Exploring Reinforcement Learning for Fluid Transitions Between Clinical Mental Healthcare and Everyday Wellness Support
On the map: Deep reinforcement learning methods → RL for clinical treatment and surgery
Abstract (arXiv)
Mental health struggles wax and wane, yet clinical and wellness interventions typically operate separately, causing frequent breakdowns at care transitions. We explore reinforcement learning (RL) as a means to build digital health systems that deliver clinical and wellness interventions proactively, as part of a coherent care journey. We ask: what complexities does designing such a system involve? We built a contextual bandit that dynamically selects journaling prompts from clinical and wellness repertoires to optimize for an overarching health goal (sustained journaling) and deployed it in a four-week exploratory study (N=38). We found that, first, many benefits of RL-optimized intervention sequences appeared only after interventions ended, raising the question: Should systems that offer coherent clinical-wellness care journeys include stepping-back periods? If so, when and how? Second, participants most engaged with RL-generated interventions deepened their engagement over time, while those most engaged with a constant intervention tended to burn out and drop out later. It raises the question: When should a system blending clinical and wellness interventions reduce intensity to prevent burnout in versus sustain it to maximize treatment gains?
Key facts. No citing papers in the map yet (data through 14 Oct 2026). Placed in RL for clinical treatment and surgery, one of 15 directions in Deep reinforcement learning methods. Builds on 4 of its 41 references that are in the map. First posted on arXiv 5 Jun 2026.
Builds on
4 of 41 references.
References · 4
- 2019Reinforcement Learning in Healthcare: A Surveycited by 310
- 2022CoAuthor: Designing a Human-AI Collaborative Writing Dataset for Exploring Language Model Capabilitiescited by 249
- 2016A Reinforcement Learning System to Encourage Physical Activity in Diabetes Patientscited by 38
- 2021Not Now, Ask Later: Users Weaken Their Behavior Change Regimen Over Time, But Expect To Re-Strengthen It Imminentlycited by 4
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- 2024Context in Public Health for Underserved Communities: A Bayesian Approach to Online Restless Bandits