
Dr. Roy H. Perlis from Massachusetts General Hospital published a landmark Special Communication in JAMA Psychiatry exploring how artificial intelligence could reshape mental health care delivery. The review emphasizes that while AI integration has potential to expand access and improve quality of care, it also presents substantial risks. Key concerns include the possibility that AI chatbots and stratification algorithms may actually diminish access to human-delivered care, and that reliance on AI tools could lead to diminished clinician skills. The probabilistic nature of large language models makes their capacity to cause harm difficult to determine. Dr. Perlis concludes that strategies to mitigate risk may require enhanced regulation, systematic evaluation of AI impact in practice, and specialized clinician training.
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