The MLP Vital Sign: Assessing and Managing Legal Needs in the Healthcare Setting

Sandel, Megan; Suther, Emily; Brown, Carrie M.; Wise, Marissa; Hansen, Mark

doi:10.1080/01947648.2014.884431

Cited by 5 publications

(3 citation statements)

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“…10 Despite those linkages between health and legal needs, the impact of legal interventions on individual and family health is not tracked. 11 Despite legal needs being so common in low-income families and having such a strong impact on health and well-being, information about legal needs and hardships is not considered in most health care practices; access to legal expertise and interventions is not often integrated into practice. This circumstance might be because health care staff do not consider these concerns to be related to health; but given the emerging understanding of social determinants of health, it is more likely that physicians and other clinical staff do not have the time, staff expertise or capacity, or resources needed to respond to legal concerns.…”

Section: Bridging the Divide: The Legal And Health Care Systems/commumentioning

confidence: 99%

Legal Care as Part of Health Care

Murphy

Lawton

Sandel

2015

Pediatric Clinics of North America

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Section: Bridging the Divide: The Legal And Health Care Systems/commumentioning

confidence: 99%

Legal Care as Part of Health Care

Murphy

Lawton

Sandel

2015

Pediatric Clinics of North America

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“…15 One study focused on pre-intervention data as a means of establishing the scope of legal needs among clinic patients, and supplemented these data with a single in-depth case study of a patient whose use of emergency medical services declined notably after receiving MLP services. 16 Another provided three case studies for patient utilization of MLP services. 17 Only four of the 13 studies provided more rigorous investigations that incorporated pre-test and post-test data for a sample of patients who received services.…”

Section: Overall Utilization Of Mlpsmentioning

confidence: 99%

Bridging Health Disparity Gaps through the Use of Medical Legal Partnerships in Patient Care: A Systematic Review

Martínez

Boles

Muñoz‐Laboy

et al. 2017

J. Law. Med. Ethics

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Over the past two decades, we have seen an increase in the use of medical-legal partnerships (MLPs) in health-care and/or legal settings to address health disparities affecting vulnerable populations. MLPs increase medical teams' capacity to address social and environmental threats to patients' health, such as unsafe housing conditions, through partnership with legal professionals. Following the Preferred Reporting Items for Systematic Review and Meta-Analyses guidelines, we systematically reviewed observational studies published from January 1993-January 2016 to investigate the capacity of MLPs to address legal and health disparities. We identified 13 articles for qualitative analysis from an initial pool of 355 records. The resulting pool of 13 articles revealed more information regarding the capacity of MLPs to address legal outcomes than their capacity to address health outcomes; only 4 studies directly addressed the impact of MLP intervention on patient wellbeing and/or patient utilization of healthcare services. We call for further evaluation/longitudinal studies that specifically address MLPs' short and long term effects upon patient health disparities. Finally, given the demonstrated capacity of MLPs to address unmet legal needs, and their evident potential in regards to improving health outcomes, we present the MLP model as a framework to address HIV-related legal and health disparities.

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“…14 They are sometimes referred to under the acronym "I-HELP," which stands for income, housing and utilities, education and employment, legal status/immigration, and personal and family stability. 15 The health effects of the social determinants are well-documented, particularly the effects of poverty.…”

Section: The Recognition That Social Determinants Affect Healthmentioning

confidence: 99%

Facing the Need: Screening Practices for the Social Determinants of Health

Theiss¹,

Regenstein²

2017

J. Law. Med. Ethics

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Despite evidence that social factors can result in poor health outcomes, and the emergence of payment models that encourage the use non-medical interventions to improve health, many health care providers do not identify the social determinants of health within patient populations through routine screening. This Article explores the possible reasons for this inconsistency by considering screening practices in medical-legal partnerships (MLPs), the health care approach most concerned with identifying and treating the social determinants of health. Through an analysis of the results of a national survey and qualitative interviews with MLPs, we discovered that screening is not operationalized or consistent within many MLPs. We conclude that although health care providers may recognize the value of screening, they are not yet embracing the practice, perhaps because of an unspoken fear that fulsome screening identifies so many unmet social and legal needs that community-based resources cannot satisfy demand. This fear is unfounded. Approaches such as MLP demonstrate that social and legal needs can be efficiently treated through collaboration with other professionals, often within the health care setting. Nevertheless, providers must first operationalize screening to truly understand the scope of the need in their patient populations and collaborate to address those needs.

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The MLP Vital Sign: Assessing and Managing Legal Needs in the Healthcare Setting

Cited by 5 publications

References 0 publications

Legal Care as Part of Health Care

Legal Care as Part of Health Care

Bridging Health Disparity Gaps through the Use of Medical Legal Partnerships in Patient Care: A Systematic Review

Facing the Need: Screening Practices for the Social Determinants of Health

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