Machine learning tools have been deployed in various contexts to support human decision-making, in the hope that human-algorithm collaboration can improve decision quality. However, the question of whether such collaborations reduce or exacerbate biases in decision-making remains underexplored. In this work, we conducted a mixed-methods study, analyzing child welfare call screen workers’ decision-making over a span of four years, and interviewing them on how they incorporate algorithmic predictions into their decision-making process. Our data analysis shows that, compared to the algorithm alone, workers reduced the disparity in screen-in rate between Black and white children from 20% to 9%. Our qualitative data show that workers achieved this by making holistic risk assessments and adjusting for the algorithm’s limitations. Our analyses also show more nuanced results about how human-algorithm collaboration affects prediction accuracy, and how to measure these effects. These results shed light on potential mechanisms for improving human-algorithm collaboration in high-risk decision-making contexts.

AI-based decision support tools (ADS) are increasingly used to augment human decision-making in high-stakes, social contexts. As public sector agencies begin to adopt ADS, it is critical that we understand workers’ experiences with these systems in practice. In this paper, we present findings from a series of interviews and contextual inquiries at a child welfare agency, to understand how they currently make AI-assisted child maltreatment screening decisions. Overall, we observe how workers’ reliance upon the ADS is guided by (1) their knowledge of rich, contextual information beyond what the AI model captures, (2) their beliefs about the ADS’s capabilities and limitations relative to their own, (3) organizational pressures and incentives around the use of the ADS, and (4) awareness of misalignments between algorithmic predictions and their own decision-making objectives. Drawing upon these findings, we discuss design implications towards supporting more effective human-AI decision-making.