Committee on Aging
The Committee focuses on the intersections between aging and psychiatry
GAP Committee on Aging – Humane Intelligence and AI & Older Adults Update
The GAP Committee on Aging’s Humane Intelligence project has reached an important milestone. Our Special Article, “Humane Intelligence in Geropsychiatric Care: Relational Artificial Intelligence, Clinical Wisdom, and the Moral Grid Operational Index,” has been accepted for publication in the American Journal of Geriatric Psychiatry and is scheduled for the April 2026 issue as part of Ars Longa, Vita Brevis. The paper proposes a practical, clinician-facing framework and “moral grid” to guide safer AI use with older adults, with particular attention to clinical decision-making, caregiver burden, equity, and documented harms and overrides.
This work has been very much a committee effort. Members contributed case examples, questions, and critiques across several rounds of discussion and revision. We are grateful to Dr. George Alexopoulos of the American Journal of Geriatric Psychiatry, for his detailed guidance, which helped strengthen the manuscript’s clarity, rigor, and usefulness for clinicians and health systems.
The Humane Intelligence framework is also beginning to shape our educational work. General sessions on Humane Intelligence and AI in late-life mental health have been accepted for both the 2026 American Association for Geriatric Psychiatry (AAGP) Annual Meeting and the 2026 American Psychiatric Association (APA) Annual Meeting, where members of the GAP Committee on Aging and GAP Technology and Psychiatry Committee will present and discuss practical implications for clinicians, trainees, and health-system leaders. These sessions will discuss the four pillars: Relational Intelligence, Transparency with Care, Reciprocity and Consent, and Ethical Governance in Strategic Regions, and will introduce the Moral Grid Operational Index as a tool for everyday practice.
Looking ahead, the GAP Committee on Aging plans to continue developing practical tools and examples to accompany the article and presentations, for example, brief vignettes, checklists, and teaching materials that can help clinicians, trainees, and health systems apply Humane Intelligence principles at the bedside, in program design, and in policy discussions. Members who are interested in contributing cases, questions, or teaching applications related to AI and older adults are warmly invited to contact the GAP Committee on Aging.
ABOUT OUR COMMITTEE
OUR WORK
Humane Intelligence for Geropsychiatric Care
The Psychiatric Treatment of Alzheimer’s Disease
Psychiatry and the Aged: An Introductory Approach
ADDITIONAL WORK
Publications that were reviewed by the GAP Publications Board and/or Committee:
Beyer JL, Dix E, Husain-Krautter S, Kyomen HH. Enhancing brain health and well-being in older adults: innovations in lifestyle interventions. Curr Psychiatry Rep 2024; 26:405-412. doi: 10.1007/s11920-024-01513-4. PMID: 38842654.
Crone C, Fochtmann LJ, Ahmed I, Balas MC, Boland R, Escobar JI, Heinrich T, Jackson-Triche M, Levenson JL, Mattison M, McCullen Truett J, Oldham MA, Seritan A, Fochtmann LJ, Hong SH. The American Psychiatric Association Practice Guideline for the Prevention and Treatment of Delirium. Am J Psychiatry. 2025 Sep 1;182(9):880-884
Ellison JM, Husain-Krautter S, Lee J, Ahmed I: Age-Triggered Cognitive Testing of Late-Career Physicians: Time to Reassess Current Practices. American Journal of Geriatric Psychiatry (in press)
Kyomen HH, on behalf of the Group for the Advancement of Psychiatry (GAP) Committee on Aging. Humane Intelligence in geropsychiatric care: relational artificial intelligence, clinical wisdom, and the Moral Grid Operational Index. Am J Geriatr Psychiatry 2026; 34:674-692. doi: 10.1016/j.jagp.2025.12.012. PMID: 41708395.
Kyomen HH, Roca R, Sakauye K. Geriatric psychiatry interventions. In: Stoddard FJ Jr, Katz CL, Brenner GH, eds. Disaster Psychiatry: Readiness, Evaluation, and Treatment. 2nd ed. Washington, DC: American Psychiatric Association Publishing; 2025:337–350. doi:10.1176/appi.books.9780873182539.lg20.
Mah L, Rajkumar G, Lavretsky H, Reynolds CF 3rd, Asghar-Ali AA, Gentry MT, Ahmed I, Shteinlukht T. Inclusion, Diversity, Equity in Action (IDEA): The American Association for Geriatric Psychiatry Results From the 2016 and 2023 Surveys. Am J Geriatr Psychiatry. 2025 Jul;33(7):746-755
Tampi R, Gupta A, Ahmed I: Why Does the US Overly Rely on International Medical Graduates in its Geriatric Psychiatric Workforce? AMA Journal of Ethics October 2023; Vol. 25 (10): E771-776
Trinh NT, Ahmed I, Bhugra D: Mental Health of Older Adults Across the Globe: Addressing Current Challenges in a Cultural Context. American Journal of Geriatric Psychiatry 2026 April; 34(4):660-663
Published conference/symposium abstracts, not reviewed by the GAP Publications Board and/or Committee:
Kyomen HH, Husain-Krautter S, Beyer JL, Dix E. Brain health and well-being in older adults: innovations in lifestyle interventions. Am J Geriatr Psychiatry 2024; 32(4 Suppl):S24-S25. doi: 10.1016/j.jagp.2024.01.082.
Kyomen HH, Husain-Krautter S, Beyer JL, Dix E. Lifestyle enhancements for brain health and well-being in older adults: challenges to implementation. Am J Geriatr Psychiatry 2025; 33(10 Suppl):S127-S128. doi: 10.1016/j.jagp.2025.04.199.
Kyomen HH, Lehmann S, vanDyck L, Nash M. Aging with grace: the roles of resilience, wisdom, creativity, spirituality and social connectedness. Am J Geriatr Psychiatry 2025; 33(10 Suppl):S109-S110. doi: 10.1016/j.jagp.2025.04.160.
Kyomen HH, Sakauye K, Beyer JL, Luo J. Healthy aging in psychiatry: the role of AI and humane intelligence. Am J Geriatr Psychiatry 2026; 34(10 Suppl). doi: 10.1016/j.jagp.2026.03.097.
Policy and Technical Submissions, not reviewed by GAP Publications Board and/or Committee:
Kyomen HH. Humane Intelligence and Moral Grid Operational Index: Using Geriatric Psychiatry as a Proving Ground for Humane, Trustworthy Healthcare AI. Evidence-linked policy brief prepared in personal capacity for the United Nations Independent International Scientific Panel on Artificial Intelligence and inaugural UN Global Dialogue on Artificial Intelligence Governance. Core recommendations submitted through the Global Dialogue written-input form, April 25, 2026; supplemental brief emailed to the Global Dialogue Secretariat/UN Office for Digital and Emerging Technologies, April 26, 2026.
Kyomen HH. User Meaning-Making in Generative AI Systems. Supplementary concept note submitted by email to ITU AI for Good, May 4, 2026.
Kyomen HH. A Lifespan Approach to AI Governance. Written participant reflection submitted to the Secretariat of the United Nations Global Dialogue on Artificial Intelligence Governance after the inaugural Geneva Dialogue, July 2026; advocated explicit inclusion of older adults and cognitively vulnerable persons in continuing Dialogue work.
Kyomen HH. Human Rights Safeguards for Neurotechnology and AI in the Administration of Justice: A Humane Intelligence Framework Perspective. Brief dated March 8, 2026, submitted in personal capacity to the United Nations Office of the High Commissioner for Human Rights (OHCHR) in response to its call for input on neurotechnology and other emerging technologies in the administration of justice; subsequently posted on the OHCHR website under “Inputs received.”
Publications written by GAP members/guest/others, NOT reviewed by GAP Publications Board and/or Committee:
Nash MC, Husain-Krautter S, Kyomen HH. Epidemiology of old age disorders and challenges across the globe. In: Trinh NHT, Ahmed I, Bhugra D, eds. Mental Health in Older People Across Cultures. Oxford: Oxford University Press; 2025:213–222. doi:10.1093/med/9780198874799.003.0015.
Koh S, Kyomen HH, Hann M, Gould H. Financial issues in the delivery of geriatric psychiatric care. In: Boland R, Verduin ML, eds. Kaplan and Sadock’s Comprehensive Textbook of Psychiatry. 11th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2025:4392–4402.
Kyomen HH. Geriatric psychiatry: gender issues. In: Boland R, Verduin ML, eds. Kaplan and Sadock’s Comprehensive Textbook of Psychiatry. 11th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2025:4427–4432.
Manuscript, written by a GAP COA member with three trainees, NOT reviewed by GAP Publications Board and/or Committee:
Li O, Traugott P, Irizarry-Flores JC, Kyomen HH. Lifestyle psychiatry for older adults. In: Noordsy DL, Burgess JD, Chawla V, Baron DA, eds. The American Psychiatric Association Publishing Textbook of Lifestyle Psychiatry. Washington, DC: American Psychiatric Association Publishing. In press.
Books
Trinh NT, Ahmed I, Bhugra D (Eds): Mental Health in Older People Across Cultures. Oxford University Press, Feb. 2025
Section Editor, Neurocognitive Disorders in Robert Boland , Marcia Verduin Sadock (Eds): Sadock’s Comprehensive Textbook of Psychiatry, 11th Edition. Wolters Kluwer Health Publishing, 2024
Book Chapters
Madarasmi S, Trinh NT, Ahmed I: Culture and Ageing: The role of culture, race, and ethnicity, in Trinh NT, Ahmed I, Bhugra D (Eds): Mental Health in Older People Across Cultures. Oxford University Press, Feb. 2025
Wang M, Duong K, Trinh T, Ahmed I: The impact of pandemics and social determinants of health, in Trinh NT, Ahmed I, Bhugra D (Eds): Mental Health in Older People Across Cultures. Oxford University Press, Feb. 2025
Ratnakaran B, Trinh NT, Ahmed I: North America, in Trinh NT, Ahmed I, Bhugra D (Eds): Mental Health in Older People Across Cultures. Oxford University Press, Feb. 2025
Trinh NT, Ahmed I, Bhugra D: Conclusion, in Trinh NT, Ahmed I, Bhugra D (Eds): Mental Health in Older People Across Cultures. Oxford University Press, Feb. 2025
Boland RJ, Ahmed I: The Aging Brain, in Robert Boland , Marcia Verduin (Eds): Sadock’s Comprehensive Textbook of Psychiatry, 11th Edition. Wolters Kluwer Health Publishing, 2024
Ahmed I: Cognitive Disorders: Introduction, in Robert Boland , Marcia Verduin (Eds): Sadock’s Comprehensive Textbook of Psychiatry, 11th Edition. Wolters Kluwer Health Publishing, 2024
Graziane J, Ahmed I: Major Cognitive Disorders (Dementia), in Robert Boland , Marcia Verduin (Eds): Sadock’s Comprehensive Textbook of Psychiatry, 11th Edition. Wolters Kluwer Health Publishing, 2024
Boland R, Ahmed I: Cognitive Disorders Due to Another Medical Condition or Substance, in Robert Boland , Marcia Verduin (Eds): Sadock’s Comprehensive Textbook of Psychiatry, 11th Edition. Wolters Kluwer Health Publishing, 2024
Ahmed I: Antidementia Drugs in Robert Boland , Marcia Verduin (Eds): Sadock’s Comprehensive Textbook of Psychiatry, 11th Edition. Wolters Kluwer Health Publishing, 2024
Members: Helen H. Kyomen (Chair), Robert P. Roca, Susan Lehmann, Sehba Husain-Krautter, Ebony Dix, John L. Beyer, Kenneth Sakauye
Fellow: Laura van Dyck
Guests: Iqbal Ahmed, Maureen Nash, Elizabeth J. Santos