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Cureus. 2019 Jan 28;11(1):e3972. doi: 10.7759/cureus.3972.

Psychological Artificial Intelligence Service, Tess: Delivering On-demand Support to Patients and Their Caregivers: Technical Report.

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Psychology, X2AI Inc., San Francisco, USA.
Internal Medicine, SE Health, Markham, CAN.


This technical report highlights how one mental health chatbot, or psychological artificial intelligence service named Tess, has been customized to deliver on-demand support for caregiving professionals, patients, and family caregivers at a non-profit organization. This low-cost, user friendly, and highly customizable service allows emotional support to be scaled to thousands of people at a single time. The following report describes the phased approach to implementing Tess in order to reach staff, caregivers, and patients across Canada and the United States.


caregiver support; chatbot; computer based therapy; employee wellness; healthcare technology; nurse support; remote patient monitoring; teletherapy; text-based therapy; workforce mental health

Conflict of interest statement

The mental health chatbot, Tess, and the self-serve customization platform are proprietary rights of X2AI Inc.

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