Health-Harming Legal Needs Identified by People with HIV

Introduction: People with HIV (PWH) often face health-harming legal needs that impede access to and retention in HIV care. The Organizational Partnerships for Healthy Living (OPAHL) intervention addresses these gaps by integrating legal services with health care. Methods: This mixed-methods study...

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Main Authors: Samantha Morton, Andrew Maude, Theresa Brabson, Hervette Nkwihoreze, Robin Davison, Miguel Munoz-Laboy, Omar Martinez
Format: Article
Language:English
Published: Riyadh Second Health Cluster Research Center, King Fahad Medical City (KFMC) 2025-02-01
Series:The Journal of Medicine, Law & Public Health
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Online Access:https://jmlph.net/index.php/jmlph/article/view/159
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author Samantha Morton
Andrew Maude
Theresa Brabson
Hervette Nkwihoreze
Robin Davison
Miguel Munoz-Laboy
Omar Martinez
author_facet Samantha Morton
Andrew Maude
Theresa Brabson
Hervette Nkwihoreze
Robin Davison
Miguel Munoz-Laboy
Omar Martinez
author_sort Samantha Morton
collection DOAJ
description Introduction: People with HIV (PWH) often face health-harming legal needs that impede access to and retention in HIV care. The Organizational Partnerships for Healthy Living (OPAHL) intervention addresses these gaps by integrating legal services with health care. Methods: This mixed-methods study was conducted at two health centers in Philadelphia, PA, from October 20, 2022 through 2024. The trial aims to: (1) refine the OPAHL intervention prototype for PWH with detectable viral loads; and (2) test the feasibility, acceptability, and preliminary effects of OPAHL, which includes (a) comprehensive partner training; (b) screening for legal concerns; and (c) access to legal services. Key legal concerns were identified from 111 participants through quantitative and qualitative analyses of patient-reported responses and attorney case summaries. Results: Major findings from the preliminary dataset reflect distinct categories of legal concerns reported by participants, including Personal/Advanced Care Planning (n = 50), Other Legal Concerns (n = 26), Unsafe Housing/Repairs (n = 23), and Eviction or Threat of Losing Home (n = 15). Conclusions: Findings highlight the diverse and complex legal concerns impacting PWH, particularly in relation to personal and housing-related planning. Understanding and addressing these challenges is crucial for developing targeted interventions to strengthen the HIV care continuum.
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spelling doaj-art-da1010965b2642a297ac4a27716d47da2025-02-07T12:44:54ZengRiyadh Second Health Cluster Research Center, King Fahad Medical City (KFMC)The Journal of Medicine, Law & Public Health2788-98152788-791X2025-02-0152Health-Harming Legal Needs Identified by People with HIVSamantha Morton0Andrew Maude1Theresa Brabson2Hervette Nkwihoreze3Robin Davison4Miguel Munoz-Laboy5Omar Martinez6Samantha Morton ConsultingLegal Clinic for the DisabledLegal Clinic for the DisabledPerelman School of Medicine, University of PennsylvaniaCollege of Medicine, University of Central FloridaSchool of Social Welfare, Stony Brook UniversityCollege of Medicine, University of Central Florida Introduction: People with HIV (PWH) often face health-harming legal needs that impede access to and retention in HIV care. The Organizational Partnerships for Healthy Living (OPAHL) intervention addresses these gaps by integrating legal services with health care. Methods: This mixed-methods study was conducted at two health centers in Philadelphia, PA, from October 20, 2022 through 2024. The trial aims to: (1) refine the OPAHL intervention prototype for PWH with detectable viral loads; and (2) test the feasibility, acceptability, and preliminary effects of OPAHL, which includes (a) comprehensive partner training; (b) screening for legal concerns; and (c) access to legal services. Key legal concerns were identified from 111 participants through quantitative and qualitative analyses of patient-reported responses and attorney case summaries. Results: Major findings from the preliminary dataset reflect distinct categories of legal concerns reported by participants, including Personal/Advanced Care Planning (n = 50), Other Legal Concerns (n = 26), Unsafe Housing/Repairs (n = 23), and Eviction or Threat of Losing Home (n = 15). Conclusions: Findings highlight the diverse and complex legal concerns impacting PWH, particularly in relation to personal and housing-related planning. Understanding and addressing these challenges is crucial for developing targeted interventions to strengthen the HIV care continuum. https://jmlph.net/index.php/jmlph/article/view/159Health Services AccessibilityHealth InequitiesHIVImplementation ScienceQuality of Care
spellingShingle Samantha Morton
Andrew Maude
Theresa Brabson
Hervette Nkwihoreze
Robin Davison
Miguel Munoz-Laboy
Omar Martinez
Health-Harming Legal Needs Identified by People with HIV
The Journal of Medicine, Law & Public Health
Health Services Accessibility
Health Inequities
HIV
Implementation Science
Quality of Care
title Health-Harming Legal Needs Identified by People with HIV
title_full Health-Harming Legal Needs Identified by People with HIV
title_fullStr Health-Harming Legal Needs Identified by People with HIV
title_full_unstemmed Health-Harming Legal Needs Identified by People with HIV
title_short Health-Harming Legal Needs Identified by People with HIV
title_sort health harming legal needs identified by people with hiv
topic Health Services Accessibility
Health Inequities
HIV
Implementation Science
Quality of Care
url https://jmlph.net/index.php/jmlph/article/view/159
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