Humane Intelligence in Geropsychiatric Care: Relational Artificial Intelligence, Clinical Wisdom, and the Moral Grid Operational Index (Accepted Author Manuscript)

“Humane Intelligence in Geropsychiatric Care: Relational Artificial Intelligence, Clinical Wisdom, and the Moral Grid Operational Index”

What this is: Humane Intelligence is a clinician-grounded framework for using AI in care with older adults in ways that preserve dignity, reduce harm, and support sound clinical judgment. It emphasizes four pillars: Relational Intelligence, Transparency with Care, Reciprocity and Consent, and Ethical Governance in Strategic Regions, so that AI-supported workflows remain understandable, accountable, and aligned with real human needs. The paper also introduces the Moral Grid Operational Index, a practical tool for evaluating risk, oversight requirements, and appropriate use across common clinical scenarios. These materials are being shared to support responsible implementation, education, and policy discussions as AI systems increasingly shape healthcare communication and access.

This page provides the Accepted Author Manuscript (AAM) of the article listed below. The AAM reflects the version after peer review and author revisions, and before publisher copyediting and typesetting. It is not the publisher’s final Version of Record.

How to use this page:  Download the AAM below. The appendix is provided as supplementary material. For the journal listing and abstract, use the DOI/abstract link in the citation.

Keywords: Humane Intelligence; Moral Grid Operational Index; geropsychiatric care; older adults; Relational Intelligence; Transparency with Care; Reciprocity and Consent; Ethical Governance in Strategic Regions; clinical oversight; patient-caregiver communication; trustworthy AI.

How to cite (Version of Record):
Kyomen HH (on behalf of the Group for the Advancement of Psychiatry Committee on Aging). Humane Intelligence in Geropsychiatric Care: Relational Artificial Intelligence, Clinical Wisdom, and the Moral Grid Operational Index. Am J Geriatr Psychiatry. (Article in Press). https://doi.org/10.1016/j.jagp.2025.12.012

Abstract link: https://www.ajgponline.org/article/S1064-7481(25)00567-6/abstract

 

Note:

This clinical ethics and governance framework shares its name with a U.S. nonprofit called “Humane Intelligence,” but is not affiliated with that organization.

 

Files:

Please cite the Version of Record using the DOI above.

 

Repository Record:
An OpenBU repository record is available here (full text may be embargoed per journal policy): https://hdl.handle.net/2144/52014

 

This image represents life, growth, and care at the heart of Humane Intelligence. Each petal symbolizes a core pillar: Relational Intelligence, Transparency with Care, Reciprocity and Consent, and Ethical Governance. The center where they meet reflects the Moral Grid—a space for alignment, reflection, and ethical decision-making. The luminous glow suggests a hope: that artificial intelligence may clarify and support care—illuminating without replacing the human soul.

This image represents life, growth, and care at the heart of Humane Intelligence. Each petal symbolizes a core pillar: Relational Intelligence, Transparency with Care, Reciprocity and Consent, and Ethical Governance. The center where they meet reflects the Moral Grid—a space for alignment, reflection, and ethical decision-making. The luminous glow suggests a hope: that artificial intelligence may clarify and support care—illuminating without replacing the human soul.

Faculty Profile (current): https://profiles.bu.edu/Helen.Kyomen

Orcid Profile: https://orcid.org/0000-0002-4196-6915

Last updated: January 12, 2026.