Medical-Legal Partnerships to Support Continuity of Care for Immigrants Impacted by HIV: Lessons Learned from California

J Immigr Minor Health. 2020 Feb;22(1):212-215. doi: 10.1007/s10903-019-00919-0.

Abstract

The United States (US) has experienced a surge of anti-immigrant policies and rhetoric, raising concerns about the influence on health outcomes for immigrants living in the US. We conducted qualitative interviews (n = 20) with health care and social service providers, attorneys, and legal/policy experts in California to understand how agencies were maintaining access to HIV care and prevention for immigrant clients. We conducted a thematic analysis to describe the role of medical-legal partnerships (MLPs) and document best practices. Informants reported high demand for legal services. Referrals were facilitated by case managers, medical providers, and pre-existing relationships between clinics and legal agencies. Informants identified a need for additional funding and further guidance on screening for and supporting patients with legal needs. MLPs have the capacity to create sustainable, efficient, comprehensive structural changes that minimize barriers to HIV prevention and treatment and improve health outcomes among immigrant populations.

Keywords: HIV care and prevention; Immigrant; Medical–legal partnerships; Qualitative research; United States.

MeSH terms

  • Attitude of Health Personnel
  • California / epidemiology
  • Continuity of Patient Care / economics
  • Continuity of Patient Care / organization & administration*
  • Emigrants and Immigrants / statistics & numerical data*
  • HIV Infections / ethnology
  • HIV Infections / prevention & control
  • HIV Infections / therapy*
  • Health Personnel / organization & administration
  • Health Services Accessibility / economics
  • Health Services Accessibility / organization & administration*
  • Humans
  • Interinstitutional Relations
  • Interviews as Topic
  • Legal Services / economics
  • Legal Services / organization & administration*
  • Program Evaluation
  • Qualitative Research
  • Social Work / organization & administration
  • United States / epidemiology