Evidence map›Paper›PMID 41450764›Full record

ArticleCritical public health2025

Justice as care: embedding legal services into HIV care to address health-harming legal needs.

Omar Martinez, Sandra Rodriguez, Andrew Maude, Theresa Brabson, Florence Marie Momplaisir, Hervette Nkwihoreze, Robin Davison, Ashley French, Lisa Pozzi, Deja Alvarez and 5 more

Abstract read
In one paragraph

Article in Critical public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Omar MartinezCollege of Medicine, University of Central Florida, Orlando, FL, USA.
Sandra RodriguezThe Philadelphia AIDS Consortium, Philadelphia, PA, USA.
Andrew MaudeLegal Clinic for the Disabled, Philadelphia, PA, USA.
Theresa BrabsonLegal Clinic for the Disabled, Philadelphia, PA, USA.
Florence Marie MomplaisirPerelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Hervette NkwihorezePerelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Robin DavisonCollege of Medicine, University of Central Florida, Orlando, FL, USA.
Ashley FrenchCollege of Medicine, University of Central Florida, Orlando, FL, USA.
Lisa PozziThe Philadelphia AIDS Consortium, Philadelphia, PA, USA.
Deja AlvarezThe Philadelphia AIDS Consortium, Philadelphia, PA, USA.
Souhail Malave-RiveraUniversity of Puerto Rico, San Juan, Puerto Rico.
Amanda Cruz-GerenaCollege of Medicine, University of Central Florida, Orlando, FL, USA.
Samantha MortonSamantha Morton Consulting LLC, Boston, MA, USA.
Carlos Rodriguez-DiazBoston University, Boston, MA, USA.
Miguel Muñoz-LaboyStony Brook, Stony Brook University School of Social Welfare, Stony Brook, NY, USA.

Funding

Forging sustainable solutions for HIV continuity of care through medical-legal partnershipsR34MH125718 · NIMH · TEMPLE UNIV OF THE COMMONWEALTH · PI MARTINEZ, OMAR, MCCALLION, PHILIP · 2021 to 2023
$722k
NIMH NIH HHS R34 MH125718
6 · The paper itself

Abstract

People with HIV face a constellation of social and structural barriers, including unstable housing, discrimination, lack of identification documents, immigration issues, and denial of public benefits, that impede access to and retention in care. These health-harming legal needs are rarely addressed systematically in HIV service settings, despite longstanding calls for structural interventions. This study examines the role and impact of a Medical-Legal Partnership (MLP) embedded within The Philadelphia AIDS Consortium, in collaboration with the Legal Clinic for the Disabled. As part of a larger feasibility and acceptability trial, we conducted follow-up interviews with 95 participants who engaged with the on-site attorney. Recruitment was conducted via venue-based outreach, online ads, and peer referral. Participants reported a substantial reduction in legal needs over time, with more than half reporting no health-harming legal needs (HHLNs) by the 3- and 6-month follow-ups. The most common concerns at baseline, transportation, care planning, and food access, declined significantly. Thematic analysis revealed six key domains of impact: (1) empowerment and knowledge-building; (2) trust, respect, and cultural competence; (3) accessibility and integration of legal services; (4) practical legal resolution; (5) emotional relief and therapeutic benefit; and (6) limitations in legal scope or access. Findings underscore the transformative potential of MLPs in HIV care. When embedded in trusted, culturally responsive settings, legal services can help dismantle structural barriers, foster trust, and support both practical legal resolution and improved mental health outcomes.

Indexed as

Health-harming legal needs (HHLNs)HIV carelegal servicesMedical-Legal Partnership (MLP)patient-centered interventions

Identifiers

PMID41450764
PMCPMC12733083

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.