AI Behavioral Health Project
Overview
Due to the subtle behavioral changes that manifest in patients with depression and anxiety, in visual, auditory, and linguistic domains, the problem of depression and anxiety diagnosis lends itself well to a digital, artificial intelligence--based approach. Spanning natural language processing, computer vision, and machine learning for audio analysis, AI-based approaches may be leveraged to detect these nuanced behavioral changes. As a result, the central question of this research is: Can AI methods detect the presence and severity of depression and anxiety?
To explore this question, we collected a novel dataset at the Stanford Family Medicine Clinic. This dataset consists of audio recordings, video recordings, and text transcriptions of casual conversations, like those occurring during intake and rooming at the beginning of a clinic visit. We estimated the presence and severity of depression and anxiety using unimodal and multimodal deep learning models that take as input these audio, video, and text data. We then used saliency analysis to determine the most significant visual and textual features, to illuminate behavioral and digital markers of depression and anxiety that our models use.
We proposed methods of integrating these novel screening tools into clinical care pathways to expand screening for common mental health disorders. This research introduced new AI models for automated mental health screening, generated meaningful clinical insights on behavioral markers of depression and anxiety within our dataset, and charted a path toward AI-enabled, widespread, accessible mental health screening.
CERC
Dr. Nirav Shah
CERC Senior Scholar
Dr. Nirav Shah is a Senior Scholar at Stanford University’s Clinical Excellence Research Center. He is a leader in patient safety and quality, innovation and digital health, and the strategies required to
transistion to lower-cost, patient-centered health care. Board-certified in Internal Medicine, Dr. Shah is a graduate of Harvard College and Yale School of Medicine, and is an elected member of the National Academy of Medicine.
Dr. Shah serves as an independent director for STERIS plc, as an Advisor to Deerfield Management, and as a trustee of The John A. Hartford Foundation. He is a Senior Fellow of the Institute for Healthcare Improvement (IHI), and helps set the health priorities for the United States as a member of the HHS Secretary's Advisory Committee on National Health Promotion and Disease Prevention Objectives for 2030. Previously, he served as senior vice president and Chief Operating Officer for clinical operations for Kaiser Permanente in Southern California, and as Commissioner of the New York State Department of Health.
Tracy Terada
Research Operations Manager
Tracy is a 15+ year adminstrative veteran for the Stanford School of Medicine. She started at the Lane Medical Library and is currently with the Clinical Excellence Research Center.
Ms. Daswani is currently the VP of Product at Visby Medical - a diagnostics company that designed and launched the first single-use PCR device. The first 2 products are for covid-19 and sexual health. Over the past decade, Samira has built a portfolio of products and companies that she has launched. As a part of Accretive, Samira played an instrumental role in the launch of 2 separate companies across the fashion and healthcare industry. While at Stanford, together with a group of talented individuals, Samira co-founded a venture that helps individuals better manage their emotional wellbeing. Her career started as a strategy consultant at McKinsey & Company. She earned a Master's degree in Design at Stanford University, a bachelor’s degree in biological engineering and art history from MIT and Wellesley College respectively.
On the personal side, Samira is a breast cancer survivor. Outside of giving back to the cancer community, she is an avid scuba diver, a red belt in taekwondo, and enjoys sketching on the weekends.
Stanford Healthcare AI Applied Research Team (HEA3RT)
Dr. Amelia Louise Sattler
Clinical Assistant Professor, Associate Director
Dr. Sattler is the Associate Director of HEA3RT. She joined Stanford Family Medicine in 2013, and is an ebullient family physician with special interests
Margaret Smith MBA
Director of Operations
Margaret Smith is the Director of Operations of HEA3RT where she works with industry collaborators, and clinical and operational leaders
Grace Eunhae Hong
Research Associate
Grace Hong was born and raised in Illinois and graduated from Stanford University in 2019 with a B.A. in Economics.
Grace works with the Stanford Healthcare AI Applied Research Team (HEA3RT) to study the implementation of AI technologies in healthcare settings and has a special interest in better understanding how innovations in health technology can be used to improve access to healthcare and remedy health disparities.
Jeannie Yejin Jeong
Research Associate
Jeannie Jeong was born and raised in Yong-in, South Korea, and graduated from Vanderbilt University in 2022 with a B.A. in Psychology and Cognitive Science.
Department of Computer Science
Neha Srivastha
Graduate Student - Joined 2021
Neha Srivathsa is a 2023 first-year PhD student in Computer Science and is currently rotating with Prof. Fei-Fei Li. Her research interests are in machine learning for clinical medicine.