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Paper · arXiv

Multi-Objective Aligned Small Language Model Framework for SUD Patient Dialogue Generation

Substance Use Disorder (SUD) counseling requires patient responses that reflect underlying cognitive states such as beliefs, coping strategies, and readiness for change. Although large language models (LLMs) can generate fluent text, they often fail to produce cognitively coherent and clinically realistic patient behavior, especially under ethical and data-scarce clinical settings. Moreover, deploying frontier-scale LLMs in healthcare applications presents practical challenges including high computational cost, latency, privacy concerns, and limited deployability in resource-constrained environments, motivating the need for cognitively aligned small language models (SLMs). We propose a co...

AuthorsThushara Manjari Naduvilakandy, Hyeju Jang, Mohammad Al Hasan
Primary categorycs.CL
Published6 October 2026
Last updated at source6 October 2026
cs.CLcs.AI
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