make human-like choices making it possible to go beyond narrow Machine learning-based techniques and can be integrated into human decision-making. It also offers intrinsic explainability, new domain adaptability, bias free predictions, and works with datasets of all sizes. In this tutorial of type lecture style, we detail how a richer representation of causality in AI systems using a knowledge graph (KG) based approach is needed for intervention and counterfactual reasoning (Figure 1), how do we get to model-based and domain explainability, how causal representations helps in web and health care. 

Virtual Mental Health Assistants (VMHAs) are utilized in health care to provide patient services such as counseling and suggestive care. They are not used for patient diagnostic assistance because they cannot adhere to safety constraints and specialized clinical process knowledge ( ProKnow ) used to obtain clinical diagnoses. In this work, we define ProKnow as an ordered set of information that maps to evidence-based guidelines or categories of conceptual understanding to experts in a domain. We also introduce a new dataset of diagnostic conversations guided by safety constraints and ProKnow that healthcare professionals use ( ProKnow - data ). We develop a method for natural language question generation (NLG) that collects diagnostic information from the patient interactively ( ProKnow - algo ). We demonstrate the limitations of using state-of-the-art large-scale language models (LMs) on this dataset. ProKnow - algo incorporates the process knowledge through explicitly modeling safety, knowledge capture, and explainability. As computational metrics for evaluation do not directly translate to clinical settings, we involve expert clinicians in designing evaluation metrics that test four properties: safety, logical coherence, and knowledge capture for explainability while minimizing the standard cross entropy loss to preserve distribution semantics-based similarity to the ground truth. LMs with ProKnow - algo generated 89% safer questions in the depression and anxiety domain (tested property: safety ). Further, without ProKnow - algo generations question did not adhere to clinical process knowledge in ProKnow - data (tested property: knowledge capture ). In comparison, ProKnow - algo -based generations yield a 96% reduction in our metrics to measure knowledge capture. The explainability of the generated question is assessed by computing similarity with concepts in depression and anxiety knowledge bases. Overall, irrespective of the type of LMs, ProKnow - algo achieved an averaged 82% improvement over simple pre-trained LMs on safety, explainability, and process-guided question generation. For reproducibility, we will make ProKnow - data and the code repository of ProKnow - algo publicly available upon acceptance. 

Language understanding involves processing text with both the grammatical and 2 common-sense contexts of the text fragments. The text “I went to the grocery store 3 and brought home a car” requires both the grammatical context (syntactic) and 4 common-sense context (semantic) to capture the oddity in the sentence. Contex5 tualized text representations learned by Language Models (LMs) are expected to 6 capture a variety of syntactic and semantic contexts from large amounts of training 7 data corpora. Recent work such as ERNIE has shown that infusing the knowl8 edge contexts, where they are available in LMs, results in significant performance 9 gains on General Language Understanding (GLUE) benchmark tasks. However, 10 to our knowledge, no knowledge-aware model has attempted to infuse knowledge 11 through top-down semantics-driven syntactic processing (Eg: Common-sense to 12 Grammatical) and directly operated on the attention mechanism that LMs leverage 13 to learn the data context. We propose a learning framework Top-Down Language 14 Representation (TDLR) to infuse common-sense semantics into LMs. In our 15 implementation, we build on BERT for its rich syntactic knowledge and use the 16 knowledge graphs ConceptNet and WordNet to infuse semantic knowledge. 

Artificial Intelligence (AI) systems for mental healthcare (MHCare) have been ever-growing after realizing the importance of early interventions for patients with chronic mental health (MH) conditions. Social media (SocMedia) emerged as the go-to platform for supporting patients seeking MHCare. The creation of peer-support groups without social stigma has resulted in patients transitioning from clinical settings to SocMedia supported interactions for quick help. Researchers started exploring SocMedia content in search of cues that showcase correlation or causation between different MH conditions to design better interventional strategies. User-level Classification-based AI systems were designed to leverage diverse SocMedia data from various MH conditions, to predict MH conditions. Subsequently, researchers created classification schemes to measure the severity of each MH condition. Such ad-hoc schemes, engineered features, and models not only require a large amount of data but fail to allow clinically acceptable and explainable reasoning over the outcomes. To improve Neural-AI for MHCare, infusion of clinical symbolic knowledge that clinicans use in decision making is required. An impactful use case of Neural-AI systems in MH is conversational systems. These systems require coordination between classification and generation to facilitate humanistic conversation in conversational agents (CA). Current CAs with deep language models lack factual correctness, medical relevance, and safety in their generations, which intertwine with unexplainable statistical classification techniques. This lecture-style tutorial will demonstrate our investigations into Neuro-symbolic methods of infusing clinical knowledge to improve the outcomes of Neural-AI systems to improve interventions for MHCare:(a) We will discuss the use of diverse clinical knowledge in creating specialized datasets to train Neural-AI systems effectively. (b) Patients with cardiovascular disease express MH symptoms differently based on gender differences. We will show that knowledge-infused Neural-AI systems can identify gender-specific MH symptoms in such patients. (c) We will describe strategies for infusing clinical process knowledge as heuristics and constraints to improve language models in generating relevant questions and responses. 

Knowledge-based entity prediction (KEP) is a novel task that aims to improve machine perception in autonomous systems. KEP leverages relational knowledge from heterogeneous sources in predicting potentially unrecognized entities. In this paper, we provide a formal definition of KEP as a knowledge completion task. Three potential solutions are then introduced, which employ several machine learning and data mining techniques. Finally, the applicability of KEP is demonstrated on two autonomous systems from different domains; namely, autonomous driving and smart manufacturing. We argue that in complex real-world systems, the use of KEP would significantly improve machine perception while pushing the current technology one step closer to achieving full autonomy. Keywords Autonomous Vehicles, Task Analysis, Semantics, Process Control, Planning, Data Mining, Accidents, Entity Prediction, Machine Perception, Autonomous Driving, Smart Manufacturing, Event Perception, Knowledge Infused Learning 

Epidemics like Covid-19 and Ebola have impacted people’s lives signifcantly. The impact of mobility of people across the countries or states in the spread of epidemics has been signifcant. The spread of disease due to factors local to the population under consideration is termed the endogenous spread. The spread due to external factors like migration, mobility, etc., is called the exogenous spread. In this paper, we introduce the Exo-SIR model, an extension of the popular SIR model and a few variants of the model. The novelty in our model is that it captures both the exogenous and endogenous spread of the virus. First, we present an analytical study. Second, we simulate the Exo-SIR model with and without assuming contact network for the population. Third, we implement the Exo-SIR model on real datasets regarding Covid-19 and Ebola. We found that endogenous infection is infuenced by exogenous infection. Furthermore, we found that the Exo-SIR model predicts the peak time better than the SIR model. Hence, the Exo-SIR model would be helpful for governments to plan policy interventions at the time of a pandemic. Keywords Covid-19, Ebola, Epidemic modeling, Compartment model, Exogenous infection, Endogenous infection, SIR, Exo-SIR 

Analyzing gender is critical to study mental health (MH) support in CVD (cardiovascular disease). The existing studies on using social media for extracting MH symptoms consider symptom detection and tend to ignore user context, disease, or gender. The current study aims to design and evaluate a system to capture how MH symptoms associated with CVD are expressed differently with the gender on social media. We observe that the reliable detection of MH symptoms expressed by persons with heart disease in user posts is challenging because of the co-existence of (dis)similar MH symptoms in one post and due to variation in the description of symptoms based on gender. We collect a corpus of 150k items (both posts and comments) annotated using the subreddit labels and transfer learning approaches. We propose GeM, a novel task-adaptive multi-task learning approach to identify the MH symptoms in CVD patients based on gender. Specifically, we adapt a knowledge-assisted RoBERTa based bi-encoder model to capture CVD-related MH symptoms. Moreover, it enhances the reliability for differentiating the gender language in MH symptoms when compared to the state-of-art language models. Our model achieves high (statistically significant) performance and predicts four labels of MH issues and two gender labels, which outperforms RoBERTa, improving the recall by 2.14% on the symptom identification task and by 2.55% on the gender identification task.