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Harmonizing Hospital-Based Violence Intervention Programs with a Novel Medical-Legal Partnership for Equity in the Social and Structural Determinants of Health – the HVIP-MLP Model

Overview

This project will integrate an on-site Medical-Legal Partnership with an existing Hospital-based Violence Intervention Program to offer on-site civil legal support to patients and families undergoing violence recovery. The project aims to support patients and their families to address a broad number of health-harming legal needs, reduce stress, and improve the health-related quality of life in patients.

The intervention will test a pragmatic clinical trial measuring primary health outcomes (stress and health-related quality of life) and secondary, validated social and structural determinants of health outcomes (improvements in income, housing & utilities, employment, legal needs and personal & family stability).  Implementation outcomes (acceptability and feasibility) of the  novel Medical Legal Partnership will be compared to standard of care with the Hospital-based Violence Intervention.

The program is a partnership that includes the University of Chicago Medicine Violence Recovery Program and Legal Aid Chicago, where the expertise of lawyers and legal advocates are integrated into the healthcare system.

Setting: South Side of Chicago, IL

Research Aims

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Phase One (Years 1 & 2)

We will screen for health harming legal needs and conduct surveys and interviews of firearm injured patients and families prior to hospital discharge. With this information we will develop a novel Hospital-based Violence Intervention Program along side a Medical-Legal Partnership intervention to enhance care and violence prevention work.

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Phase Two (Years 3, 4, & 5)

We will conduct interviews to measure the acceptability and feasibility of our novel partnership among patients, families, and Violence Recovery Specialists. We will then look at patient outcomes over a two-year period and compare those involved with the novel Medical-Legal Partnership intervention to those who only received the medical intervention.

Principal Investigators

Tanya Zakrison, MD, MPH, FACS, FRCSC

Principal Investigator, Harmonizing Hospital-Based Violence Intervention Programs with a Novel Medical-Legal Partnership for Equity in the Social and Structural Determinants of Health

Community Partners

Carly Loughran, JD

EJW Fellowship Attorney, Community Partner, Harmonizing Hospital-Based Violence Intervention Programs with a Novel Medical-Legal Partnership for Equity in the Social and Structural Determinants of Health

Franklin Cosey-Gay, PhD, MPH

Co-Investigator, Harmonizing Hospital-Based Violence Intervention Programs with a Novel Medical-Legal Partnership for Equity in the Social and Structural Determinants of Health

Isaac Green, JD

Community Partner, Harmonizing Hospital-Based Violence Intervention Programs with a Novel Medical-Legal Partnership for Equity in the Social and Structural Determinants of Health

Study Team

Bradley Stolbach, PhD

Co-Investigator, Harmonizing Hospital-Based Violence Intervention Programs with a Novel Medical-Legal Partnership for Equity in the Social and Structural Determinants of Health

Elizabeth Tung, MD, MS

Co-Investigator, Harmonizing Hospital-Based Violence Intervention Programs with a Novel Medical-Legal Partnership for Equity in the Social and Structural Determinants of Health

Rhea Pillai, MPH

Project Coordinator, Harmonizing Hospital-Based Violence Intervention Programs with a Novel Medical-Legal Partnership for Equity in the Social and Structural Determinants of Health

Selwyn Rogers, Jr, MD, MPH

Co-Investigator, Harmonizing Hospital-Based Violence Intervention Programs with a Novel Medical-Legal Partnership for Equity in the Social and Structural Determinants of Health

Partners/Supporters

This research is supported by the National Institutes of Health under Award Number 1UG3HD111325-01.

The content of this website is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.