arXiv:2609.21149v1 Announce Type: new Abstract: Before patients can use AI-assisted psychiatric intake systems, health systems need practical ways to routinely evaluate these tools against their clinical standards for quality assurance. Because clinicians may use different intake styles, evaluation for this task must (1) support comparison across interviewing approaches, (2) minimize clinician burden, and (3) measure clinically relevant performance for health systems deploying these technologies. We present a clinician-grounded evaluation platform built around a memory-augmented patient simulator for open-ended AI interviewing, InterviewPlayground. We created interactive patients using InterviewPlayground with our expert-authored vignettes, constructed a simulated intake platform for the interviews, and designed evaluation modalities relevant to intake. In a pilot of 6 clinicians in a 25-minute assessment compared to a GPT-based LLM intake interviewer, the LLM recovered more of the clinically relevant items embedded in the patient vignettes (88.0% vs. 38.9%), but made more clinical inferences not based on the interview (56.8% vs. 27.8%), and characterized identified safety concerns less often (33.3% vs. 66.7%), setting the stage for deployed quality assurance for this task.
Clinician-Grounded Quality Assurance for AI-Assisted Psychiatric Intake
A clinician-grounded evaluation platform called InterviewPlayground, built around a memory-augmented patient simulator for open-ended AI interviewing, was tested in a pilot with 6 clinicians in a 25-minute assessment against a GPT-based LLM intake interviewer, according to an arXiv paper (arXiv:2609.21149v1). The LLM recovered 88.0% of clinically relevant items embedded in patient vignettes versus 38.9% for the clinicians, but made more clinical inferences not based on the interview (56.8% vs. 27.8%) and characterized identified safety concerns less often (33.3% vs. 66.7%). The authors present the platform as a way for health systems to routinely evaluate AI-assisted psychiatric intake tools against clinical standards before deployment.
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