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Working for Health, Justice and
Partnership
Wuchopperen Legal Clinic
NACCHO National Conference
National Aboriginal Community Control Health Organisation
Conference (NACCHO)
Canberra
Wednesday 1 November 2017
Donnella Mills, Project Lawyer, LawRight
Working for Health, Justice and
Partnership
HJP = Wuchopperen Legal Clinic
 What are health justice partnerships (HJP)?
At their heart, HJP provide access to legal services in health
settings.
 They are a response to two key pieces of evidence.
i. Social determinants of health
ii. Access to justice
Aims of the service
 To provide effective early legal intervention to
Aboriginal and Torres Strait Islander people who
would not otherwise access Legal Advice
 To build capacity amongst health professionals to
identify issues
 To improve health outcomes for clients of the legal
service
Australian legal needs survey 2012
More legal
problems
Face worse
consequences
Less capacity
Less likely to
recognise a
legal problem
Less likely to
see a lawyer
More non-legal
problems
The more
disadvantaged
a person is…
Coumarelos C, et al, ‘Legal Australia-Wide Survey: legal need in Australia’ (2012) Law and Justice Foundation of NSW, Sydney
Life balance and legal needs
Family
HousingHealth
Work/Income
Impact of unresolved legal problems
Who wants to see a lawyer?!
Health Justice Partnership model
Traditional legal services Our model
Wait for clients to come to them Offer ‘bridges’
Co-locate with other services
Address presenting issue only Diagnose and address clustered
needs
Position lawyer as the ‘expert’ Collaborate with client and support
workers
Legal problem is siloed from other
needs
Health and social needs taken into
account
Legal Health Check
Legal Health Check
Targeted Legal Need
Assessment Tool
Covers debt, SPER, housing,
crime, guardianship &
child/family
People experiencing
disadvantage don’t know
they have legal needs and
that a lawyer can help
Tailored for different client
groups (homeless, mental
health, refugees, youth)
Examples of legal issues we work in
Housing &
tenancy
Social Security Debt SPER fines
Access to
super
Wills, Public
trustee &
guardianship
Stolen wages
Criminal law
referral
Family law
referral
Child
Protection
Discrimination Victims Assist
Collaboration
Has multiple legal
needs, but doesn’t
know what/how/who
to ask about them
Will benefit from
“diagnosis” of those
needs
Choice = knowing
what’s on the “menu”
Don’t always
identify all legal
need (just family
law and criminal)
Need training,
resources and
support to
identify, prioritise
and refer legal
need
Benefit from a structured interviewing tool
Need community workers to ask questions at
the best time, and refer/support client
Working for Health, Justice and Partnership
1. Commitment to reducing disadvantage through legal
and community led solutions
2. Integration
3. Early intervention
4. Systemic change
5. Person-centred services
14
What is it that makes a health justice partnership
work and the courage to be innovative?
1. Commitment
 To reducing disadvantage through health, legal and community
led solutions
 To improving the health and wellbeing of clients
 Target group don’t realise they have legal needs that can
undermine their health
 No other legal service available for multiple legal needs
 Need personalised, flexible, assertive, persistent and holistic
service delivery
2. Integration
 HJP at there core are a partnership between health and legal
professionals aimed at addressing inequities for people who
experience disadvantage.
 Key elements:
 Joint planning
 Priority setting
 Facilitating communication and feedback
 On-site legal services
 Healthcare training
 Evaluation
 Systems improvement
3. Early intervention
 Opportunity to identify issues early
 Engage
 Respond
 Equip
Intervening in an issue early to minimise its
impact and to maximise the utility of service
provision.
4. Systemic change
Systemic change occurs in two ways:
1. Cultural change
2. Change through policy and law reform
5. Person-Centred Services
• Aboriginal and Torres Strait Islander people who experience disadvantageTargeted
• Legal Health Check covers all relevant legal needs, not just the presenting
need (where there is one)Comprehensive
• Partner with community controlled health organisation and supporters in
referral process AND delivery of legal service as well as non-legal needCollaborative
• Assume client will have a new legal need every 6 months at least, so keep
showing the “menu”Assertive
• Recognisable faces and serviceConsistent
• Health professionals and lawyers must think outside of the boxFlexible
Enabling conditions
 Essential conditions to starting, maintaining and
growing an HJP:
- Leadership/champion
- Relationships
- Multi-disciplinary
- Flexibility/non traditional approach
- Organisational commitment
Working for health, justice and
partnership
Tenancy
Child Protection
CriminalDomestic ViolenceDebt
Employment Law
Family Law
Victim Assist
Other Civil
Stolen Wages
Areas of legal assistance – Wuchopperen Legal Clinic 2015/2016
Working for Health, Justice and
Partnership
“It is justice,
not charity,
that is
wanting in
the world.”Mary Wollstonecraft, A
Vindication of the Rights of
Woman (1792)
Contact
Donnella Mills – Project Lawyer
donnella.mills@lawright.org.au
Sue Garlick - Director
sue.garlick@lawright.org.au

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Donnella Mills

  • 1. Working for Health, Justice and Partnership Wuchopperen Legal Clinic NACCHO National Conference
  • 2. National Aboriginal Community Control Health Organisation Conference (NACCHO) Canberra Wednesday 1 November 2017 Donnella Mills, Project Lawyer, LawRight Working for Health, Justice and Partnership
  • 3. HJP = Wuchopperen Legal Clinic  What are health justice partnerships (HJP)? At their heart, HJP provide access to legal services in health settings.  They are a response to two key pieces of evidence. i. Social determinants of health ii. Access to justice
  • 4. Aims of the service  To provide effective early legal intervention to Aboriginal and Torres Strait Islander people who would not otherwise access Legal Advice  To build capacity amongst health professionals to identify issues  To improve health outcomes for clients of the legal service
  • 5. Australian legal needs survey 2012 More legal problems Face worse consequences Less capacity Less likely to recognise a legal problem Less likely to see a lawyer More non-legal problems The more disadvantaged a person is… Coumarelos C, et al, ‘Legal Australia-Wide Survey: legal need in Australia’ (2012) Law and Justice Foundation of NSW, Sydney
  • 6. Life balance and legal needs Family HousingHealth Work/Income
  • 7. Impact of unresolved legal problems
  • 8. Who wants to see a lawyer?!
  • 9. Health Justice Partnership model Traditional legal services Our model Wait for clients to come to them Offer ‘bridges’ Co-locate with other services Address presenting issue only Diagnose and address clustered needs Position lawyer as the ‘expert’ Collaborate with client and support workers Legal problem is siloed from other needs Health and social needs taken into account
  • 11. Legal Health Check Targeted Legal Need Assessment Tool Covers debt, SPER, housing, crime, guardianship & child/family People experiencing disadvantage don’t know they have legal needs and that a lawyer can help Tailored for different client groups (homeless, mental health, refugees, youth)
  • 12. Examples of legal issues we work in Housing & tenancy Social Security Debt SPER fines Access to super Wills, Public trustee & guardianship Stolen wages Criminal law referral Family law referral Child Protection Discrimination Victims Assist
  • 13. Collaboration Has multiple legal needs, but doesn’t know what/how/who to ask about them Will benefit from “diagnosis” of those needs Choice = knowing what’s on the “menu” Don’t always identify all legal need (just family law and criminal) Need training, resources and support to identify, prioritise and refer legal need Benefit from a structured interviewing tool Need community workers to ask questions at the best time, and refer/support client
  • 14. Working for Health, Justice and Partnership 1. Commitment to reducing disadvantage through legal and community led solutions 2. Integration 3. Early intervention 4. Systemic change 5. Person-centred services 14 What is it that makes a health justice partnership work and the courage to be innovative?
  • 15. 1. Commitment  To reducing disadvantage through health, legal and community led solutions  To improving the health and wellbeing of clients  Target group don’t realise they have legal needs that can undermine their health  No other legal service available for multiple legal needs  Need personalised, flexible, assertive, persistent and holistic service delivery
  • 16. 2. Integration  HJP at there core are a partnership between health and legal professionals aimed at addressing inequities for people who experience disadvantage.  Key elements:  Joint planning  Priority setting  Facilitating communication and feedback  On-site legal services  Healthcare training  Evaluation  Systems improvement
  • 17. 3. Early intervention  Opportunity to identify issues early  Engage  Respond  Equip Intervening in an issue early to minimise its impact and to maximise the utility of service provision.
  • 18. 4. Systemic change Systemic change occurs in two ways: 1. Cultural change 2. Change through policy and law reform
  • 19. 5. Person-Centred Services • Aboriginal and Torres Strait Islander people who experience disadvantageTargeted • Legal Health Check covers all relevant legal needs, not just the presenting need (where there is one)Comprehensive • Partner with community controlled health organisation and supporters in referral process AND delivery of legal service as well as non-legal needCollaborative • Assume client will have a new legal need every 6 months at least, so keep showing the “menu”Assertive • Recognisable faces and serviceConsistent • Health professionals and lawyers must think outside of the boxFlexible
  • 20. Enabling conditions  Essential conditions to starting, maintaining and growing an HJP: - Leadership/champion - Relationships - Multi-disciplinary - Flexibility/non traditional approach - Organisational commitment
  • 21. Working for health, justice and partnership Tenancy Child Protection CriminalDomestic ViolenceDebt Employment Law Family Law Victim Assist Other Civil Stolen Wages Areas of legal assistance – Wuchopperen Legal Clinic 2015/2016
  • 22. Working for Health, Justice and Partnership “It is justice, not charity, that is wanting in the world.”Mary Wollstonecraft, A Vindication of the Rights of Woman (1792)
  • 23. Contact Donnella Mills – Project Lawyer donnella.mills@lawright.org.au Sue Garlick - Director sue.garlick@lawright.org.au

Editor's Notes

  1. Today, I want to tell you about our work in a Health Justice Partnership at Wuchopperen Health Service, which is only 16 months old. A Health Justice Partnership (HPJ) is an early intervention program designed to identify and intervene in the potential legal issues that frequently exist for patients in healthcare settings. The potential for legal issues to cause or compound health problems for patients is well established. The purpose of a HJP is to address the potential effects of compound health and legal problems, by enabling the respective professions to work in tandem to improve the holistic heath of individuals and alleviate the strain on the healthcare and legal systems. Additionally, providing legal assistance
  2. Social determinants of health – The first is what we know about the social determinants of health: that there are many factors beyond the medical, that affect people’s health. Things like the affordability of housing; adequacy of income; and people’s engagement with family, with community, and with employment. Across Australia, over one in five people will have three or more legal needs in a given year. For some, these legal needs relate to the criminal justice system and experiences in prison. For others, these are the legal needs of life: issues like credit and debt, employment, housing, family break-down and family violence. Among the one in five, people living with disabilities, sole parents, people who rely on income support payments and people living in disadvantaged housing are highly represented. ATSI people are also over-represented, and we know that they are more likely to have unresolved legal matters, even where they’ve sought legal assistance. Critically, we know that many people with these legal needs are much more likely to talk about those needs in the trusted environment of a health setting.
  3. We know that if these legal problems aren't resolved the impact on housing, health and income will just get worse and entrench the persons disadvantage.
  4. And see there it is...there's our reason....who wants to see lawyers?