Clinical trial NCT03805126: Expanding the UTHealth Medical Legal Partnership to Improve Mental Health for Low-Income Individuals
Official title: Expanding the UTHealth Medical Legal Partnership to Improve Mental Health for Low-Income Individuals
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Health-harming Legal Needs
Lead sponsor: The University of Texas Health Science Center, Houston
Sponsor class: OTHER
Collaborators: name: Texas Medical Center Foundation
name: University of Houston
name: William Marsh Rice University
First posted: 2019-01-15
Enrollment: 160
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: OTHER

Brief summary: The aim of this study is to test whether participation of low-income patients with health-harming legal needs (HHLNs) in a medical legal partnership (MLP) results in improved mental health, improved quality of life, reduced utilization, and increased resolution of HHLNs.


Eligibility criteria: Inclusion Criteria:

* low-income individuals (Low-income is defined as earning less than 200% of the Federal Poverty Level)
* individuals with HHLNs
* English or Spanish speaking

Exclusion Criteria:

* self-identified as being at significant and immediate risk due to HHLNs (e.g., a situation that involves imminent risk to the patient such as domestic violence)

Primary outcomes:
measure: Stress as assessed by the Perceived Stress Scale
timeFrame: baseline
measure: Stress as assessed by the Perceived Stress Scale
timeFrame: 3 months
measure: Stress as assessed by the Perceived Stress Scale
timeFrame: 6 months
measure: Stress as assessed by the Perceived Stress Scale
timeFrame: 12 months
Secondary outcomes:
measure: Anxiety as assessed by the Generalized Anxiety Disorder 7-item scale
timeFrame: baseline
measure: Anxiety as assessed by the Generalized Anxiety Disorder 7-item scale
timeFrame: 3 months
measure: Anxiety as assessed by the Generalized Anxiety Disorder 7-item scale
timeFrame: 6 months
measure: Anxiety as assessed by the Generalized Anxiety Disorder 7-item scale
timeFrame: 12 months
measure: Depression as assessed by the Center for Epidemiologic Studies Depression Scale
timeFrame: baseline
measure: Depression as assessed by the Center for Epidemiologic Studies Depression Scale
timeFrame: 3 months
measure: Depression as assessed by the Center for Epidemiologic Studies Depression Scale
timeFrame: 6 months
measure: Depression as assessed by the Center for Epidemiologic Studies Depression Scale
timeFrame: 12 months
measure: Quality of life as assessed by the Patient-Reported Outcomes Measurement Information System (PROMIS)
timeFrame: baseline
measure: Quality of life as assessed by the Patient-Reported Outcomes Measurement Information System (PROMIS)
timeFrame: 3 months
measure: Quality of life as assessed by the Patient-Reported Outcomes Measurement Information System (PROMIS)
timeFrame: 6 months
measure: Quality of life as assessed by the Patient-Reported Outcomes Measurement Information System (PROMIS)
timeFrame: 12 months
measure: Number of Urgent Care Visits
timeFrame: baseline
measure: Number of Urgent Care Visits
timeFrame: 3 months
measure: Number of Urgent Care Visits
timeFrame: 6 months
measure: Number of Urgent Care Visits
timeFrame: 12 months
measure: Number of Emergency Department Visits
timeFrame: baseline
measure: Number of Emergency Department Visits
timeFrame: 3 months
measure: Number of Emergency Department Visits
timeFrame: 6 months
measure: Number of Emergency Department Visits
timeFrame: 12 months
measure: Number of Hospital Visits
timeFrame: baseline
measure: Number of Hospital Visits
timeFrame: 3 months
measure: Number of Hospital Visits
timeFrame: 6 months
measure: Number of Hospital Visits
timeFrame: 12 months
measure: Percentage of baseline health-harming legal needs that were resolved
timeFrame: baseline
measure: Percentage of baseline health-harming legal needs that were resolved
timeFrame: 3 months
measure: Percentage of baseline health-harming legal needs that were resolved
timeFrame: 6 months
measure: Percentage of baseline health-harming legal needs that were resolved
timeFrame: 12 months
Other outcomes:
Locations:
city: Houston
country: United States
facility: Jensen Clinic
state: Texas
Study officials:
affiliation: The University of Texas Health Science Center, Houston
name: Winston Liaw, MD, MPH
role: PRINCIPAL_INVESTIGATOR
References: