Peer support plays a vital role in expanding access to mental health care by providing empathetic, community-based support outside formal clinical systems. As digital platforms increasingly mediate such support, the design and impact of these technologies remain under-examined, particularly in Asian contexts. This paper presents findings from an interview study with 20 peer supporters in Singapore, who operate across diverse online, offline, and hybrid environments. Through a thematic analysis, we unpack how participants start, conduct, and sustain peer support, highlighting their motivations, emotional labour, and the sociocultural dimensions shaping their practices. Building on this grounded understanding, we surface design directions for culturally responsive digital tools that scaffold rather than supplant relational care. Drawing insights from qualitative accounts, we offer a situated perspective on how AI might responsibly augment peer support. This research contributes to human-centred computing by articulating the lived realities of peer supporters and proposing design implications for trustworthy and context-sensitive AI in mental health.
Online mental health communities thrive on peer support, yet those who volunteer to help often lack formal training and may struggle to articulate supportive responses. AI co-writing could lower this barrier; however, peer support derives much of its value from being perceived as personal, raising questions around authorship, ownership, and trust. We built PeerPen, a writing assistance tool embedded within a Reddit-like interface, supporting two main features: draft generation and revision of user-written responses. Through semi-structured interviews with 15 participants, we find that PeerPen reduced the burden of composing responses and increased confidence in offering support. Participants wanted AI to assist their writing without taking over authorship and anticipated tensions around authenticity and trust. Such assistance could make authorship uncertain even for responses written without it, weakening trust across the community. We contribute design implications for AI writing assistance that scaffolds supportive communication, preserves authorship, and accounts for community-level trust.
Mental health is a growing global concern, prompting interest in AI-driven solutions to expand access to psychosocial support. \emph{Peer support}, grounded in lived experience, offers a valuable complement to professional care. However, variability in training, effectiveness, and definitions raises concerns about quality, consistency, and safety. Large Language Models (LLMs) present new opportunities to enhance peer support interactions, particularly in real-time, text-based interactions. We present and evaluate an AI-supported system with an LLM-simulated distressed client (\client{}), context-sensitive LLM-generated suggestions (\suggestions{}), and real-time emotion visualisations. 2 mixed-methods studies with 12 peer supporters and 6 mental health professionals (i.e., experts) examined the system's effectiveness and implications for practice. Both groups recognised its potential to enhance training and improve interaction quality. However, we found a key tension emerged: while peer supporters engaged meaningfully, experts consistently flagged critical issues in peer supporter responses, such as missed distress cues and premature advice-giving. This misalignment highlights potential limitations in current peer support training, especially in emotionally charged contexts where safety and fidelity to best practices are essential. Our findings underscore the need for standardised, psychologically grounded training, especially as peer support scales globally. They also demonstrate how LLM-supported systems can scaffold this development--if designed with care and guided by expert oversight. This work contributes to emerging conversations on responsible AI integration in mental health and the evolving role of LLMs in augmenting peer-delivered care.
Mental health disorders affect nearly one billion people globally, yet 75% of individuals in low- and middle-income countries receive no treatment due to workforce shortages, cost barriers, and stigma. Current AI-powered wellness solutions predominantly rely on single-mode conversational interfaces that suffer high abandonment rates and fail to provide measurable, immediate relief calibrated to users' dynamic emotional states. This paper presents Copewell, a novel multi-agent swarm system designed to expand access to mental wellness support through human-centered AI principles. Our architecture introduces three technical innovations: (1) a multi-source assessment framework integrating self-reported, physiological, and contextual data to mitigate algorithmic bias; (2) valence-arousal emotion mapping using Russell's Circumplex Model of Affect to route users to specialized AI agents; and (3) dual-mode intervention delivery combining conversational support with evidence-based sensory wellness protocols. We examine the sociotechnical design considerations underlying Copewell's development, including a privacy-first architecture, embedded ethical oversight through a dedicated Ethics Supervisor agent, and participatory design informed by mental health practitioners. Early practitioner engagement and beta deployment inform design decisions and identify directions for future empirical evaluation. This work contributes to responsible AI discourse by demonstrating how technical architecture can operationalize equity and safety principles from inception.