Financial stability is a key challenge for individuals living with bipolar disorder (BD). Symptomatic periods in BD are associated with poor financial decision-making, contributing to a negative cycle of worsening symptoms and an increased risk of bankruptcy. There has been an increased focus on designing supportive financial technologies (fintech) to address varying and intermittent needs across different stages of BD. However, little is known about this population’s expectations and privacy preferences related to financial data sharing for longitudinal care management. To address this knowledge gap, we have deployed a factorial vignette survey using the Contextual Integrity framework. Our data from individuals with BD (N=480) shows that they are open to sharing financial data for long term care management. We have also identified significant differences in sharing preferences across age, gender, and diagnostic subtype. We discuss the implications of these findings in designing equitable fintech to support this marginalized community.

Bipolar disorder (BD) is a serious mental illness that requires life-long management. Manic and depressive mood episodes in BD are characterized by idiosyncratic behavioral changes. Identifying these early-warning signs is critical for effective illness management. However, there are unique design constraints for technologies focusing on preemptive assessment and intervention in BD given the need for data-intensive monitoring and balancing user agency. In this paper, we aim to establish acceptance, needs, and concerns regarding a preemptive assessment and intervention system to support longitudinal BD management. We interviewed 10 individuals living with BD. To ground the findings in lived experiences, we used a hypothetical assessment and intervention system focusing on online behaviors. Based on the data, we have identified requirements for effective behavioral monitoring across illness episodes. We have also established design recommendations to support dynamic, longitudinal interventions that can address the evolving user needs for life-long BD management.