Addressing Legal Needs as Violence Prevention: A National Survey of Legal Services Offered through Hospital-based Violence Intervention Programs

IF 1.2 4区医学 Q4 HEALTH POLICY & SERVICES Journal of Health Care for the Poor and Underserved Pub Date : 2023-11-01 DOI:10.1353/hpu.2023.a912727

Kate M. Gallen, Carly Loughran, MJ Smith, Caitlin Schille, Kirsten Schuster, Mildred Reese, Jake Sonnenberg, Ji Seon Song, Elinore Kaufman, E. C. Hall

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Abstract

Abstract:Hospital-based violence intervention programs (HVIPs) provide comprehensive services to survivors of community violence to address social determinants of health (SDOH) as risks factors for future violence. Medical-legal partnerships (MLPs) integrate lawyers into health care teams to address SDOH through the application of the law. Despite shared purposes, it is unknown if HVIP-MLPs exist. We sought to quantify the existing landscape of legal services provided by HVIPs, identify HVIP-MLPs, and characterize barriers to formation. Surveys and interviews were conducted in 2020 with 35 HVIPs of the Health Alliance for Violence Intervention (HAVI) concerning civil legal services. Most HVIPs screened for civil legal needs though none had an official MLP. Common civil legal needs included housing, mental health, and education. Barriers included no memorandum of understanding, legal confusion, funding, and overwhelming need. In 2021, no HVIP-MLP partnerships existed within HAVI. Establishing HVIP-MLPs may further support survivors of violence and address health inequity.

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满足法律需求，预防暴力：通过医院暴力干预计划提供法律服务的全国调查

摘要：以医院为基础的暴力干预计划（HVIPs）为社区暴力幸存者提供综合服务，以解决作为未来暴力风险因素的健康社会决定因素（SDOH）。医疗-法律合作伙伴关系（MLPs）将律师纳入医疗团队，通过应用法律来解决 SDOH 问题。尽管目的相同，但 HVIP-MLP 是否存在尚不得而知。我们试图量化 HVIP 所提供法律服务的现有情况，识别 HVIP-MLPs 并描述其形成的障碍。2020 年，我们对暴力干预健康联盟 (HAVI) 的 35 家 HVIP 进行了有关民事法律服务的调查和访谈。大多数 HVIP 筛选出了民事法律需求，但没有一个有正式的 MLP。常见的民事法律需求包括住房、心理健康和教育。障碍包括没有谅解备忘录、法律混乱、资金不足以及需求过大。2021 年，HAVI 内部没有 HVIP-MLP 伙伴关系。建立 HVIP-MLP 可进一步支持暴力幸存者，解决健康不平等问题。

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来源期刊

Journal of Health Care for the Poor and Underserved Multiple-

CiteScore

2.00

自引率

7.10%

发文量

154

期刊介绍： The journal has as its goal the dissemination of information on the health of, and health care for, low income and other medically underserved communities to health care practitioners, policy makers, and community leaders who are in a position to effect meaningful change. Issues dealt with include access to, quality of, and cost of health care.