Gen AI in Child Welfare
Three million children were the subject of a child protection investigation in the United States last year. Four hundred thousand children spentlast night in a foster home.?
It’s important to understand some things about their experience. In addition to whatever horror brought them into foster care, they went to sleep afraid last night. They awoke desperate. They know they need to find their mom but cannot figure out how. This experience takes a toll on a little body.??
The people who serve them have tools at their disposal. First, they are well-trained, hardworking and deeply caring individuals. They have datasystems—if they are lucky, they are on a mainframe using a black screen with a green cursor. It’s more likely that they manage their work using index cards.??
I’m hard-pressed to think of a problem I could solve without the help of technology. Yesterday, I was away from home for work. I used technology to see my family, check a medical record, make a doctor’s appointment and transfer money across some joint bank accounts. I got walking directions—whispered from my wearable tech—from my hotel to a conference, including ways to navigate detours due to sidewalkclosures. I could tell you exactly where my child was, and my company, Accenture, could tell exactly where I was. If, God forbid, there had been an emergency, an Accenture BOT would have sent me instructions on how to exit the conference center, down to the level of detail of exactly which door I should use to leave.??
I honestly do not even remember how to solve problems without technology.??
And yet, we ask case workers to do it all day, every day. That seems curious insofar as they are managing such high-risk decisions.??
Their lives look like this: they receive a report that a child may be a victim of abuse or neglect. They go to the child’s physical location with little more than the words said by the individual who made the report.??
The potential of generative AI (gen AI) in these activities is extraordinary. Imagine that it is pulling information from an array of sources, harmonizing it and providing the caseworker with intel that will be critical to their decision-making. Does the child go to school every day? How many medical appointments have they missed in the last year? How many times has the family moved in the past two years? Have the adults caring for the child worked consistently for the last five years? How many times have the cops been to the house in the last two months? Are there any adults living in the home who have been named in a protective order???
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The answer to these questions will not produce a decision for the case worker, but it would fuel their thinking. And, when they approach a familymore informed, it could help them put the right kids into foster care and keep the wrong kids out. This is an error we make all over the country that could be ameliorated with the use of gen AI.??
Seven paragraphs ago, I wrote about frightened children. If those comments pulled at your heartstrings, well, that just makes you a good personwith a strong heart. Those charitable feelings matter—children who are staring down child welfare systems need that from you.??
I also think we cannot have it both ways. We cannot, on one hand, say we have these charitable feelings and, on the other, know that we have failed to properly outfit caseworkers with the technology they need to do their jobs. Both things cannot be true.??
Vulnerable children and the caseworkers who serve them need our charity. They need our very best technology in equal measure.??
Learn more at www.accenture.com/ACIS or reach out to me here.?
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About the Author?
Molly Tierney is a Managing Director and Child Welfare Lead at Accenture, where she leverages her 25+ years of expertise to enable states and cities to improve outcomes for vulnerable citizens.?
Healthcare Executive
9 个月Terrific blog, as always, Molly! I appreciate the way you paint a compelling picture in a way that is easy to understand.
GAICD - Advisory in digital transformation, government services and social security
9 个月Hi Molly?- thanks for publishing a great article on a hotly debated topic, ?the role of technology in augmenting front line case worker decision making .?There does need to be some words of caution when discussing Gen AI.??For many readers, their experience of Gen AI is limited to public domain tools such as Chat GPT.?And for that reason alone, you can understand the resistance within the social services sector. For Gen AI to be of value in social services provision, there will need to be industry and agency level curated LLMs operating within in-house governed applications that fully protect input data, free from hallucinations, particularly when drawing on external data sources. ??Such LLMs won’t come off the shelf and will require significant investment to develop, test and maintain.?The tech industry is at times well ahead of itself in terms of promoting hype over reality.?There seems to be nothing at the moment than Gen AI (on the public cloud) is not going to solve.
Co-Founder/CEO of Sunlight, the makers of Your Case Plan | Serial Entrepreneur | Child Welfare Advocate | Guinness World Record Holder
9 个月I’m all for more tech and innovation in child welfare. I’m certainly no Luddite so please stick with me when I ask, how is what you’re describing not just giving a intake case worker a bigger magnifying glass to judge families that are already struggling? What context is missing because of incomplete data? Genuinely curious here because as I remember Sixto once said, “Automating a broken system won’t fix it, it just makes it more efficient.” Two other ideas to put out there that we’re seeing… 1st - what if we used AI to analyze all meetings, emails, texts and phone calls between a caseworker and a family to tell agency leadership which case workers and supervisors follow best practices (+ the law) and which do not? Gong does this for sales teams and results in more transparency and coaching opportunities. 2nd - what if instead of empowering investigators with more information before walking into a home, we use these insights to provide more targeted outreach and wrap around services to prevent CPS reports from happening in the first place. How many millions of children and families are eligible for services but overlooked and unreached? Let’s use the best tech to at our fingertips tips to actually start helping more people ??