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Camden Coalition Medical-Legal Partnership: Year One Analysis of Civil + Criminal MLP Model in Addiction Medicine Setting
Published online by Cambridge University Press: 13 March 2024
Abstract
In 2022, the Camden Coalition Medical-Legal Partnership began providing civil and criminal legal services to substance use disorder patients at Cooper University Health Care’s Center for Healing. This paper discusses early findings from the program’s first year on the efficacy of the provision of criminal-legal representation, which is uncommon among MLPs and critical for this patient population. The paper concludes with takeaways for other programs providing legal services in an addiction medicine setting.
- Type
- Symposium Articles
- Information
- Journal of Law, Medicine & Ethics , Volume 51 , Issue 4: Medical-Legal Partnerships: Equity, Evaluation, and Evolution , Winter 2023 , pp. 838 - 846
- Copyright
- © 2024 The Author(s)
References
Galea, S. and Vlahov, D., “Social Determinants and the Health of Drug Users: Socioeconomic Status, Homelessness, and Incarceration,” Journal of Public Health Reports 117, no. Suppl 1 (2002): S135–145; J. D. Boardman et al., “Neighborhood Disadvantage, Stress, and Drug Use among Adults,” Journal of Health and Social Behavior 42, no. 2 (2001): 151-165; M. L. LeTendre and M. B. Reed “The Effect of Adverse Childhood Experience on Clinical Diagnosis of a Substance Use Disorder: Results of a Nationally Representative Study,” Substance Use & Misuse 52, no. 6 (2017): 689-697; D.A. Glei and M. Weinstein, “Drug and Alcohol Abuse: the Role of Economic Insecurity,” American Journal of Health Behavior 43 (2019), pp. 838-857.Google ScholarPubMed
See Rotter, M. and Compton, M., “Criminal Legal Involvement: A Cause and Consequence of Social Determinants of Health,” Psychiatric Services 73, no. 1 (2022): 108–111 (observing that criminal legal involvement can “increase risk for mental illnesses and substance use disorders”); J. Chaudhary et al., “The Opioid Crisis in America & the Role Medical-Legal Partnership Can Play in Recovery,” National Center for Medical-Legal Partnership Population Series, no. 1 (2018): 8-9 (identifying civil legal issues that pose barriers to OUD recovery).CrossRefGoogle ScholarPubMed
Ryan, A. M. et al., “Pilot Study of Impact of Medical-Legal Partnership Services on Patients’ Perceived Stress and Wellbeing,” Journal of Health Care for the Poor and Underserved 23, no. 4 (2012): 1536–1546, at 1536; see also J. A. Teufel et al., “Rural Medical-Legal Partnership and Advocacy: A Three-Year Follow-up Study,” Journal of Health Care for the Poor and Underserved 23, no. 2 (2012): 705-714.CrossRefGoogle ScholarPubMed
Klein, M. D. et al., “Doctors and Lawyers Collaborating to HeLP Children — Outcomes from a Successful Partnership Between Professions,” Journal of Health Care for the Poor and Underserved 24, no. 3 (2013): 1063–1073.CrossRefGoogle ScholarPubMed
Ryan, supra note 3; Valverde, J. N. Rosen et al., “Medical-Legal Partnership Impact on Parents’ Perceived Stress: A Pilot Study,” Behavioral Medicine 45, no. 1 (2019): 70–77.CrossRefGoogle Scholar
Tsai, J. et al., “Medical-Legal Partnerships at Veterans Affairs Medical Centers Improved Housing and Psychosocial Outcomes for Vets,” Health Affairs 36, no. 12 (2017): 2195–203.CrossRefGoogle ScholarPubMed
Sandel, M. et al., “Medical-legal Partnerships: Transforming Primary Care by Addressing the Legal Needs of Vulnerable Populations,” Health Affairs 29, no. 9 (2010): 1697–1705.CrossRefGoogle ScholarPubMed
Camden Coalition, The Camden Core Model – Patient Selection and Triage Methodology, available at <https://camdenhealth.org/wp-content/uploads/2019/11/Care-Management_Triage_11022018_v5.pdf> (last visited August 5, 2023).+(last+visited+August+5,+2023).>Google Scholar
Camden Health, COACH Case Study, available at <
https://camdenhealth.org/resources/coach-case-study/> (last visited June 25, 2023) (explaining that COACH stands for “C: Create a care plan; O: Observe the normal routine; A: Assume a coaching style; C: Connect tasks with vision and priorities; and H: Highlight effort with data).+(last+visited+June+25,+2023)+(explaining+that+COACH+stands+for+“C:+Create+a+care+plan;+O:+Observe+the+normal+routine;+A:+Assume+a+coaching+style;+C:+Connect+tasks+with+vision+and+priorities;+and+H:+Highlight+effort+with+data).>Google Scholar
See Camden Health, Health Information Exchange, available at <https://camdenhealth.org/work/health-information-exchange/> (last visited June 25, 2023) (explaining that clients grant MLP access to HIE data through releases).+(last+visited+June+25,+2023)+(explaining+that+clients+grant+MLP+access+to+HIE+data+through+releases).>Google Scholar
Noonan, K., “Court-Issued Fines and Fees Frequently Undermine Health Equity,” Health Affairs Forefront, Feb. 2, 2022; P. Upadhyay, Comment, “Health-Harming Effects of Court Fines and Fees: Modern Day Debtors’ Prisons as a Public Health Threat,” Temple Law Review 94, no. 4 (2022): 677-703.Google Scholar
Cooper University Health Care, NDAFW: How the Cooper Center for Healing Supports Our Patients and Community, available at <https://blogs.cooperhealth.org/ehealth/2023/03/20/ndafw-how-the-cooper-center-for-healing-supports-our-patients-and-community/> (last visited June 25, 2023).+(last+visited+June+25,+2023).>Google Scholar
Id.
Google Scholar
Cooper University Health Care, Cooper Center for Healing, available at <https://www.cooperhealth.org/services/center-healing> (last visited June 25, 2023).+(last+visited+June+25,+2023).>Google Scholar
Id.
Google Scholar
Cooper University, supra note 12.Google Scholar
Id.
Google Scholar
See Vanjani, R. et al., “Physician–Public Defender Collaboration — A New Medical–Legal Partnership,” New England Journal of Medicine 383, no. 21 (2020): 2083–2086 (explaining that the Rhode Island Public Defender and Lifespan Transitions Clinic (LTC) have established a criminal defense MLP at the Rhode Island Hospital Center for Primary Care).Google Scholar
See Weise, S., “Defining the Role of Clinical Law Students, Medical-Legal Partnerships, and Pro Bono Lawyers,” Tennessee Journal of Law and Policy 13 (2018): 378–424 (observing that “lawyers may be hesitant to commit to pro bono representation in cases involving parties or clients suffering from opioid addiction because it may prove difficult and/or require prolonged services”).Google Scholar
See A. Yuen, “Battling for My Life: A Patient Story,” Camden Coalition Hotspot Blog, March 12, 2018, available at <https://old.camdenhealth.org/battling-for-my-life-a-patient-story/> (last visited June 25, 2023) (noting benefit of MLP support for patient facing criminal charges and collaboration with public defender).+(last+visited+June+25,+2023)+(noting+benefit+of+MLP+support+for+patient+facing+criminal+charges+and+collaboration+with+public+defender).>Google Scholar
Data concerning the latter categories was obtained through Camden Coalition data sharing arrangements with Camden County and through the HIE.Google Scholar
See Csete, J., “Criminal Justice Barriers to Treatment of Opioid Use Disorders in the United States: The Need for Public Health Advocacy,” American Journal of Public Health 109, no. 3 (2019): 419–422 (documenting detrimental impact of incarceration on SUD recovery); Chaudhary, supra note 2 (observing negative impact of stress on OUD recovery).CrossRefGoogle ScholarPubMed
The devastating impact of a single eviction is well documented. See Finger, D., DeDecker, B., and Griffin, S. M., “New Orleans Evictions During Covid-19 (2020),” Journal of Affordable Housing and Community Development Law 30 (2021): 227–251; E. A. Benfer et al., “Eviction, Health Inequity, and the Spread of COVID-19: Housing Policy as a Primary Pandemic Mitigation Strategy,” Journal of Urban Health 98, no. 1 (2021): 1-12.Google Scholar
Patient interview (November 21, 2022) (transcript on file with authors).Google Scholar
Patient interview (January 11, 2023) (transcript on file with authors).Google Scholar
Patient interview (November 15, 2023) (transcript on file with authors).Google Scholar
Id.
Google Scholar