Process and Impact Evaluation of a Legal Assistance and Health Care Community Partnership

Teufel, James; Brown, Stephen L.; Thorne, Woody; Goffinet, Diane; Clemons, Latesha

doi:10.1177/1524839907312702

Cited by 14 publications

(27 citation statements)

References 29 publications

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“…Previous empirical research on the MLP model is limited but existing studies demonstrate encouraging results in the pairing of doctors and lawyers for patient health (Pettignano et al, 2013; Beeson et al, 2013; Ryan et al, 2012; Beck et al, 2012; Sandel et al, 2010; Hernández, 2010; Cohen et al, 2010; Weintraub et al, 2010; Zuckerman, 2012; Zuckerman et al, 2008, Teufel et al, 2008; Zuckerman et al, 2004). Weintruab and colleagues reported improved child health outcomes and greater utilization of food and income supports on the part of parents.…”

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confidence: 99%

‘Extra oomph:’ addressing housing disparities through Medical Legal Partnership interventions

Hernández

2016

Housing Studies

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Low-income households face common and chronic housing problems that have known health risks and legal remedies. The Medical Legal Partnership (MLP) program presents a unique opportunity to address housing problems and improve patient health through legal assistance offered in clinical settings. Drawn from in-depth interviews with 72 patients, this study investigated the outcomes of MLP interventions and compares results to similarly disadvantaged participants with no access to MLP services. Results indicate that participants in the MLP group were more likely to achieve adequate, affordable and stable housing than those in the comparison group. Study findings suggest that providing access to legal services in the healthcare setting can effectively address widespread health disparities rooted in problematic housing. Implications for policy and scalability are discussed with the conclusion that MLPs can shift professionals’ consciousness as they work to improve housing and health trajectories for indigent groups using legal approaches.

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confidence: 99%

‘Extra oomph:’ addressing housing disparities through Medical Legal Partnership interventions

Hernández

2016

Housing Studies

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“…For the last part of the lecture, I walk the students through a real-life example of the different levels of CA using a project for which I was involved in the evaluation. You can use your own example or use the same example, considering it is now published (Teufel, Brown, Thorne, Goffinet, & Clemons, 2009). The short version of this case is as follows.…”

Section: Teaching Methodsmentioning

confidence: 99%

Teaching Economic Evaluation of Health Promotion Programs

Brown

2016

Pedagogy in Health Promotion

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One of the essential functions of public health is to "evaluate the effectiveness. .. and quality of personal and population-based health services" (Harrell & Baker, 1994, p. 29). Evaluating effectiveness and quality not only involves measuring achievement of program objectives and positive health outcomes but also implies making the most efficient use of community, organizational, and governmental resources. To do this, we must understand the true cost of programs and, in many cases, the future monetary savings that these programs generate. This type of economic analysis of health promotion programs can assist legislators in making wise, health-related policy decisions. It can also help administrators with setting priorities for future programs and analyzing the effectiveness of current programs (Centers for Disease Control and Prevention [CDC], 2006b). When advocating for health promotion programming, we have an ethical obligation to show that programs are not only effective but also cost-effective, if we wish to justify continued expenditure (Callahan & Jennings, 2002). The Institute of Medicine (2003), in its report Who Will Keep the Public Healthy? Educating Public Health Professionals for the 21st Century, specifically identifies proving that health promotion programs are cost-effective as priority in the coming decades. In Advancing the Nation's Health: A Guide to Public Health Research Needs, the CDC (2006a), in more than one section, emphasizes cost-effectiveness evaluation as a research priority. The CDC (1999) framework for evaluation of public health programs calls for the use of cost-effectiveness techniques as a way to assign value to a health promotion program or intervention and to fully account for all inputs and costs when assessing effects. To address these calls for consistent economic evaluation of health promotion programming, the Council on Linkages Between Academia and Public Health Practice, in its 2014 revision of the Core Competencies for Public Health Professionals, enumerated use of economic analysis. Specifically, public health professionals should know how to "describe/use financial analysis methods used in making decisions about policies, programs, and services (e.g., cost-effectiveness, cost-benefit, cost-utility analysis, return on investment)." Most accredited MPH degree granting universities in the United States include coursework on evaluating programs; some include cost analysis (CA) training, some do not. With increased emphasis on and creation of undergraduate degree programs in 671958P HPXXX10.

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“…Studies at three medical-legal partnership sites have demonstrated that this sort of cost recovery more than covers the expense of program implementation, even when cases that have the potential to generate income constitute only a small fraction of all cases handled. [14][15][16] Because medical-legal partnerships generally include lawyers employed by legal aid agencies, the desire of health care institutions to recover money does not take precedence over other pressing legal needs. The separation of legal aid agency and health care institution avoids potential conflict in the allocation of legal resources or prioritization of particular legal needs of patient-clients over others.…”

Section: Initial Growthmentioning

confidence: 99%

Medical-Legal Partnerships: Transforming Primary Care By Addressing The Legal Needs Of Vulnerable Populations

Hansen²,

et al. 2010

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Health care is undermined when patients don't receive the benefit of laws intended to address social determinants of health, such as housing and food. Medical-legal partnerships, which now exist in more than 200 clinical sites in the United States, integrate lawyers into health care to address legal problems that create and perpetuate poor health. This paper describes how such medical-legal partnerships can change clinical systems-for example, by adding legal form letters to electronic health records to help low-income patients rectify substandard housing conditions. We recommend the integration of medical-legal partnerships into federal health care programs.

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Process and Impact Evaluation of a Legal Assistance and Health Care Community Partnership

Cited by 14 publications

References 29 publications

‘Extra oomph:’ addressing housing disparities through Medical Legal Partnership interventions

‘Extra oomph:’ addressing housing disparities through Medical Legal Partnership interventions

Teaching Economic Evaluation of Health Promotion Programs

Medical-Legal Partnerships: Transforming Primary Care By Addressing The Legal Needs Of Vulnerable Populations

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