Deborah Richards

Filippo Cenacchi. Longbing Cao, Mitchell McEwan, Deborah Richards

We target passive dementia screening from short camera-facing talking head video, developing a facial temporal micro dynamics analysis for language free detection of early neuro cognitive change. This enables unscripted, in the wild video analysis at scale to capture natural facial behaviors, transferrable across devices, topics, and cultures without active intervention by clinicians or researchers during recording. Most existing resources prioritize speech or scripted interviews, limiting use outside clinics and coupling predictions to language and transcription. In contrast, we identify and analyze whether temporal facial kinematics, including blink dynamics, small mouth jaw motions, gaze variability, and subtle head adjustments, are sufficient for dementia screening without speech or text. By stabilizing facial signals, we convert these micro movements into interpretable facial microdynamic time series, smooth them, and summarize short windows into compact clip level statistics for screening. Each window is encoded by its activity mix (the relative share of motion across streams), thus the predictor analyzes the distribution of motion across streams rather than its magnitude, making per channel effects transparent. We also introduce YT DemTalk, a new dataset curated from publicly available, in the wild camera facing videos. It contains 300 clips (150 with self reported dementia, 150 controls) to test our model and offer a first benchmarking of the corpus. On YT DemTalk, ablations identify gaze lability and mouth/jaw dynamics as the most informative cues, and light weighted shallow classifiers could attain a dementia prediction performance of (AUROC) 0.953, 0.961 Average Precision (AP), 0.851 F1-score, and 0.857 accuracy.

Filippo Cenacchi, Longbing Cao, Deborah Richards

AI based mental health diagnosis is often judged by benchmark accuracy, yet in practice its value depends on how psychologists respond whether they accept, adjust, or reject AI suggestions. Mental health makes this especially challenging: decisions are continuous and shaped by cues in tone, pauses, word choice, and nonverbal behaviors of patients. Current research rarely examines how AI diagnosis interface design influences these choices, leaving little basis for reliable testing before live studies. We present SimClinician, an interactive simulation platform, to transform patient data into psychologist AI collaborative diagnosis. Contributions include: (1) a dashboard integrating audio, text, and gaze-expression patterns; (2) an avatar module rendering de-identified dynamics for analysis; (3) a decision layer that maps AI outputs to multimodal evidence, letting psychologists review AI reasoning, and enter a diagnosis. Tested on the E-DAIC corpus (276 clinical interviews, expanded to 480,000 simulations), SimClinician shows that a confirmation step raises acceptance by 23%, keeping escalations below 9%, and maintaining smooth interaction flow.

Filippo Cenacchi, Deborah Richards, Longbing Cao

Testing humanoid robots with users is slow, causes wear, and limits iteration and diversity. Yet screening agents must master conversational timing, prosody, backchannels, and what to attend to in faces and speech for Depression and PTSD. Most simulators omit policy learning with nonverbal dynamics; many controllers chase task accuracy while underweighting trust, pacing, and rapport. We virtualise the humanoid as a conversational agent to train without hardware burden. Our agent-centred, simulation-first pipeline turns interview data into 276 Unreal Engine MetaHuman patients with synchronised speech, gaze/face, and head-torso poses, plus PHQ-8 and PCL-C flows. A perception-fusion-policy loop decides what and when to speak, when to backchannel, and how to avoid interruptions, under a safety shield. Training uses counterfactual replay (bounded nonverbal perturbations) and an uncertainty-aware turn manager that probes to reduce diagnostic ambiguity. Results are simulation-only; the humanoid is the transfer target. In comparing three controllers, a custom TD3 (Twin Delayed DDPG) outperformed PPO and CEM, achieving near-ceiling coverage with steadier pace at comparable rewards. Decision-quality analyses show negligible turn overlap, aligned cut timing, fewer clarification prompts, and shorter waits. Performance stays stable under modality dropout and a renderer swap, and rankings hold on a held-out patient split. Contributions: (1) an agent-centred simulator that turns interviews into 276 interactive patients with bounded nonverbal counterfactuals; (2) a safe learning loop that treats timing and rapport as first-class control variables; (3) a comparative study (TD3 vs PPO/CEM) with clear gains in completeness and social timing; and (4) ablations and robustness analyses explaining the gains and enabling clinician-supervised humanoid pilots.

Filippo Cenacchi, Deborah Richards, Longbing Cao

Depression and post traumatic stress disorder (PTSD) often co-occur with connected symptoms, complicating automated assessment, which is often binary and disorder specific. Clinically useful diagnosis needs severity aware cross disorder estimates and decision support explanations. Our unified tri modal affective severity framework synchronizes and fuses interview text with sentence level transformer embeddings, audio with log Mel statistics with deltas, and facial signals with action units, gaze, head and pose descriptors to output graded severities for diagnosing both depression (PHQ-8; 5 classes) and PTSD (3 classes). Standardized features are fused via a calibrated late fusion classifier, yielding per disorder probabilities and feature-level attributions. This severity aware tri-modal affective fusion approach is demoed on multi disorder concurrent depression and PTSD assessment. Stratified cross validation on DAIC derived corpora outperforms unimodal/ablation baselines. The fused model matches the strongest unimodal baseline on accuracy and weighted F1, while improving decision curve utility and robustness under noisy or missing modalities. For PTSD specifically, fusion reduces regression error and improves class concordance. Errors cluster between adjacent severities; extreme classes are identified reliably. Ablations show text contributes most to depression severity, audio and facial cues are critical for PTSD, whereas attributions align with linguistic and behavioral markers. Our approach offers reproducible evaluation and clinician in the loop support for affective clinical decision making.

Omid Mohamad Nezami, Mark Dras, Len Hamey et al.

Engagement is a key indicator of the quality of learning experience, and one that plays a major role in developing intelligent educational interfaces. Any such interface requires the ability to recognise the level of engagement in order to respond appropriately; however, there is very little existing data to learn from, and new data is expensive and difficult to acquire. This paper presents a deep learning model to improve engagement recognition from images that overcomes the data sparsity challenge by pre-training on readily available basic facial expression data, before training on specialised engagement data. In the first of two steps, a facial expression recognition model is trained to provide a rich face representation using deep learning. In the second step, we use the model's weights to initialize our deep learning based model to recognize engagement; we term this the engagement model. We train the model on our new engagement recognition dataset with 4627 engaged and disengaged samples. We find that the engagement model outperforms effective deep learning architectures that we apply for the first time to engagement recognition, as well as approaches using histogram of oriented gradients and support vector machines.