The SMART Framework: A Structured Approach for Implementing Generative AI in Psychotherapy

Virtual · October 2025

Poster · Clinical Science

Elad Refoua
Bar-Ilan University, Israel
Yuval Haber
Karen Yirmiya
Eshkol Rafaeli
Bar-Ilan University
Dror Yinon
Dana Atzil-Slonim
Bar-Ilan University
Peter Fonagy
University College of London
Gunther Meinlschmidt
Dorit Hadar-Shoval
Tomer Simon
Inbal Reuveni
Zohar Elyoseph
University of Haifa

Abstract

We introduce the SMART framework, a hierarchical model for integrating Generative AI in psychotherapy. This five-level roadmap (Support, Mentor, Assist, Record, Transform) moves beyond binary debate, offering a structured methodology for practitioners to responsibly implement AI and for researchers to empirically investigate its clinical impact.

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The SMART Framework: A Structured Approach for Implementing Generative AI in Psychotherapy

Abstract

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