Pilot Study of Medical-Legal Partnership to Address Social and Legal Needs of Patients

Weintraub, D.; Rodgers, Melissa A.; Botcheva, Luba; Loeb, Anna; Knight, Rachael; Ortega, Karina; Heymach, Brooke; Sandel, Megan; Huffman, Lynne C.

doi:10.1353/hpu.0.0311

Cited by 80 publications

(28 citation statements)

References 29 publications

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“…One-hundred six studies (n = 5 978 596) met inclusion criteria (Figure 2), including 19 RCTs, 15 cohort studies, 34 pre-post studies, and 38 observational studies without a comparator. Participant, intervention, and study characteristics for included studies, categorized by social risk domain targeted, are presented in eTables 1 through 3 in the Supplement.…”

Section: Resultsmentioning

confidence: 99%

“…Thirty studies (n = 65 142) enrolled only children and adolescents (and their caregivers), and 67 studies (n = 5 909 541)) enrolled only adults, including older adults (ie, 18 years and older). Five studies enrolled children and adults (n = 2633), 3 studies enrolled participants of all ages (n = 1280), and 1 study enrolled children/adolescents and older adults (n not reported).…”

Section: Resultsmentioning

confidence: 99%

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Screening and Interventions for Social Risk Factors

Eder

Henninger

Durbin

et al. 2021

JAMA

108

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Screening and Interventions for Social Risk Factors

Eder

Henninger

Durbin

et al. 2021

JAMA

108

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“…In New York and Connecticut, for instance, medical-legal partnerships that had legal professionals embedded in hospitals showed positive physical and mental health and legal outcomes for veterans (Tsai et al, 2017). In Palo Alto, CA, adding an on-site lawyer in medical settings facilitated increased access and uptake of social services in families with children (Weintraub et al, 2010). Few medical-legal partnerships, however, have been tailored to meet the needs of people returning to the community after incarceration.…”

Section: Discussionmentioning

confidence: 99%

Patient, medical and legal perspectives on reentry: the need for a low-barrier, collaborative, patient-centered approach

et al. 2021

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Background Worldwide, the United States has the highest incarceration rate per capita. Thousands of people are released from US correctional facilities each year, including many who are impacted by HIV infection and substance use disorder (SUD), two frequently comorbid conditions that present multiple challenges upon reentry. Reentry and care engagement research involving justice-involved people with HIV (PWH) with comorbid SUD has been largely limited to the perspective of those released. To formulate effective interventions for this population aimed at maintaining health and reducing recidivism, it is crucial to collect data from formerly incarcerated individuals with firsthand experience of the reentry process as well as other actors within the reentry framework. Insights from medical and legal service providers working in reentry systems have the potential to address key implementation concerns. To inform an intervention aimed at helping recently-released individuals PWH and SUD, we conducted a qualitative study to assess barriers and facilitators to community reentry from the perspectives of diverse consumers and providers of medical, legal, and reentry services. Results Fifteen stakeholders within XXX County participated in in-person interviews. Results indicated that 1) Patients/clients emphasized psychosocial support and individual attitude more than medical and legal participants, who chiefly focused on logistical factors such as finances, housing, and transportation; 2) Patients/clients expressed both medical and legal needs during the reentry period, though medical providers and participants from legal entities mainly expressed concerns limited to their respective scopes of work; 3) All three participant groups underscored the need for a low-barrier, collaborative, patient-centered approach to reentry with the goal of achieving self-sufficiency. Conclusions Findings support and extend existing literature detailing the barriers and facilitators to successful reentry. Our findings underscore the notion that an effective reentry intervention addresses both medical and legal needs, includes an individualized approach that incorporates psychosocial needs, and focuses on establishing self-sufficiency.

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“…Given their mandate to provide primary care services in underserved areas, it is no surprise that CHCs are a natural home for health justice interventions and are where the number of medical-legal partnership services is growing the fastest [102 -104]. Such services have a proven track record of helping clients obtain access to external food and income supports, claim unpaid welfare benefits, and prevent shut-offs of utilities [96,99,105].…”

Section: Medical-legal Partnershipsmentioning

confidence: 99%

“…With that in mind, income is not as common a screening question as might be expected [106]. However, income issues are seen by welfare rights service providers as a good fit for their skill set and is often flagged as a presenting issue [96,105,[107][108][109].…”

Section: Income Employment and Welfare Rightsmentioning

confidence: 99%

Primary care-based interventions to address the financial needs of patients experiencing poverty: a scoping review of the literature

Parry

Vanstone

Grignon

et al. 2021

Int J Equity Health

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Background It is broadly accepted that poverty is associated with poor health, and the health impact of poverty has been explored in numerous high-income country settings. There is a large and growing body of evidence of the role that primary care practitioners can play in identifying poverty as a health determinant, and in interventions to address it. Purpose of study This study maps the published peer-reviewed and grey literature on primary care setting interventions to address poverty in high-income countries in order to identify key concepts and gaps in the research. This scoping review seeks to map the tools in use to identify and address patients’ economic needs; describe the key types of primary care-based interventions; and examine barriers and facilitators to successful implementation. Methods Using a scoping review methodology, we searched five databases, the grey literature and the reference lists of relevant studies to identify studies on interventions to address the economic needs-related social determinants of health that occur in primary health care delivery settings, in high-income countries. Findings were synthesized narratively, and examined using thematic analysis, according to iteratively identified themes. Results Two hundred and fourteen papers were included in the review and fell into two broad categories of description and evaluation: screening tools, and economic needs-specific interventions. Primary care-based interventions that aim to address patients’ financial needs operate at all levels, from passive sociodemographic data collection upon patient registration, through referral to external services, to direct intervention in addressing patients’ income needs. Conclusion Tools and processes to identify and address patients’ economic social needs range from those tailored to individual health practices, or addressing one specific dimension of need, to wide-ranging protocols. Primary care-based interventions to address income needs operate at all levels, from passive sociodemographic data collection, through referral to external services, to direct intervention. Measuring success has proven challenging. The decision to undertake this work requires courage on the part of health care providers because it can be difficult, time-consuming and complex. However, it is often appreciated by patients, even when the scope of action available to health care providers is quite narrow.

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Pilot Study of Medical-Legal Partnership to Address Social and Legal Needs of Patients

Cited by 80 publications

References 29 publications

Screening and Interventions for Social Risk Factors

Screening and Interventions for Social Risk Factors

Patient, medical and legal perspectives on reentry: the need for a low-barrier, collaborative, patient-centered approach

Primary care-based interventions to address the financial needs of patients experiencing poverty: a scoping review of the literature

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