Samantha J Morton, Andrew Maude, Theresa Brabson, Hervette Nkwihoreze, Robin Davison, Miguel Muñoz-Laboy, Omar Martinez
{"title":"Health-Harming Legal Needs Identified by People with HIV: Data from a Medical-Legal Partnership Study to Improve HIV Care Continuum Outcomes.","authors":"Samantha J Morton, Andrew Maude, Theresa Brabson, Hervette Nkwihoreze, Robin Davison, Miguel Muñoz-Laboy, Omar Martinez","doi":"10.52609/jmlph.v5i2.159","DOIUrl":"10.52609/jmlph.v5i2.159","url":null,"abstract":"<p><strong>Introduction: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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).</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":520450,"journal":{"name":"The journal of medicine, law & public health","volume":"5 2","pages":"626-643"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11894444/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143618149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}