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健康正义伙伴关系:应对儿童期逆境的契机。

Health Justice Partnership: An Opportunity to Respond to Childhood Adversity.

作者信息

Loveday Sarah, Forell Suzie, Bosward Rebecca, Chen Lingling, Constable Leanne N, Ebbett Wilhelmina, Kabir Ashraful, Liu Hueiming, Preddy Alexandra, White Natalie, Hiscock Harriet

机构信息

Department of Paediatrics, University of Melbourne, Parkville, Victoria, Australia.

Health Services, Murdoch Children's Research Institute, Melbourne, Victoria, Australia.

出版信息

Int J Integr Care. 2025 Mar 25;25(1):13. doi: 10.5334/ijic.8917. eCollection 2025 Jan-Mar.

DOI:10.5334/ijic.8917
PMID:40162027
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11951959/
Abstract

BACKGROUND

Health justice partnerships (HJP) embed legal support into health care teams to address patient unmet legal needs. Families experiencing adversity are likely to have multiple legal needs yet are unlikely to seek legal assistance. Implementing a HJP within an integrated health and social care hub may improve outcomes for families by addressing adversity related to unmet legal need.

METHODS

A mixed-method evaluation of new HJPs was conducted across two sites in Australia. Process data were collected regarding the use of the legal services. Qualitative data explored the experience of legal support.

RESULTS

Forty caregivers were referred across two sites with 38 seen over the first 12 months. Caregivers had an average 2.5 legal issues each; 65% of referrals were for family violence and family law matters, 31% were for civil law matters and 4% were for criminal matters. Qualitative data demonstrated the value of HJP to increase practitioner confidence and understanding of legal support pathways while empowering caregivers to access legal support.

CONCLUSIONS

These HJPs improved access to legal support for families experiencing adversity and enabled early intervention. Improved outcomes from HJP depends upon the level of investment from each partner and the level of assistance the HJP can provide.

摘要

背景

健康司法伙伴关系(HJP)将法律支持融入医疗团队,以满足患者未得到满足的法律需求。经历逆境的家庭可能有多种法律需求,但不太可能寻求法律援助。在综合健康和社会护理中心实施HJP可能通过解决与未得到满足的法律需求相关的逆境来改善家庭的状况。

方法

在澳大利亚的两个地点对新的HJP进行了混合方法评估。收集了关于法律服务使用情况的过程数据。定性数据探讨了法律支持的体验。

结果

在两个地点共转介了40名照顾者,在前12个月内有38人接受了服务。照顾者平均每人有2.5个法律问题;65%的转介涉及家庭暴力和家庭法事务,31%涉及民法事务,4%涉及刑事事务。定性数据表明,HJP有助于提高从业者对法律支持途径的信心和理解,同时使照顾者有能力获得法律支持。

结论

这些HJP改善了经历逆境的家庭获得法律支持的机会,并实现了早期干预。HJP取得更好的效果取决于每个合作伙伴的投入水平以及HJP能够提供的援助水平。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a9b/11951959/257442ece6b2/ijic-25-1-8917-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a9b/11951959/257442ece6b2/ijic-25-1-8917-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a9b/11951959/257442ece6b2/ijic-25-1-8917-g1.jpg

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本文引用的文献

1
Lessons Learned From the Implementation of an Integrated Health and Social Care Child and Family Hub - a Case Study.从综合健康与社会关怀儿童及家庭中心的实施中吸取的经验教训——一项案例研究
Int J Integr Care. 2024 Nov 15;24(4):9. doi: 10.5334/ijic.8631. eCollection 2024 Oct-Dec.
2
Identifying and responding to family adversity in Australian community and primary health settings: a multi-site cross sectional study.在澳大利亚社区和基层医疗环境中识别和应对家庭逆境:一项多地点横断面研究。
Front Public Health. 2023 Sep 13;11:1147721. doi: 10.3389/fpubh.2023.1147721. eCollection 2023.
3
Co-designing an Integrated Health and Social Care Hub With and for Families Experiencing Adversity.
与经历逆境的家庭共同设计一个综合健康与社会关怀中心,并为他们打造这样一个中心。
Int J Integr Care. 2023 Apr 5;23(2):3. doi: 10.5334/ijic.6975. eCollection 2023 Apr-Jun.
4
Health economics of health justice partnerships: A rapid review of the economic returns to society of promoting access to legal advice.卫生正义伙伴关系的健康经济学:促进获得法律咨询机会对社会的经济回报的快速综述。
Front Public Health. 2022 Nov 15;10:1009964. doi: 10.3389/fpubh.2022.1009964. eCollection 2022.
5
Impacts of a medical-legal partnership on clinical capacity to address social determinants of health.医疗-法律合作关系对解决健康社会决定因素的临床能力的影响。
J Epidemiol Community Health. 2022 Aug 26. doi: 10.1136/jech-2022-219270.
6
Integrated Child and Family Hub models for detecting and responding to family adversity: protocol for a mixed-methods evaluation in two sites.综合儿童和家庭中心模型在检测和应对家庭逆境方面的作用:在两个地点进行混合方法评估的方案。
BMJ Open. 2022 May 24;12(5):e055431. doi: 10.1136/bmjopen-2021-055431.
7
The Impact of a Pediatric Medical-Legal Partnership on Pediatric Providers: A Qualitative Study.儿科医疗-法律合作关系对儿科医疗服务提供者的影响:一项定性研究。
Acad Pediatr. 2022 Apr;22(3):447-453. doi: 10.1016/j.acap.2021.06.015. Epub 2021 Jul 14.
8
Using Geospatial Analysis to Inform Development of a Place-Based Integrated Care Initiative: The Healthy Homes and Neighbourhoods Experience.利用地理空间分析为基于地点的综合护理计划的制定提供信息:健康家园与社区经验
Int J Integr Care. 2021 Jun 21;21(2):23. doi: 10.5334/ijic.5430.
9
International Evidence on the Impact of Health-Justice Partnerships: A Systematic Scoping Review.健康与司法伙伴关系影响的国际证据:一项系统综述。
Public Health Rev. 2021 Apr 26;42:1603976. doi: 10.3389/phrs.2021.1603976. eCollection 2021.
10
Life course health consequences and associated annual costs of adverse childhood experiences across Europe and North America: a systematic review and meta-analysis.生活历程中健康后果与不利儿童经历相关的年度成本:在欧洲和北美洲的系统回顾和荟萃分析。
Lancet Public Health. 2019 Oct;4(10):e517-e528. doi: 10.1016/S2468-2667(19)30145-8. Epub 2019 Sep 3.