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- Title
Immigration-related Legal Collaboration in Primary Care: Evaluating Impact on Knowledge and Well-being.
- Authors
Kimball, Sarah L
- Abstract
Objectives : To evaluate the impact of embedding an immigration attorney in a primary care clinic to address immigration-related legal needs. Methods. We conducted a mixed-methods study of 42 legal clinic participants from May 2019–February 2020. Measures included psychological distress, understanding of legal options, and self-rated general health collected prior to, following, and 60–90 days after consultation. Results. There was significant improvement in participants' understanding of their legal immigration options pre- (4.9, SD 2.9) and post-consult (8.6, SD 2.1), and 60 days later (7.0, SD 2.8) (F=11.0, p<.05), but self-rated health scores and distress did not significantly improve, although there was a high loss-to-follow up rate at 60 days (42.8%). Qualitative results underscored the interconnectedness of immigration status and health. Discussion. Embedding immigration legal services in primary care improved patients' understanding of immigration-related legal options, although successfully mitigating the health impacts of vulnerable immigration status may take broader societal interventions.
- Subjects
GUATEMALA; DOMINICAN Republic; HAITI; MASSACHUSETTS; IMMIGRATION law; IMMIGRANTS; LAWYERS; WELL-being; HOSPITALS; ANALYSIS of variance; RESEARCH methodology; SELF-evaluation; INTERVIEWING; HEALTH status indicators; PRIMARY health care; HEALTH literacy; MEDICAL care use; PRE-tests &; post-tests; INTERPROFESSIONAL relations; SAFETY-net health care providers; QUESTIONNAIRES; SCALE analysis (Psychology); REPEATED measures design; CHI-squared test; DATA analysis; HEALTH impact assessment; PSYCHOLOGICAL distress
- Publication
Journal of Health Care for the Poor & Underserved, 2023, Vol 34, Issue 1, p246
- ISSN
1049-2089
- Publication type
Article
- DOI
10.1353/hpu.2023.0016