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Expanding the UTHealth Medical Legal Partnership to Improve Mental Health for Low-Income Individuals

NCT ID: NCT03805126

Last Updated: 2020-11-06

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

160 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-02-14

Study Completion Date

2020-09-11

Brief Summary

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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.

Detailed Description

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Conditions

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Health-harming Legal Needs

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Medical Legal Partnership

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.

Group Type EXPERIMENTAL

Medical Legal Partnership

Intervention Type BEHAVIORAL

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

Intervention Type BEHAVIORAL

Usual care includes consultation with a social worker and a community health worker.

Usual Care

Usual care includes consultation with a social worker and a community health worker.

Group Type ACTIVE_COMPARATOR

Usual Care

Intervention Type BEHAVIORAL

Usual care includes consultation with a social worker and a community health worker.

Interventions

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Medical Legal Partnership

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.

Intervention Type BEHAVIORAL

Usual Care

Usual care includes consultation with a social worker and a community health worker.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* low-income individuals (Low-income is defined as earning less than 200% of the Federal Poverty Level)
* individuals with HHLNs
* English or Spanish speaking

Exclusion Criteria

* self-identified as being at significant and immediate risk due to HHLNs (e.g., a situation that involves imminent risk to the patient such as domestic violence)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Texas Medical Center Foundation

UNKNOWN

Sponsor Role collaborator

University of Houston

OTHER

Sponsor Role collaborator

William Marsh Rice University

OTHER

Sponsor Role collaborator

The University of Texas Health Science Center, Houston

OTHER

Sponsor Role lead

Responsible Party

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Winston Liaw

Associate professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Winston Liaw, MD, MPH

Role: PRINCIPAL_INVESTIGATOR

The University of Texas Health Science Center, Houston

Locations

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Jensen Clinic

Houston, Texas, United States

Site Status

Countries

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United States

References

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Liaw W, Northrup TF, Stotts AL, Bakos-Block C, Suchting R, Chen A, Hernandez A, Finzetto L, Green C, Murphy T. Medical-Legal Partnership Effects on Mental Health, Health Care Use, and Quality of Life in Primary Care: A Randomized Clinical Trial. J Am Board Fam Med. 2023 May 8;36(3):414-424. doi: 10.3122/jabfm.2022.220349R1. Epub 2023 Apr 7.

Reference Type DERIVED
PMID: 37028914 (View on PubMed)

Other Identifiers

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HSC-MS-18-1037

Identifier Type: -

Identifier Source: org_study_id