When people think of accessibility at work, the focus often lands on physical accommodations—ramps, captions, ergonomic setups, or screen readers. But one of the most overlooked dimensions of inclusion is mental health accessibility. Millions of employees live with invisible disabilities like anxiety, depression, or trauma, shaping how they experience work every day. Yet, asking for support or accommodations still feels risky for many.

As organizations embrace AI-driven hiring and performance tools, a new challenge emerges: will technology help reduce stigma—or make it worse? To understand this balance, I spoke with John Bailey, Non-Resident Senior Fellow at the American Enterprise Institute (AEI), who studies the intersection of technology, policy, and work. His insights reveal how leaders can make accessibility truly holistic—by designing systems that support, not surveil, mental health.

AI and Mental Health: Support, Not Surveillance

“AI tools should help, not harm,” Bailey emphasizes. Transparency, consent, and context are the cornerstones of ethical AI. Employees deserve to know how their mental health data is used, and models must be regularly audited for bias and accuracy.

AI should empower people to seek balance—not monitor productivity. Yet, many workplace technologies now track behaviors, keystrokes, and even stress levels. Without ethical guardrails, these systems risk punishing the very employees they’re meant to help.

Bailey envisions a different future: “If I could wave a magic wand, every employer would have an AI-powered mental health concierge integrated into workplace telehealth.” This tool would triage needs in real time and connect employees—privately and instantly—to licensed therapists, peer coaches, or digital self-help tools. The goal: make mental health support as easy and stigma-free as booking a meeting.

Redefining Workplace Accessibility Through Technology

A May 2024 survey by the American Psychological Association (APA) found that 67% of workers are unaware of their employer’s mental health resources. The result? Untreated mental health conditions cost the global economy an estimated $1 trillion annually in lost productivity.

McKinsey estimates the opportunity for optimizing employee well-being at $3.7 to $11.7 trillion globally. As Bailey notes, “The biggest opportunities lie in redesigning workplaces around brain health as a core pillar of inclusion.”

That starts with making AI and HR technology accessible by design—ensuring tools work for everyone, including employees who are Blind, Deaf, Neurodivergent, or managing mental health conditions. This includes:

• Compatibility with screen readers and assistive tech

• Captions and transcripts for video and audio content

• Keyboard navigation and clear, low-stress interfaces

• Systems that interpret diverse communication styles without penalizing neurodivergence

Inclusion Means Seeing the Mind, Too

When technology or policies fail to meet inclusive design standards, they unintentionally create new barriers—excluding the very talent they were meant to empower. True accessibility means going beyond compliance checkboxes to design workplaces that are psychologically safe, equitable, and human-centered.

As AI reshapes how we work, the next frontier of inclusion isn’t just physical—it’s mental. The future of accessibility will depend on whether leaders can treat mental health as both a business imperative and a human right.