Culture by Design: A Sociotechnical Framework for Culturally Grounded AI for Mental Health

Sunny Rai, Elizabeth Stade, Graise Zhou, Neil Sehgal, Simone Schriger, Sara Gerke, Lyle Ungar, Sharath Chandra Guntuku


Abstract
AI systems for mental health are developed predominantly using data from Western, Educated, Industrialized, Rich, and Democratic (WEIRD) populations, raising concerns about their validity, fairness, and generalizability across geo-cultural contexts. This limitation is especially consequential in mental health, where linguistic expression, symptom presentation, help-seeking behavior, and access to care vary substantially across populations. We argue that culturally responsive AI mental health systems require explicit attention to culture throughout the development lifecycle, from data collection to training and deployment. We present a sociotechnical framework for developing culturally responsive AI mental health applications to provide AI researchers and practitioners with an actionable roadmap for building more equitable, reliable, and contextually appropriate mental health technologies.
Anthology ID:
2026.clpsych-1.10
Volume:
Proceedings of the 10th Workshop on Computational Linguistics and Clinical Psychology (CLPsych 2026)
Month:
July
Year:
2026
Address:
San Diego, California, USA
Editors:
Aya Zirikly, Kfir Bar, Sean MacAvaney, Molly Ireland, Yaakov Ophir, Dana Atzil-Slonim, Vasudha Varadarajan, Steven Bedrick, Bart Desmet
Venues:
CLPsych | WS
SIG:
Publisher:
Association for Computational Linguistics
Note:
Pages:
128–137
Language:
URL:
https://preview.aclanthology.org/ingest-acl-workshops/2026.clpsych-1.10/
DOI:
Bibkey:
Cite (ACL):
Sunny Rai, Elizabeth Stade, Graise Zhou, Neil Sehgal, Simone Schriger, Sara Gerke, Lyle Ungar, and Sharath Chandra Guntuku. 2026. Culture by Design: A Sociotechnical Framework for Culturally Grounded AI for Mental Health. In Proceedings of the 10th Workshop on Computational Linguistics and Clinical Psychology (CLPsych 2026), pages 128–137, San Diego, California, USA. Association for Computational Linguistics.
Cite (Informal):
Culture by Design: A Sociotechnical Framework for Culturally Grounded AI for Mental Health (Rai et al., CLPsych 2026)
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PDF:
https://preview.aclanthology.org/ingest-acl-workshops/2026.clpsych-1.10.pdf