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    • All HBS Web  (377)
      • Faculty Publications  (43)

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      • February 2025
      • Article

      Disclosure, Humanizing, and Contextual Vulnerability of Generative AI Chatbots

      By: Julian De Freitas and I. Glenn Cohen
      In the wake of recent advancements in generative AI, regulatory bodies are trying to keep pace. One key decision is whether to require app makers to disclose the use of generative AI-powered chatbots in their products. We suggest that some generative AI-based chatbots... View Details
      Keywords: AI and Machine Learning; Governing Rules, Regulations, and Reforms; Applications and Software; Well-being
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      De Freitas, Julian, and I. Glenn Cohen. "Disclosure, Humanizing, and Contextual Vulnerability of Generative AI Chatbots." New England Journal of Medicine AI 2, no. 2 (February 2025).
      • October 18, 2024
      • Article

      Why Workplace Well-Being Programs Don’t Achieve Better Outcomes

      By: Jazz Croft, Acacia Parks and Ashley Whillans
      By 2026, global corporate spending on wellness programs is set to top $94.6 billion, yet anticipated improvements in well-being are not being realized, and, in fact, mental health needs are continuing to rise around the world. Drawing on a large body of recent... View Details
      Keywords: Organizational Culture; Employees; Well-being
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      Croft, Jazz, Acacia Parks, and Ashley Whillans. "Why Workplace Well-Being Programs Don’t Achieve Better Outcomes." Harvard Business Review Digital Articles (October 18, 2024).
      • August 2024
      • Case

      Scaling Seven Starling

      By: Ryan W. Buell and Carin-Isabel Knoop
      Seven Starling, a maternal mental health startup, is scaling its digital clinic model. Seven Starling addresses perinatal mental health challenges by providing licensed therapists, peer support, and medication to mothers across five states, with a hybrid care model... View Details
      Keywords: Business Model; Business Startups; Health Care and Treatment; Growth and Development Strategy; Mission and Purpose; Health Industry
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      Buell, Ryan W., and Carin-Isabel Knoop. "Scaling Seven Starling." Harvard Business School Case 625-046, August 2024.
      • August 2024
      • Case

      Pioneering Pain Management: CWC Alliance Combats the Opioid Epidemic

      By: Susanna Gallani, Karen L. Sedatole and Sarah Mehta
      Set in March 2024, this case is about CWC Alliance (CWC), a nonprofit working to prevent opioid addiction in the U.S. Founder Cammie Wolf Rice launched CWC in 2018 after her son, Christopher Wolf, died of a heroin overdose. Wolf’s dependence on opioids stemmed from a... View Details
      Keywords: Health Care and Treatment; Innovation and Invention; Jobs and Positions; Nonprofit Organizations; Expansion; Growth and Development Strategy; Service Delivery; Mission and Purpose; Health Industry; United States; Georgia (state, US); Atlanta
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      Gallani, Susanna, Karen L. Sedatole, and Sarah Mehta. "Pioneering Pain Management: CWC Alliance Combats the Opioid Epidemic." Harvard Business School Case 125-012, August 2024.
      • July 2024
      • Article

      Chatbots and Mental Health: Insights into the Safety of Generative AI

      By: Julian De Freitas, Ahmet Kaan Uğuralp, Zeliha Uğuralp and Stefano Puntoni
      Chatbots are now able to engage in sophisticated conversations with consumers. Due to the ‘black box’ nature of the algorithms, it is impossible to predict in advance how these conversations will unfold. Behavioral research provides little insight into potential safety... View Details
      Keywords: Autonomy; Chatbots; New Technology; Brand Crises; Mental Health; Large Language Model; AI and Machine Learning; Behavior; Well-being; Technological Innovation; Ethics
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      De Freitas, Julian, Ahmet Kaan Uğuralp, Zeliha Uğuralp, and Stefano Puntoni. "Chatbots and Mental Health: Insights into the Safety of Generative AI." Journal of Consumer Psychology 34, no. 3 (July 2024): 481–491.
      • May 2024
      • Article

      The Health Risks of Generative AI-Based Wellness Apps

      By: Julian De Freitas and G. Cohen
      Artifcial intelligence (AI)-enabled chatbots are increasingly being used to help people manage their mental health. Chatbots for mental health and particularly ‘wellness’ applications currently exist in a regulatory ‘gray area’. Indeed, most generative AI-powered... View Details
      Keywords: AI and Machine Learning; Well-being; Governing Rules, Regulations, and Reforms; Applications and Software
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      De Freitas, Julian, and G. Cohen. "The Health Risks of Generative AI-Based Wellness Apps." Nature Medicine 30, no. 5 (May 2024): 1269–1275.
      • April 29, 2024
      • Editorial

      Stemming the Ripple Effect of Untreated Mental Illness: A Prescription for Change: Reimagining U.S. Healthcare

      By: Lidia Moura and Susanna Gallani
      Keywords: Well-being; Health Care and Treatment; Health Disorders; Change
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      Moura, Lidia, and Susanna Gallani. "Stemming the Ripple Effect of Untreated Mental Illness: A Prescription for Change: Reimagining U.S. Healthcare." Psychology Today (website) (April 29, 2024).
      • 2024
      • Working Paper

      The Effects of Medical Debt Relief: Evidence from Two Randomized Experiments

      By: Raymond Kluender, Neale Mahoney, Francis Wong and Wesley Yin
      Two in five Americans have medical debt, nearly half of whom owe at least $2,500. Concerned by this burden, governments and private donors have undertaken large, high-profile efforts to relieve medical debt. We partnered with RIP Medical Debt to conduct two randomized... View Details
      Keywords: Borrowing and Debt; Credit; Outcome or Result; Well-being; Personal Finance
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      Kluender, Raymond, Neale Mahoney, Francis Wong, and Wesley Yin. "The Effects of Medical Debt Relief: Evidence from Two Randomized Experiments." NBER Working Paper Series, No. 32315, April 2024.
      • October 2023
      • Case

      Hey Jane: Delivering Abortion Pills to the Doorstep

      By: Rembrand Koning, Geraldine Pena-Galea and Sarah Mehta
      This case tells the story of Hey Jane, a telehealth clinic founded in 2020 that provides virtual medication abortion services to eligible patients in nine U.S. states. By January 2023, the company had served more than 20,000 patients and raised nearly $10 million in... View Details
      Keywords: Operations; Business Startups; Health Care and Treatment; Growth and Development Strategy; Health Industry; Health Industry; United States
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      Koning, Rembrand, Geraldine Pena-Galea, and Sarah Mehta. "Hey Jane: Delivering Abortion Pills to the Doorstep." Harvard Business School Case 724-408, October 2023.
      • October 2023
      • Background Note

      What Leaders Need to Know about Mental Health

      By: Boris Groysberg, Robin Abrahams, Liana Groysberg, Natalia Groysberg and Abhijit Naik
      This paper will provide an overview of the nature of anxiety and depression, the particular vulnerabilities and stresses of CEOs, and suggestions for managing mental health in the workplace. View Details
      Keywords: CEO; Mental Health; Health Care and Treatment; Health Disorders; Leadership; Well-being
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      Groysberg, Boris, Robin Abrahams, Liana Groysberg, Natalia Groysberg, and Abhijit Naik. "What Leaders Need to Know about Mental Health." Harvard Business School Background Note 424-032, October 2023.
      • October 2023
      • Case

      Vida Health: Transforming Chronic Disease Treatment

      By: William Sahlman and Nicole Tempest Keller
      San Francisco based Vida Health, founded by Stephanie Tilenius, former vice president of Commerce and Payments at Google, was a B2B digital health startup focused on the treatment of cardiometabolic conditions, such as diabetes and obesity. Its innovative digital... View Details
      Keywords: Corporate Strategy; Growth and Development Strategy; Demand and Consumers; Health Care and Treatment; Product Marketing; Risk and Uncertainty; Technological Innovation; Health Industry; Health Industry; United States; California; San Francisco
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      Sahlman, William, and Nicole Tempest Keller. "Vida Health: Transforming Chronic Disease Treatment." Harvard Business School Case 824-001, October 2023.
      • 2023
      • Working Paper

      Causes and Consequences of State Violence against Civilians: The Rohingya of Myanmar

      By: C. Austin Davis, Paula Lopez-Pena, A. Mushfiq Mobarak and Jaya Wen
      The Rohingya crisis is a severe, ongoing conflict involving large-scale violence and forced displacement, yet its causes are contested and its consequences lack systematic documentation. We marshal a variety of existing and original data to shed light on its drivers,... View Details
      Keywords: War; Conflict and Resolution; Motivation and Incentives; Developing Countries and Economies; Myanmar
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      Davis, C. Austin, Paula Lopez-Pena, A. Mushfiq Mobarak, and Jaya Wen. "Causes and Consequences of State Violence against Civilians: The Rohingya of Myanmar." Working Paper, August 2023.
      • March 2023
      • Case

      Between Two Minds: The Staglin Family

      By: Lauren Cohen, Ronnie Stangler and Grace Headinger
      Garen Staglin, Founder and Chairman of One Mind, reflected on his life’s work in brain health. As he contemplated stepping down in the next few years, he weighed how to pass along this legacy to his son, Brandon Staglin, the impetus behind and next generation of the... View Details
      Keywords: Nonprofit Organizations; Well-being; Management Succession; Family Ownership; Mission and Purpose; Health Industry
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      Cohen, Lauren, Ronnie Stangler, and Grace Headinger. "Between Two Minds: The Staglin Family." Harvard Business School Case 223-053, March 2023.
      • February 2, 2023
      • Article

      How to Build a Life: The Hidden Link Between Workaholism and Mental Health

      By: Arthur C. Brooks
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      Brooks, Arthur C. "How to Build a Life: The Hidden Link Between Workaholism and Mental Health." The Atlantic (February 2, 2023).
      • 2 Mar 2023 - 4 Mar 2023
      • Conference Presentation

      Ethical Risks of Autonomous Products: The Case of Mental Health Crises on AI Companion Applications

      By: Julian De Freitas, K. Uguralp and Z. Oguz
      Citation
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      De Freitas, Julian, K. Uguralp, and Z. Oguz. "Ethical Risks of Autonomous Products: The Case of Mental Health Crises on AI Companion Applications." Paper presented at the Society for Consumer Psychology Annual Conference, San Juan, PR, March 2–4, 2023.
      • 26 Oct 2023 - 28 Oct 2023
      • Conference Presentation

      The Dark Side of Generative AI: Chatbots and Mental Health

      By: Julian De Freitas, K Uguralp, Z Oguz and Stefano Puntoni
      Citation
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      De Freitas, Julian, K Uguralp, Z Oguz, and Stefano Puntoni. "The Dark Side of Generative AI: Chatbots and Mental Health." Paper presented at the Association for Consumer Research Annual Conference, Seattle, WA, October 26–28, 2023.
      • November 2022 (Revised March 2024)
      • Case

      Replika AI: Monetizing a Chatbot

      By: Julian De Freitas and Nicole Tempest Keller
      In early 2018, Eugenia Kuyda, co-founder and CEO of San Francisco-based chatbot Replika AI, was deciding how to monetize the app she had built. Launched in 2017, Replika was a consumer AI “companion app” developed by a team of AI software engineers originally based in... View Details
      Keywords: Mental Health; Subscriber Models; TAM; Monetization Strategy; Marketing Strategy; Product Marketing; AI and Machine Learning; Applications and Software; Product Positioning; Health Disorders; Technology Industry
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      De Freitas, Julian, and Nicole Tempest Keller. "Replika AI: Monetizing a Chatbot." Harvard Business School Case 523-016, November 2022. (Revised March 2024.)
      • October 2022
      • Case

      Lyra Health: Transforming Mental Health

      By: Rembrand Koning and Nicole Keller
      In January 2022, Lyra Health was deciding between several different alternatives to grow the business. Founded in 2015, Lyra Health, was a digital mental health platform that combined technology with human therapists and coaches to deliver high quality mental health... View Details
      Keywords: Mental Health; Health Care and Treatment; Corporate Entrepreneurship; Customer Value and Value Chain; Growth and Development Strategy; Expansion; Health Industry; Health Industry; San Francisco
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      Koning, Rembrand, and Nicole Keller. "Lyra Health: Transforming Mental Health." Harvard Business School Case 723-365, October 2022.
      • October 2022
      • Case

      Weapons of Self Destruction: Zak Pym Williams and the Cultivation of Mental Wellness

      By: Lauren Cohen, Ronnie Stangler and Grace Headinger
      Zak Pym Williams, mental health advocate, grappled with the question of how to create a proactive mental health family environment for his children. Having witnessed how mental health challenges such as addiction and depression had impacted the past four generations of... View Details
      Keywords: Family; U.S.; Mental Health; Family Business; Entertainment; Values and Beliefs; Ethics; Leading Change; Family and Family Relationships; Well-being; Social Issues; Entertainment and Recreation Industry; United States; California
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      Cohen, Lauren, Ronnie Stangler, and Grace Headinger. "Weapons of Self Destruction: Zak Pym Williams and the Cultivation of Mental Wellness." Harvard Business School Case 223-033, October 2022.
      • September–October 2022
      • Article

      Case Study: What's the Right Career Move After a Public Failure?

      By: Jon M. Jachimowicz and Francesca Gino
      “Reunions are for happy people,” Mariani Kallis said to her friend Whitney on the phone. “I’m not going.” “Come on, it won’t be the same without you,” Whitney pleaded. “Besides, no one is happy right now. Everyone’s life is a mess.” “I’m pretty sure none of our... View Details
      Keywords: Career Decisions; Personal Development and Career
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      Jachimowicz, Jon M., and Francesca Gino. "Case Study: What's the Right Career Move After a Public Failure?" Harvard Business Review 100, no. 5 (September–October 2022): 144–149.
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