The aim of this study is to test whether participation of low-income patients with health-harming legal needs (HHLNs) in a medical legal partnership (MLP) results in improved mental health, improved quality of life, reduced utilization, and increased resolution of HHLNs.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
NONE
Enrollment
160
With the medical legal partnership, lawyers are embedded in clinics, and lawyers consult with patients who are identified as having health-harming legal needs (HHLNs). This arm will also receive usual care, which includes consultation with a social worker and a community health worker.
Usual care includes consultation with a social worker and a community health worker.
Jensen Clinic
Houston, Texas, United States
Stress as assessed by the Perceived Stress Scale
The perceived stress scale consists of 10 items, with each item ranging from 0-4, for a total score range of 0-40. A higher score indicates a worse outcome.
Time frame: baseline
Stress as assessed by the Perceived Stress Scale
The perceived stress scale consists of 10 items, with each item ranging from 0-4, for a total score range of 0-40. A higher score indicates a worse outcome.
Time frame: 3 months
Stress as assessed by the Perceived Stress Scale
The perceived stress scale consists of 10 items, with each item ranging from 0-4, for a total score range of 0-40. A higher score indicates a worse outcome.
Time frame: 6 months
Stress as assessed by the Perceived Stress Scale
The perceived stress scale consists of 10 items, with each item ranging from 0-4, for a total score range of 0-40. A higher score indicates a worse outcome.
Time frame: 12 months
Anxiety as assessed by the Generalized Anxiety Disorder 7-item scale
The Generalized Anxiety Disorder scale consists of 7 items, with each item ranging from 0-3, for a total score range of 0-21. A higher score indicates a worse outcome.
Time frame: baseline
Anxiety as assessed by the Generalized Anxiety Disorder 7-item scale
The Generalized Anxiety Disorder scale consists of 7 items, with each item ranging from 0-3, for a total score range of 0-21. A higher score indicates a worse outcome.
Time frame: 3 months
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Anxiety as assessed by the Generalized Anxiety Disorder 7-item scale
The Generalized Anxiety Disorder scale consists of 7 items, with each item ranging from 0-3, for a total score range of 0-21. A higher score indicates a worse outcome.
Time frame: 6 months
Anxiety as assessed by the Generalized Anxiety Disorder 7-item scale
The Generalized Anxiety Disorder scale consists of 7 items, with each item ranging from 0-3, for a total score range of 0-21. A higher score indicates a worse outcome.
Time frame: 12 months
Depression as assessed by the Center for Epidemiologic Studies Depression Scale
The Center for Epidemiologic Studies Depression Scale consists of 20 items, with each item ranging from 0-3, for a total score range of 0-60. A higher score indicates a worse outcome.
Time frame: baseline
Depression as assessed by the Center for Epidemiologic Studies Depression Scale
The Center for Epidemiologic Studies Depression Scale consists of 20 items, with each item ranging from 0-3, for a total score range of 0-60. A higher score indicates a worse outcome.
Time frame: 3 months
Depression as assessed by the Center for Epidemiologic Studies Depression Scale
The Center for Epidemiologic Studies Depression Scale consists of 20 items, with each item ranging from 0-3, for a total score range of 0-60. A higher score indicates a worse outcome.
Time frame: 6 months
Depression as assessed by the Center for Epidemiologic Studies Depression Scale
The Center for Epidemiologic Studies Depression Scale consists of 20 items, with each item ranging from 0-3, for a total score range of 0-60. A higher score indicates a worse outcome.
Time frame: 12 months
Quality of life as assessed by the Patient-Reported Outcomes Measurement Information System (PROMIS)
The Patient-Reported Outcomes Measurement Information System (PROMIS) consists of 29 items, with 28 of the items ranging from 1-5 and 1 item ranging from 0-10, for a total score range of 28-150. A higher score indicates a worse outcome.
Time frame: baseline
Quality of life as assessed by the Patient-Reported Outcomes Measurement Information System (PROMIS)
The Patient-Reported Outcomes Measurement Information System (PROMIS) consists of 29 items, with 28 of the items ranging from 1-5 and 1 item ranging from 0-10, for a total score range of 28-150. A higher score indicates a worse outcome.
Time frame: 3 months
Quality of life as assessed by the Patient-Reported Outcomes Measurement Information System (PROMIS)
The Patient-Reported Outcomes Measurement Information System (PROMIS) consists of 29 items, with 28 of the items ranging from 1-5 and 1 item ranging from 0-10, for a total score range of 28-150. A higher score indicates a worse outcome.
Time frame: 6 months
Quality of life as assessed by the Patient-Reported Outcomes Measurement Information System (PROMIS)
The Patient-Reported Outcomes Measurement Information System (PROMIS) consists of 29 items, with 28 of the items ranging from 1-5 and 1 item ranging from 0-10, for a total score range of 28-150. A higher score indicates a worse outcome.
Time frame: 12 months
Number of Urgent Care Visits
Time frame: baseline
Number of Urgent Care Visits
Time frame: 3 months
Number of Urgent Care Visits
Time frame: 6 months
Number of Urgent Care Visits
Time frame: 12 months
Number of Emergency Department Visits
Time frame: baseline
Number of Emergency Department Visits
Time frame: 3 months
Number of Emergency Department Visits
Time frame: 6 months
Number of Emergency Department Visits
Time frame: 12 months
Number of Hospital Visits
Time frame: baseline
Number of Hospital Visits
Time frame: 3 months
Number of Hospital Visits
Time frame: 6 months
Number of Hospital Visits
Time frame: 12 months
Percentage of baseline health-harming legal needs that were resolved
Time frame: baseline
Percentage of baseline health-harming legal needs that were resolved
Time frame: 3 months
Percentage of baseline health-harming legal needs that were resolved
Time frame: 6 months
Percentage of baseline health-harming legal needs that were resolved
Time frame: 12 months