This document discusses medical-legal partnerships (MLPs), which integrate legal assistance into patient care to address social determinants of health. It provides examples of how MLPs have helped patients experiencing issues like difficulties accessing public benefits, housing problems, and education barriers. The Health, Education and Legal Assistance Project MLP improved patients' health, reduced stress, and resolved issues like gaining disability benefits or public housing for over 100 individuals. MLPs help healthcare providers identify legal needs and improve health outcomes, but challenges include sustainability, evaluation, and gaining long-term health data.
Expanding Access to Healthcare in Texas - Robert Greenwald, J.D.OneVoiceTexas
Robert Greenwald, J.D., Director of the Center for Health Law and Policy Innovation at Harvard Law School, looks at turning the Affordable Care Act challenges into Opportunities at the June 4, 2014 Designing Healthcare in Texas conference. (Hosts: One Voice Texas, Harris County Healthcare Alliance, Rice University Kinder Institute)
Improve Employee Health & Control Healthcare Costs with Direct Primary CareMegan Zimmerman
Direct Primary Care is providing employers of all sizes substantial cost savings while improving health outcomes. Learn how telemedicine, occupational health, wholesale medications, direct labs and imagining are working in tandem to create a cost effective and proactive healthcare model for employers.
Overview of Mental Health Budget and Policy Initiatives 2004-2006MHTP Webmastere
In this overview, David Knutson of the Washington State House of Representatives looks at mental health
budget and policy initiatives for the period 2004-06.
Expanding Access to Healthcare in Texas - Robert Greenwald, J.D.OneVoiceTexas
Robert Greenwald, J.D., Director of the Center for Health Law and Policy Innovation at Harvard Law School, looks at turning the Affordable Care Act challenges into Opportunities at the June 4, 2014 Designing Healthcare in Texas conference. (Hosts: One Voice Texas, Harris County Healthcare Alliance, Rice University Kinder Institute)
Improve Employee Health & Control Healthcare Costs with Direct Primary CareMegan Zimmerman
Direct Primary Care is providing employers of all sizes substantial cost savings while improving health outcomes. Learn how telemedicine, occupational health, wholesale medications, direct labs and imagining are working in tandem to create a cost effective and proactive healthcare model for employers.
Overview of Mental Health Budget and Policy Initiatives 2004-2006MHTP Webmastere
In this overview, David Knutson of the Washington State House of Representatives looks at mental health
budget and policy initiatives for the period 2004-06.
The future of primary care and implementing workforce innovations (Wessex AHSN)Robert Varnam Coaching
Presentation at Wessex AHSN event "Lifeline for general practice" event in Southampton. Including updates about the national general practice development programme, and tips on making a success of new ways of working.
Because everyone matters.
IBM Health and Social Programs Summit, October 2014
Craig Rhinehart’s Blog
Insights from NASHP Conference in Atlanta
Trick or Treating for State Healthcare Innovation Treats
http://craigrhinehart.com
Overview of Mental Health Budget and Policy Initiatives for the 2006 Washingt...guestbf1381
Overview of Mental Health Budget and Policy Initiatives for the 2006 Legislative Session</strong><br />
This presentation by David Knutson of the Washington State House of Representatives provides a basic road map of
mental health budget and policy initiatives for 2006.
Overview of Mental Health Budget and Policy Initiatives for the 2006 Legislat...MHTP Webmastere
Overview of Mental Health Budget and Policy Initiatives for the 2006 Legislative Session
This presentation by David Knutson of the Washington State House of Representatives provides a basic road map of
mental health budget and policy initiatives for 2006
The purpose of the webinar is to learn more about the value of the Medicaid expansion and how it could impact Ohio. We will also share resources to help you talk about the issue in your community.
Health and finance are more and more interconnected. Medical expenses are the number one reason for bankruptcy in the US and health is noted as the highest expense in retirement. We know that over half of Americans can’t afford a $400 emergency and yet more and more consumers have high deductible health plans which require more cash out of their pocket than before. The lack of transparency in the system can lead people to be unaware of expenses coming their way, not understand the bills when they come, and not understand their plan and their ultimate financial responsibility. This can lead people to fund medical debt on credit cards and even avoid treatment because they can’t afford the expense. Financial products like HSAs are designed to support consumers in planning for and affording health expenses and can even reduce their taxable income and provide a long-term savings and investment vehicle, but many people are not aware or do not use them as they are designed. In addition, the stress associated with financial volatility can add to an individual’s stress and can actually cause or exacerbate the health problems they face.
This area is a crucial one to be aware of and to address in the work we do across the design and innovation community in health. There are many opportunities for those across the health system from payer to provider to benefits administrator and employer to help people understand and manage the financial aspects of health. This panel will help us to explore the concept of financial wellbeing as it pertains to health planning and navigation, opening our eyes to the obstacles and opportunities present.
The future of primary care and implementing workforce innovations (Wessex AHSN)Robert Varnam Coaching
Presentation at Wessex AHSN event "Lifeline for general practice" event in Southampton. Including updates about the national general practice development programme, and tips on making a success of new ways of working.
Because everyone matters.
IBM Health and Social Programs Summit, October 2014
Craig Rhinehart’s Blog
Insights from NASHP Conference in Atlanta
Trick or Treating for State Healthcare Innovation Treats
http://craigrhinehart.com
Overview of Mental Health Budget and Policy Initiatives for the 2006 Washingt...guestbf1381
Overview of Mental Health Budget and Policy Initiatives for the 2006 Legislative Session</strong><br />
This presentation by David Knutson of the Washington State House of Representatives provides a basic road map of
mental health budget and policy initiatives for 2006.
Overview of Mental Health Budget and Policy Initiatives for the 2006 Legislat...MHTP Webmastere
Overview of Mental Health Budget and Policy Initiatives for the 2006 Legislative Session
This presentation by David Knutson of the Washington State House of Representatives provides a basic road map of
mental health budget and policy initiatives for 2006
The purpose of the webinar is to learn more about the value of the Medicaid expansion and how it could impact Ohio. We will also share resources to help you talk about the issue in your community.
Health and finance are more and more interconnected. Medical expenses are the number one reason for bankruptcy in the US and health is noted as the highest expense in retirement. We know that over half of Americans can’t afford a $400 emergency and yet more and more consumers have high deductible health plans which require more cash out of their pocket than before. The lack of transparency in the system can lead people to be unaware of expenses coming their way, not understand the bills when they come, and not understand their plan and their ultimate financial responsibility. This can lead people to fund medical debt on credit cards and even avoid treatment because they can’t afford the expense. Financial products like HSAs are designed to support consumers in planning for and affording health expenses and can even reduce their taxable income and provide a long-term savings and investment vehicle, but many people are not aware or do not use them as they are designed. In addition, the stress associated with financial volatility can add to an individual’s stress and can actually cause or exacerbate the health problems they face.
This area is a crucial one to be aware of and to address in the work we do across the design and innovation community in health. There are many opportunities for those across the health system from payer to provider to benefits administrator and employer to help people understand and manage the financial aspects of health. This panel will help us to explore the concept of financial wellbeing as it pertains to health planning and navigation, opening our eyes to the obstacles and opportunities present.
Learning from Practitioners: Making adolescent-focused RCTs work (better) in ...StephanieHall57
Helped in developing and presenting a group presentation at the 2017 AEA Conference in Washington D.C. The presentation focused on several adolescent-focused Randomized Controlled Trials that my company was implementing and strategies we found to improve implementation in the various settings. The area that I presented was the Lessons Learned from Implementing an Adolescent-focused RCT in Mental Health Settings.
How to convince key decisionmakers to integrate health literacyChristopher Trudeau
Looking to make the business & regulatory case for integrating health literacy or patient-centered care into your hospital or health system. This presentation gives practical tips and example slides I've used to help make the case.
The dos and don'ts of user and employee engagement, with case studies from business and a focus on engagement in health and care - including measurement and stakeholders engagement planning.
What is Trauma and Why Must We Address It? (Part I: Implications for Clinical...MFLNFamilyDevelopmnt
This 2 hour webinar will highlight various types of trauma and its impact on individuals and families. The presenters will provide an introduction to trauma-informed care and highlight benefits in utilizing this treatment approach for prevention and intervention work with both military and civilian families. The video to this presentation can be found here: https://learn.extension.org/events/1734#.VIemvr7yPKA
Presented by Andrea White of Housing Innovations and Anne Melbin of NNEDV.
Interest in voluntary models of case management is growing with the increased use of rapid re-housing and permanent supportive housing models. Speakers in this workshop will discuss engagement strategies and the organizational shift needed to serve families through a voluntary approach. Panelists will focus on services for young mothers and survivors of domestic violence.
Jim Warren
National Institute for Health Innovation (NIHI)
The University of Auckland
The presentation was accompanied by this video:
http://www.youtube.com/watch?v=jbvmGqmIxXY
ODF III - 3.15.16 - Day Two Morning SessionsMichael Kerr
Slide presentations delivered during morning sessions of Day Two of the California Statewide Health and Human Services Open DataFest - March 14 - 15, 2016, Sacramento, CA
This “Customer Service Excellence Training” slideshow is geared to help participants understand:
- The principles of strong customer service
- The concept of internal and external customer service
- Ideas for customer service improvement within their workplace
CHAPTER ONE Introduction to Case ManagementSurviving and Thrivin.docxtiffanyd4
CHAPTER ONE Introduction to Case Management
Surviving and Thriving as a Case Manager
Ellen
The agency I work for is located in the northwestern United States. We serve all age ranges. It is a community mental health center. The center has several different campuses across the county. I believe they serve around 18,000 people: children, adults and older adults. And the programs that they offer are quite extensive. They have counseling services, forensic services, housing and rehabilitation, case management, intensive case management, and then different psycho-educational sorts of things they do as a group. I had two positions within the agency. It is not unusual to stay in an agency and assume a new position.
At first I worked for a program that provided extended support and we provided intensive case management to adults and older adults who were chronically mentally ill. So I worked with a lot of folks who had psychotic disorders and anxiety and depression that were living mostly in adult family homes in the community, which are small residential facilities. They have twenty-four–hour care within the homes and so my role as a case manager was to go to those homes a few times a week to do just case management things.The case manager's job is to make sure clients are thriving in their environment, and everyone is safe and healthy.
I worked in that position for about two years and I carried a caseload of between 20 and 30 people at any given time. We spent a lot of time traveling between houses. And then with the shifts in the budget, I transferred to a different position. I worked in one of the adult community support clinics in the south side of the county. At that particular clinic I was a case manager. Most of our clients would come to us. These clients were more capable of managing public transportation in order to make it to appointments, but they were still very much mentally ill. They had other marginalizing sorts of issues: housing issues, financial issues.
· —Permission granted from Ellen Carruth, 2012, text from unpublished interview
In this agency we focus on meeting the needs of individuals and their families. The individuals, our clients, have difficult medical diagnoses and our goal is to allow them to live in their homes. In additional, all of our clients have other needs, reflecting social, educational, financial, and other family concerns. Meeting these multiple needs requires service coordination. We provide services that meet the specific needs of each client. And we involve the client and the families in service delivery. Coordination and integration support the management process. Sometimes professionals working in mental health and developmental disabilities do not understand how to work together to serve a single client. We provide the bridge.
· —Case manager, children's services, New York, NY
The agency I work for helps adolescent females. It would be difficult to describe the average client. Our clients come from var.
Similar to Collaborative Innovation to Address Social Determinants of Health: The Medical-Legal Partnership Model (20)
Collaborative Innovation to Address Social Determinants of Health: The Medical-Legal Partnership Model
1. Collaborative Innovation to Address
Social Determinants of Health: The
Medical-Legal Partnership Model
Shannon Mace Heller, JD, MPH
Public Health Specialist, Health, Education & Legal
assistance Project: A Medical-Legal Partnership
City MatCH Conference
Savannah, Georgia
24 September 2013
2. What is Medical-Legal Partnership?
MLP is a healthcare delivery model that integrates legal
assistance as a vital component of patient care.
MLP’s 3 key activities
transform the delivery of
health and legal services
and
improve health and well-
being for America’s most
vulnerable
3. Where we work, live, and play…
…determines our health status.
4. MLP Connection to Health
¤ Improved physical
environment
¤ Increased access to
health care
¤ Increased access to
basic necessities
¤ Decreased stress
¤ Increased access to
educational services
5. Unmet Legal Need
Source: Legal Services Corporation, Documenting the Justice Gap in America: The Current Unmet
Civil Legal Needs of Low-Income Americans (September 2009).
6. Health, Education and Legal Assistance
Project: A Medical-Legal Partnership
(HELP: MLP)
¤ Partners:
¤ Crozer-Keystone Healthy
Start
¤ Crozer-Keystone Nurse
Family Partnership
¤ Widener University School
of Law
¤ One of three national
Healthy Start project
demonstration grantees
(HRSA’s MCH Bureau)
7. Referral Process
} Education: Trainings provided
about potential legal issues of
participants
} Screening: An integrated legal
needs screening tool identifies
unmet legal needs of participants
} Referral: When a legal need is
identified the participant is
referred to HELP: MLP attorneys
} Action: Attorney contacts the
participant within 24 hours to
begin addressing the problem
} Follow-Up: Evaluation staff
contact participant for follow up
interview after obtaining informed
consent
Education
Screening
ReferralAction
Follow-Up
8. I-HELP Legal Screening Tool
¤ Developed by the
National Center for
Medical-Legal Partnership
¤ Integrated into Healthy
Start Participant Profile
electronic case record
¤ Identifies common legal
issues that impact health
and well-being
I Income Supports
H Housing & Utilities
E Education
L Legal (immigration)
Status
P Personal & Family
Stability
9. Evaluation Methods
¤ Program Participants:
¤ Collected data through telephone interviews 3-4
weeks after cases closed and review of case notes
¤ Measured: satisfaction, stress, health, and self-
efficacy
¤ At time data was collected 21 participants had
closed cases; 13 completed follow up interviews
¤ Healthy Start Staff:
¤ Conducted pre and post tests during trainings and
follow up interviews at end of grant period
¤ Measured: satisfaction, knowledge and beliefs
10. Healthy Start Project Results
(June 2012-May 2013)
¤ 29 Healthy Start Program
participants received services
benefiting over 100 individuals
¤ 70 Legal cases were
addressed
¤ 59 Case consultations
occurred with CKHS case
managers & staff
¤ 12 Students from multiple
disciplines educated
¤ 9 Trainings were conducted
for CKHS staff & community
partners
More than
100
Individuals
Helped
70
Legal
issues
addressed
59
Case
Consults
9
Trainings
conducted
with CKHS
12
Students
educated
at WUSL
13. Impact on Stress (May 2012-June 2013)
8.7
3.6
0
1
2
3
4
5
6
7
8
9
10
Prior to Services After services
Client Average Overall Level of Stress
Client Average
Overall Level of Stress
N=13
14. 8.3
1.375
0
1
2
3
4
5
6
7
8
9
Prior to services After services
Average Level of Stress for Clients with
Public Benefit Matters
Average Level of
Stress for Clients with
Public Benefit
Matters
N=8
16. Prior to Services After Services
Poor 5 2
Fair 5 2
Good 0 1
Very Good 3 2
Excellent 0 4
0
1
2
3
4
5
6Numberofresponses
Quality of Sleep
N=11
17. Always
Most of
the time
Half of
the time
Rarely Never
Prior to Services 3 5 4 0 0
After Services 0 1 1 8 2
0
1
2
3
4
5
6
7
8
9
#ofResponses
How often do you feel you are facing a
problem you cannot handle or ask for help
with?
n=12
18. Impact on CKHS Staff
¤ MLP integration has
resulted in:
¤ Increased knowledge
¤ Increased capacity to
serve clients
¤ Increased advocacy
capacity
¤ Decreased stress
¤ Increased ability to
identify and refer legal
needs
20. Client Quotations
¤ I didn't know I could even get help like that. I didn't know
where to turn. It made a big difference and I'm very
grateful. She still keeps in contact with me.
¤ Having a lawyer really changes everything. Being able to
say, "my lawyer will call you" gets results. I now know that if
anything happens I can call my lawyer, Laura.
¤ “Laura was a big help, she has been beyond a blessing. I
didn’t have a state ID or any other documents because of
my personal problems and she was able to help me apply
for benefits anyway.”
¤ The issue she worked on I was working on for more than a
year. No one knows how hard it was. She just stepped in
and in a month everything was done.