“Humane Intelligence”: A New Framework to Make AI in Elder Care More Ethical and Human

A new special article in The American Journal of Geriatric Psychiatry introduces HumaneIntelligence, a geriatric psychiatry -led framework designed to ensure that artificial intelligence supports older adults in ways that are safe, fair, and deeply human. Led by Dr. Helen H. Kyomen of Boston university, the framework shifts AI governance from focusing on technology to prioritizing patient and caregiver experience, especially during moments of vulnerability. 

Built on four pillars: Relational Intelligence, Transparency with care, reciprocity and consent, and ethical governance; the model helps clinicians and health systems use AI responsibly while keeping human professionals accountable for high-stakes decisions. By pairing ethical principles with real-world clinical guidance, Humane Intelligence offers a roadmap for using AI to improve care for older adults without sacrificing trust, dignity, or human connection.

“Clinically, the framework emphasizes that a responsible human clinician remains accountable for high-stakes decisions, and that fully automated older-adult mental health care is discouraged.”