Medical-Legal Partnerships: Supporting the Legal Needs of Women in Their Perinatal Care [16F]

Gutierrez, Griselda; Saleeby, Erin; Celaya, Anna K.; Clouse, Julia; Hoffman, Catherine; Kornberg, Jessie

doi:10.1097/01.aog.0000665120.33681.e3

Cited by 3 publications

(1 citation statement)

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“…14 Although evidence of a few medical-legal partnerships targeting the perinatal period exist, 15 interest in their use to improve maternal health is increasing. [16][17][18] At Georgetown University, the Perinatal LAW project (Perinatal Legal Assistance & Wellbeing) 19 is part of the Health Justice Alliance, an academic medical-legal partnership with service, education, and research components. Perinatal LAW is dedicated to expectant, birthing, and postpartum patients who receive care from Women's and Infants' Services at MedStar Washington Hospital Center.…”

Section: Using Medical-legal Partnerships To Fill Perinatal Care Gapsmentioning

confidence: 99%

Integrating Lawyers Into Perinatal Care Teams to Address Unmet, Health-Harming Legal Needs

Patchen,

Richardson,

McCullers

et al. 2023

Obstetrics &Amp; Gynecology

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Across the United States, historically imposed structural, social, and environmental variables are intimately connected to poor obstetric outcomes and high maternal and infant mortality rates among Black pregnancy-capable people. Efforts to diminish the effect of these variables include integrating screening for social determinants of health during the perinatal period and treating them with social services, mental health support, and other referrals, including connections to community-based resources. Although helpful, some of these social determinants cannot be overcome without legal advocacy. Medical–legal partnerships, which integrate lawyers into health care, fill this gap. This commentary by an interprofessional team of authors relies on the experience of an established MLP. We posit that unmet legal needs of perinatal patients merit ongoing monitoring and intervention. We explain the rationale for perinatal practice medical–legal partnerships and share implementation suggestions from a high-intensity safety-net urban hospital.

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Section: Using Medical-legal Partnerships To Fill Perinatal Care Gapsmentioning

confidence: 99%

Integrating Lawyers Into Perinatal Care Teams to Address Unmet, Health-Harming Legal Needs

Patchen,

Richardson,

McCullers

et al. 2023

Obstetrics &Amp; Gynecology

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Interest in Clinic-Based Financial Services among Low-Income Prenatal Patients and its Association with Health-Related Social Risk Factors

Liu

Bell

et al. 2021

J Prim Care Community Health

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Background Poverty and financial stress affect prenatal health and well-being as well as early childhood development. This study sought to examine interest in clinic-based financial services to address financial stress in low-income, Medicaid-enrolled prenatal patients and its relationship with self-reported social risks. Methods We conducted a cross-sectional study of patients at a large safety-net prenatal clinic. Participants completed a written survey on interest in linkage to financial services, poverty-related financial stress, difficulty affording social needs, and interest in services to address material hardships. We compared interest in financial and social needs services by level of financial stress using multivariate regression. Results Respondents (N = 108) were entirely Medicaid-enrolled, with a majority identifying as Hispanic/Latinx (57%) or Black/African American (20%). Sixty-four percent indicated interest in connection to any of the financial services surveyed. Interest was highest in employment (52%), savings and budgeting (49%), job training/adult education (49%), and financial counseling (48%) services. Individuals with high financial stress, compared to those with low financial stress, expressed a higher level of interest in financial services (aRR = 1.61 [95% CI 1.12-2.39]). Interest in financial services was associated with difficulty affording social needs (aRR = 2.24 [95% CI 1.33-4.43]) and interest in services addressing social needs (aRR = 1.45 [95% CI 1.13-1.92]). Conclusion In this study of low-income, Medicaid-insured prenatal patients, there was a high degree of interest in clinic-based financial services. Integrating financial services into prenatal health care appears to be an approach that low-income patients would be interested in to directly address poverty and financial stress.

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A Framework for Cross-Sector Partnerships to Address Childhood Adversity and Improve Life Course Health

et al. 2022

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Childhood adversity and its structural causes drive lifelong and intergenerational inequities in health and well-being. Health care systems increasingly understand the influence of childhood adversity on health outcomes but cannot treat these deep and complex issues alone. Cross-sector partnerships, which integrate health care, food support, legal, housing, and financial services among others, are becoming increasingly recognized as effective approaches address health inequities. What principles should guide the design of cross-sector partnerships that address childhood adversity and promote Life Course Health Development (LCHD)? The complex effects of childhood adversity on health development are explained by LCHD concepts, which serve as the foundation for a cross-sector partnership that optimizes lifelong health. We review the evolution of cross-sector partnerships in health care to inform the development of an LCHD-informed partnership framework geared to address childhood adversity and LCHD. This framework outlines guiding principles to direct partnerships toward life course–oriented action: (1) proactive, developmental, and longitudinal investment; (2) integration and codesign of care networks; (3) collective, community and systemic impact; and (4) equity in praxis and outcomes. Additionally, the framework articulates foundational structures necessary for implementation: (1) a shared cross-sector theory of change; (2) relational structures enabling shared leadership, trust, and learning; (3) linked data and communication platforms; and (4) alternative funding models for shared savings and prospective investment. The LCHD-informed cross-sector partnership framework presented here can be a guide for the design and implementation of cross-sector partnerships that effectively address childhood adversity and advance health equity through individual-, family-, community-, and system-level intervention.

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Medical-Legal Partnerships: Supporting the Legal Needs of Women in Their Perinatal Care [16F]

Cited by 3 publications

References 0 publications

Integrating Lawyers Into Perinatal Care Teams to Address Unmet, Health-Harming Legal Needs

Integrating Lawyers Into Perinatal Care Teams to Address Unmet, Health-Harming Legal Needs

Interest in Clinic-Based Financial Services among Low-Income Prenatal Patients and its Association with Health-Related Social Risk Factors

A Framework for Cross-Sector Partnerships to Address Childhood Adversity and Improve Life Course Health

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