# FAIIR: Building Toward A Conversational AI Agent Assistant for Youth Mental Health Service Provision

arXiv: https://arxiv.org/abs/2405.18553 · HTML: https://mlsanity.com/paper/2405.18553/

## Key facts

- Cited by 3 papers in the map (data through 14 Oct 2026).
- Builds on 15 of its 36 references that are in the map.
- First posted on arXiv 28 May 2024.

## Builds on (most cited first, 15 of 15)

- [Attention Is All You Need](https://mlsanity.com/paper/1706.03762/) (2017)
- [BERT: Pre-training of Deep Bidirectional Transformers for Language Understanding](https://mlsanity.com/paper/1810.04805/) (2018)
- [RoBERTa: A Robustly Optimized BERT Pretraining Approach](https://mlsanity.com/paper/1907.11692/) (2019)
- [Longformer: The Long-Document Transformer](https://mlsanity.com/paper/2004.05150/) (2020)
- [Axiomatic Attribution for Deep Networks](https://mlsanity.com/paper/1703.01365/) (2017)
- [XLNet: Generalized Autoregressive Pretraining for Language Understanding](https://mlsanity.com/paper/1906.08237/) (2019)
- [ClinicalBERT: Modeling Clinical Notes and Predicting Hospital Readmission](https://mlsanity.com/paper/1904.05342/) (2019)
- [Depression and Self-Harm Risk Assessment in Online Forums](https://mlsanity.com/paper/1709.01848/) (2017)
- [DialogLM: Pre-trained Model for Long Dialogue Understanding and Summarization](https://mlsanity.com/paper/2109.02492/) (2021)
- [Clinical-Longformer and Clinical-BigBird: Transformers for long clinical sequences](https://mlsanity.com/paper/2201.11838/) (2022)
- [Revisiting Transformer-based Models for Long Document Classification](https://mlsanity.com/paper/2204.06683/) (2022)
- [Domain-specific Continued Pretraining of Language Models for Capturing Long Context in Mental Health](https://mlsanity.com/paper/2304.10447/) (2023)
- [An Exploration of Encoder-Decoder Approaches to Multi-Label Classification for Legal and Biomedical Text](https://mlsanity.com/paper/2305.05627/) (2023)
- [MVP: Multi-task Supervised Pre-training for Natural Language Generation](https://mlsanity.com/paper/2206.12131/) (2022)
- [Bringing the State-of-the-Art to Customers: A Neural Agent Assistant Framework for Customer Service Support](https://mlsanity.com/paper/2302.03222/) (2023)

## Built on by (most cited first, 3 of 3)

- [When Can We Trust LLMs in Mental Health? Large-Scale Benchmarks for Reliable LLM Evaluation](https://mlsanity.com/paper/2510.19032/) (2025)
- [Assessing the Quality of Mental Health Support in LLM Responses through Multi-Attribute Human Evaluation](https://mlsanity.com/paper/2601.18630/) (2026)
- [Academic case reports lack diversity: Assessing the presence and diversity of sociodemographic and behavioral factors related to Post COVID-19 Condition](https://mlsanity.com/paper/2501.12538/) (2025)

## Abstract (arXiv)

The world's healthcare systems and mental health agencies face both a growing demand for youth mental health services, alongside a simultaneous challenge of limited resources. Here, we focus on frontline crisis support, where Crisis Responders (CRs) engage in conversations for youth mental health support and assign an issue tag to each conversation. In this study, we develop FAIIR (Frontline Assistant: Issue Identification and Recommendation), an advanced tool leveraging an ensemble of domain-adapted and fine-tuned transformer models trained on a large conversational dataset comprising 780,000 conversations. The primary aim is to reduce the cognitive burden on CRs, enhance the accuracy of issue identification, and streamline post-conversation administrative tasks. We evaluate FAIIR on both retrospective and prospective conversations, emphasizing human-in-the-loop design with active CR engagement for model refinement, consensus-building, and overall assessment. Our results indicate that FAIIR achieves an average AUCROC of 94%, a sample average F1-score of 64%, and a sample average recall score of 81% on the retrospective test set. We also demonstrate the robustness and generalizability of the FAIIR tool during the silent testing phase, with less than a 2% drop in all performance metrics. Notably, CRs' responses exhibited an overall agreement of 90.9% with FAIIR's predictions. Furthermore, expert agreement with FAIIR surpassed their agreement with the original labels. To conclude, our findings indicate that assisting with the identification of issues of relevance helps reduce the burden on CRs, ensuring that appropriate resources can be provided and that active rescues and mandatory reporting can take place in critical situations requiring immediate de-escalation.