Response-act Guided Reinforced Dialogue Generation for Mental Health Counseling

Virtual Mental Health Assistants (VMHAs) have become a prevalent method for receiving mental health counseling in the digital healthcare space. An assistive counseling conversation commences with natural open-ended topics to familiarize the client with the environment and later converges into more fine-grained domain-specific topics. Unlike other conversational systems, which are categorized as open-domain or task-oriented systems, VMHAs possess a hybrid conversational flow. These counseling bots need to comprehend various aspects of the conversation, such as dialogue-acts, intents, etc., to engage the client in an effective conversation. Although the surge in digital health research highlights applications of many general-purpose response generation systems, they are barely suitable in the mental health domain -- the prime reason is the lack of understanding in mental health counseling. Moreover, in general, dialogue-act guided response generators are either limited to a template-based paradigm or lack appropriate semantics. To this end, we propose READER -- a REsponse-Act guided reinforced Dialogue genERation model for the mental health counseling conversations. READER is built on transformer to jointly predict a potential dialogue-act d(t+1) for the next utterance (aka response-act) and to generate an appropriate response u(t+1). Through the transformer-reinforcement-learning (TRL) with Proximal Policy Optimization (PPO), we guide the response generator to abide by d(t+1) and ensure the semantic richness of the responses via BERTScore in our reward computation. We evaluate READER on HOPE, a benchmark counseling conversation dataset and observe that it outperforms several baselines across several evaluation metrics -- METEOR, ROUGE, and BERTScore. We also furnish extensive qualitative and quantitative analyses on results, including error analysis, human evaluation, etc.