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This position paper synthesizes current evaluative approaches, outlines sources of divergence across existing frameworks, and identifies shared domains that could serve as anchors for coordinated development. We advocate for a living, flexible meta-framework maintained by a global, cross-sector consortium that can harmonize criteria, support consistent evaluation across jurisdictions, and adapt alongside scientific, clinical, and technological advances. Such a structure can strengthen safety, transparency, and methodological consistency while giving researchers, clinicians, developers, and policymakers a shared foundation for assessing generative AI tools in mental health care.<\/jats:p>","DOI":"10.2196\/89211","type":"journal-article","created":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T17:45:10Z","timestamp":1790185510000},"page":"e89211-e89211","source":"Crossref","is-referenced-by-count":0,"title":["Toward a Living Meta-Framework for Evaluating Generative AI in Mental Health"],"prefix":"10.2196","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-0687-9448","authenticated-orcid":false,"given":"Ashleigh Sarah","family":"Golden","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1216-8313","authenticated-orcid":false,"given":"Elias","family":"Aboujaoude","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2026,10,15]]},"reference":[{"key":"R1","doi-asserted-by":"publisher","DOI":"10.1017\/neu.2024.50","article-title":"Use of generative artificial intelligence (AI) in psychiatry and mental health care: a systematic review","volume":"37","author":"Kolding","journal-title":"Acta Neuropsychiatr"},{"key":"R2","doi-asserted-by":"publisher","DOI":"10.2196\/69534","article-title":"Is this chatbot safe and evidence-based? 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