@inproceedings{51468fc9565a468786e412c11e6a82d9,
title = "Beyond Engagement: A Multidimensional Framework to Evaluate the Safe Development of Agentic AI in Mental Health",
abstract = "The rapid rise of agentic AI in mental health exposes a misalignment between conversational fluency and user safety. We present a multidimensional framework spanning nine evaluation domains—from clinical validity to relational risk and regulatory compliance—designed to assess agentic systems beyond surface metrics. Applying it to eight real-world tools reveals that the most popular agents often lack basic safeguards, while clinically validated solutions remain underutilized. These findings highlight the need for structured oversight and public awareness. Our framework offers a foundation for safer deployment, informed regulation, and design practices grounded in mental health ethics.",
keywords = "Agentic AI, Autonomy boundaries, Conversational agents, Human-centred AI, Human-computer interaction, Trustworthy AI",
author = "\{Santa Cruz\}, \{Beatriz Garcia\} and Carlos Vega and Philip Santangelo and Venkata Satagopam",
note = "Publisher Copyright: {\textcopyright} The Author(s), under exclusive license to Springer Nature Switzerland AG 2026.; 1st International Workshop on Agentic AI for Medicine, Agentic AI 2025, 1st International Workshop on Clinical-Driven Robotics and Embodied AI Technology, CREATE 2025, and 1st International Workshop on Multimodal Large Language Models in Clinical Practice, CMLLMs 2025, Held in Conjunction with the 28th International Conference on Medical Image Computing and Computer Assisted Intervention, MICCAI 2025 ; Conference date: 23-09-2025 Through 27-09-2025",
year = "2025",
month = sep,
day = "22",
doi = "10.1007/978-3-032-06004-4\_8",
language = "English",
isbn = "9783032060037",
series = "Lecture Notes in Computer Science",
publisher = "Springer Science and Business Media Deutschland GmbH",
pages = "74--84",
editor = "Jianing Qiu and Jinlin Wu and Curtis Langlotz and Baoru Huang and Zhen Lei and Honghan Wu and Hongbin Liu and Weidi Xie",
booktitle = "AI for Clinical Applications - 1st International Workshops, Agentic AI 2025, CREATE 2025, and Clinical MLLMs 2025, Held in Conjunction with MICCAI 2025, Proceedings",
address = "Germany",
}