CARE: Counselor-Aligned Response Engine for Online Mental-Health Support

Hagai Astrin, Ayal Swaid, Avi Segal, Kobi Gal · Apr 23, 2026 · Citations: 0

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Evidence quality

Low

Derived from extracted protocol signals and abstract evidence.

Abstract

Mental health challenges are increasing worldwide, straining emotional support services and leading to counselor overload. This can result in delayed responses during critical situations, such as suicidal ideation, where timely intervention is essential. While large language models (LLMs) have shown strong generative capabilities, their application in low-resource languages, especially in sensitive domains like mental health, remains underexplored. Furthermore, existing LLM-based agents often struggle to replicate the supportive language and intervention strategies used by professionals due to a lack of training on large-scale, real-world datasets. To address this, we propose CARE (Counselor-Aligned Response Engine), a GenAI framework that assists counselors by generating real-time, psychologically aligned response recommendations. CARE fine-tunes open-source LLMs separately for Hebrew and Arabic using curated subsets of real-world crisis conversations. The training data consists of sessions rated as highly effective by professional counselors, enabling the models to capture interaction patterns associated with successful de-escalation. By training on complete conversation histories, CARE maintains the evolving emotional context and dynamic structure of counselor-help-seeker dialogue. In experimental settings, CARE demonstrates stronger semantic and strategic alignment with gold-standard counselor responses compared to non-specialized LLMs. These findings suggest that domain-specific fine-tuning on expert-validated data can significantly support counselor workflows and improve care quality in low-resource language contexts.

Abstract-only analysis — low confidence

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The available metadata is too thin to trust this as a primary source.
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Should You Rely On This Paper?

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Best use

Background context only

Use if you need

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Main weakness

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Trust level

Low

Usefulness score

0/100 • Low

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Human Feedback Signal

Not explicit in abstract metadata

Evaluation Signal

Weak / implicit signal

Usefulness for eval research

Adjacent candidate

Extraction confidence 15%

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What We Could Verify

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