Striving for Health Equity through Medical, Public Health, and Legal Collaboration

Teitelbaum, Joel B.; Theiss, Joanna; Boufides, Colleen Healy

doi:10.1177/1073110519857330

Cited by 10 publications

(5 citation statements)

References 7 publications

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“…Despite their high rates of medical and psychological problems, VA-housed legal clinic clients perceived only a slight to moderate causal link between their legal and health concerns. This stands in contrast to legal and policy experts’ evidence that law is a critical determinant of health ( Teitelbaum, Theiss, & Boufides, 2019 ), and to veterans in Veterans Treatment Courts who report a clear connection between their criminal legal needs and their psychological problems ( Herzog, Ferdik, Scott, Denney, & Conklin, 2019 ). Study participants’ views on the lack of a legal-health connection may be related to our findings that for the most part, improvement was not demonstrated from baseline to follow-up on legal needs, housing status, psychological symptoms, or substance use.…”

Section: Discussionmentioning

confidence: 78%

Clients of VA-Housed Legal Clinics: Legal and Psychosocial Needs When Seeking Services and Two Months Later

Timko¹,

Tsai²,

Taylor

et al. 2020

JVS

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Veterans often need civil legal services, yet little is known about veterans' use and consequences of these services. This study examined veterans seeking legal services at VA-housed legal clinics. Baseline data from 61 clients of two VA-housed legal clinics were used to identify clients' legal needs and psychosocial characteristics. Data collected from 49 (80%) of the same clients two months later were used to address clients' improvement and satisfaction after receiving legal services. At baseline, clients reported a mean of 6.0 (SD = 4.2) legal needs, with the most common being help obtaining VA benefits (87%). Clients represented a vulnerable population in that most had an extensive criminal history (e.g., had been arrested, charged, and incarcerated) and multiple health care needs (had a chronic medical condition, had recently received treatment in an emergency department, and had received psychological treatment due to significant psychological symptoms). At follow-up, clients reported a mean of 4.4 (SD = 3.8) legal needs. Tests to identify changes between baseline and follow-up on legal needs, housing arrangement, psychological symptoms, and substance use yielded few significant results. Most participants did not receive additional help with their legal matters after the baseline appointment. At follow-up, clients reported that few of their legal needs were met but also that they were mostly satisfied with the legal services they received. Findings suggest that because clients may need more intensive legal intervention of longer duration to resolve their legal needs and achieve better housing and health status, VA-housed legal clinics require greater resources and expansion.

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Section: Discussionmentioning

confidence: 78%

Clients of VA-Housed Legal Clinics: Legal and Psychosocial Needs When Seeking Services and Two Months Later

Timko¹,

Tsai²,

Taylor

et al. 2020

JVS

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“…This systems-based approach is critical for addressing poverty, oppression, racism, and other structural and systemic drivers of poor health and injustice. 45 …”

Section: Medical-legal Partnerships Bring Upstreaming To the Practice...mentioning

confidence: 99%

Medical-Legal Partnerships Reinvigorate Systems Lawyering Using an Upstream Approach

Mitchell,

Chopp

2023

J. Law. Med. Ethics

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The upstream framework presented in public health and medicine considers health problems from a preventive perspective, seeking to understand and address the root causes of poor health. Medical-legal partnerships (MLPs) have demonstrated the value of this upstream framework in the practice of law and engage in upstream lawyering by utilizing systemic advocacy to address root causes of injustices and health inequities. This article explores upstreaming and its use by MLPs in reframing legal practice.

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“…In the context of MLPs, "health equity" has been defined as "an environment in which every individual has an equal opportunity to achieve and maintain good health." 21 By bringing lawyers on to health care teams to address unmet legal needs at the individual patient level but also supporting the identification and remediation of institutional and systemic issues that create health-harming legal needs, MLPs can be both a downstream intervention at the point of health care delivery and an upstream, population health intervention. 22 For example, MLPs can both ensure that housing codes on the books are properly enforced and advocate for better protections from health hazards for residents of subsidized housing.…”

Section: Medical-legal Partnership As a Poverty-focused Health Equity...mentioning

confidence: 99%

Towards Racial Justice: The Role of Medical-Legal Partnerships

Makhlouf¹

2022

J. Law. Med. Ethics

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Striving for Health Equity through Medical, Public Health, and Legal Collaboration

Cited by 10 publications

References 7 publications

Clients of VA-Housed Legal Clinics: Legal and Psychosocial Needs When Seeking Services and Two Months Later

Clients of VA-Housed Legal Clinics: Legal and Psychosocial Needs When Seeking Services and Two Months Later

Medical-Legal Partnerships Reinvigorate Systems Lawyering Using an Upstream Approach

Towards Racial Justice: The Role of Medical-Legal Partnerships

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