Optimal and Fair Encouragement Policy Evaluation and Learning

In consequential domains, it is often impossible to compel individuals to take treatment, so that optimal policy rules are merely suggestions in the presence of human non-adherence to treatment recommendations. In these same domains, there may be heterogeneity both in who responds in taking-up treatment, and heterogeneity in treatment efficacy. For example, in social services, a persistent puzzle is the gap in take-up of beneficial services among those who may benefit from them the most. When in addition the decision-maker has distributional preferences over both access and average outcomes, the optimal decision rule changes. We study identification, doubly-robust estimation, and robust estimation under potential violations of positivity. We consider fairness constraints such as demographic parity in treatment take-up, and other constraints, via constrained optimization. Our framework can be extended to handle algorithmic recommendations under an often-reasonable covariate-conditional exclusion restriction, using our robustness checks for lack of positivity in the recommendation. We develop a two-stage, online learning-based algorithm for solving over parametrized policy classes under general constraints to obtain variance-sensitive regret bounds. We assess improved recommendation rules in a stylized case study of optimizing recommendation of supervised release in the PSA-DMF pretrial risk-assessment tool while reducing surveillance disparities.