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‘Thank God they’re still alive’: Kaiser therapists claim its new screening system puts patients at higher risk by delaying their care

TL;DR

Kaiser Permanente introduced a new AI-assisted mental health screening system in January 2024; therapists say it has caused dangerous delays in patient care.

Key Points

  • Licensed professionals used to be the first point of contact for behavioral health patients; striking workers say that has changed since the rollout.
  • Clinical social worker Ilana Marcucci-Morris says she now regularly sees patients who should have been in the ER weeks earlier.
  • Kaiser denies the claims, saying it delivers 'timely, high-quality care' – striking employees strongly disagree.

Nauti's Take

When seasoned clinicians say 'thank God they're still alive,' that is not a system feature – it is a red flag. Kaiser likely sells the AI screening internally as an efficiency gain; what it sounds like in practice is liability minimization at the expense of the most vulnerable.

The fact that striking employees are the only ones speaking openly about this says a lot about transparency culture in US healthcare. AI in psychiatry is not inherently wrong – but as a gatekeeper without clinical oversight, it is dangerous.

Sources