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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Riyadh Second Health Cluster Research Center, King Fahad Medical City (KFMC)
2025-02-01
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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 |
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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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format | Article |
id | doaj-art-da1010965b2642a297ac4a27716d47da |
institution | Kabale University |
issn | 2788-9815 2788-791X |
language | English |
publishDate | 2025-02-01 |
publisher | Riyadh Second Health Cluster Research Center, King Fahad Medical City (KFMC) |
record_format | Article |
series | The Journal of Medicine, Law & Public Health |
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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