Understanding Mental Ill-health as Psychosocial Disability: Implications for Assistive Technology
Open accessAbstract
Psychosocial disability involves actual or perceived impairment due to a diversity of mental, emotional, or cognitive experiences. While assistive technology for psychosocial disabilities has been understudied in communities such as ASSETS, advances in computing have opened up a number of new avenues for assisting those with psychosocial disabilities beyond the clinic. However, these tools continue to emerge primarily within the framework of "treatment," emphasizing resolution or improvement of mental health symptoms. This work considers what it means to adopt a social model lens from disability studies and incorporate the expertise of assistive technology researchers in relation to mental health. Our investigation draws on interviews conducted with 18 individuals who have complex health needs that include mental health symptoms. This work highlights the potential role for assistive technology in supporting psychosocial disability outside of a clinical or medical framework.
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Barriers to formal diagnosis include high financial cost and the stigma of identifying as disabled.
“Barriers to formal diagnosis have been well-documented in the literature, including high financial cost and the stigma of identifying as disabled [7, 44].”
From Infrastructuring as Collective Resistance: How Disabled Students Negotiate Access Through Technology in Universities (2026) · cites this paper as [44]
The Discussion (The Social Context of Psychosocial Disability; page unavailable) says stigma may make people hesitant to adopt mental-health or disability labels, and the Background says stigma can affect help-seeking. These passages support the stigma-related barrier, but they do not identify high financial cost as a barrier to formal diagnosis; searches for cost and diagnosis did not find that point. (LLM, conf=0.84)
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Eagle, T., Baltaxe-Admony, L. B., & Ringland, K. E. (2024) · ACM Transactions on Accessible Computing · doi:10.1145/3689648 · Cited by 20 · see citing works
“Neurodiversity may include 2 or co-occur with other mental health or psychosocial disabilities (e.g., anxiety, depression, schizophrenia, and bipolar disorder) [76].”
Self-citationMack, K., McDonnell, E., Jain, D., Lu Wang, L., E. Froehlich, J., & Findlater, L. (2021) · Proceedings of the 2021 CHI Conference on Human Factors in Computing Systems · doi:10.1145/3411764.3445412 · Cited by 7 · see citing works
Zhang, H., Feng, Y., Walker, A., & Rode, J. A. (2025) · Proceedings of the 27th International ACM SIGACCESS Conference on Computers and Accessibility · doi:10.1145/3663547.3746363 · Cited by 3 · see citing works
“A substantial body of HCI research has examined the development and deployment of a range of assistive technologies to enhance accessibility for individuals with a wide range of disabilities, including physical [53, 72], sensory[59, 65], cognitive [20, 46], and mental health-related conditions [62].”
Cripping AI: Reimagining AI Through Lived Disability Experiences
Tang, X., Lin, T.-A., Li, J., & Wu, S. (2026) · Proceedings of the 2026 ACM Conference on Fairness, Accountability, and Transparency · doi:10.1145/3805689.3806744 · Cited by 2 · see citing works
Kim Ly, C., Cross, T., Tasman, S., Mattka, J., Doggett, O., Marathe, M., & Chandra, P. (2026) · Proceedings of the 2026 CHI Conference on Human Factors in Computing Systems · doi:10.1145/3772318.3791638
“Barriers to formal diagnosis have been well-documented in the literature, including high financial cost and the stigma of identifying as disabled [7, 44].”
- Authors
- Ringland, K. E., Nicholas, J., Kornfield, R., Lattie, E. G., Mohr, D. C., & Reddy, M.
- Affiliations
- Northwestern University (US)
- ORCID
- Venue
- Proceedings of the 21st International ACM SIGACCESS Conference on Computers and Accessibility
- Publisher
- ACM
- Published
- 2019-10-24
- Volume
- 2019
- Pages
- 156-170
- PMC
- PMC7918274
- OpenAlex
- W2981336170
- Cited by
- 60
- References
- 23
- Citations by year
- 2026: 4 · 2025: 7 · 2024: 7 · 2023: 15 · 2022: 13 · 2021: 10 · 2020: 4
- FWCI
- 16.51
- Type
- conference paper
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- International ACM SIGACCESS Conference on Computers and Accessibility (ASSETS) (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (T32MH115882)
- Topics
- Health Sciences › Health Professions › Occupational Therapy › Assistive Technology in Communication and Mobility
- Social Sciences › Human Factors and Ergonomics › Digital Accessibility for Disabilities
- Social Sciences › Safety Research › Disability Rights and Representation
- Keywords
- psychosocial disability, mental illness, assistive technology, social model of disability, disability studies, complex care needs, psychiatric symptoms, lived experience
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